Beyond coding: A patient-centered approach to risk adjustment

Risk adjustment programs are often associated with a heavy focus on coding capture, and year-end pushes to schedule patients for a final opportunity to close open diagnosis gaps. These elements are only part of a comprehensive, proactive, patient-focused risk adjustment process. A more effective approach starts earlier and extends further, connecting clinical insight, proactive care strategies with clinical documentation. This approach drives complete, clinically specific ICD-10-CM coding to support a more complete view of each patient’s documented health status visible to both providers and payers.

Risk adjustment programs are often associated with a heavy focus on coding capture, and year-end pushes to schedule patients for a final opportunity to close open diagnosis gaps. These elements are only part of a comprehensive, proactive, patient-focused risk adjustment process. A more effective approach starts earlier and extends further, connecting clinical insight, proactive care strategies with clinical documentation. This approach drives complete, clinically specific ICD-10-CM coding to support a more complete view of each patient’s documented health status visible to both providers and payers.