Guideline I.A.15: The One That Makes Risk Adjustment Coders Happy

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Guideline I.A.15: The One That Makes Risk Adjustment Coders Happy

Medicare risk adjustment (MRA) coders identify active diagnoses that determine a patient’s level of risk (the likelihood of that patient needing medical care). This helps health plans project the cost of caring for their patient population. That is why good MRA coders always take time to read all patient reports (lab, imaging, biopsy, hospital discharge) to capture new diagnoses.

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