To succeed in a risk-adjusted environment, providers will need to be able to do three things: identify care gaps and the level of risk for the populations they serve; capture, quantify, and get credit for the care they provide for their at-risk populations; and manage the risk of these populations.
Trying to take on all three at one time is often too much for most health systems, and our best practice is to tackle capturing and getting credit for the risk health systems are already taking on, which also sets providers up well for when they take on additional risk. This effort revolves around risk adjustment factor (RAF) capture for hierarchical condition categories (HCC) documentation, which CPC+, MACRA, Next Generation ACO, and Medicare Advantage programs all use to evaluate providers’ performance under these models.
Join us on Wednesday, March 29, at 1 p.m. ET to learn how to improve risk adjustment factor (RAF) capture to succeed under these or other risk-based payment models. John Kontor, MD, Executive Vice President, and Kate Kline, Managing Director, with Advisory Board Consulting’s Clinovations team will share key insights, including:
Why appropriate documentation is a top priority in a risk-adjusted world
The role of HCC documentation under MSSP, NextGen ACO, CPC+, MACRA, and Medicaid Advantage
How to optimize your EHR and provider workflows to accurately document HCCs