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Web risk adjustment starts with gathering statistics—including patient demographics, diagnoses and professional. Acos & dces with smaller medicare member populations may choose to. Avoid broad terms and unspecified codes such as “bipolar disorder,” f31.9, or. Web plans have the ability to review charts to identify additional conditions that are not present in claims data, thereby.
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Cms uses a blend of claims and encounter data to gather data related to the enrollees’ health status. Web there is no correct answer here. Cms allows chart reviews and hras to be used as sources of diagnoses for risk adjustment. But here are some tips when considering your response: