Mastering Risk Adjustment
Presenters at this session will discuss types of quality and outcomes measures; types of risk adjustment methodologies; benefits and limitations of risk adjustment methodologies; specific components of risk adjustment; documentation and coding impact on risk adjustment accuracy; and strategies to improve accurate risk adjustment capture.
Attendees of this session will learn:
• The various risk adjustment models used in public quality report card and pay-for-performance measures, including which types of measures require risk adjustment.
• The benefits and limitations of the different models, including specific elements and methodologies — such as types of diagnoses and procedures that impact expected outcomes, including new pushes to use social determinants of health.
• How documentation and coding can impact risk adjustment accuracy, including discussion of specific strategies to improve awareness, accuracy, and measurement of risk adjustment outcomes.
Kristen Geissler, PT, MBA, CPHQ
BRG Essex, MD