2024 Risk Adjustment Coding and HCC Guide
Language: English
Published by Optum, 2024
- Softcover
- Used
Seller: World of Books Inc, Montgomery, IL, U.S.A.World of Books Inc
AbeBooks seller since March 23, 2026
Condition: Used - Good
£ 87.58
Quantity: 1 available
Add to basketSeller Inventory # CIN1622548922G
- Title
- 2024 Risk Adjustment Coding and HCC Guide
- Author
- Optum
- Publisher
- Optum
- Publication year
- 2024
- Condition
- Good
- Binding
- Paperback
- Language
- English
- ISBN 10
- 1622548922
- ISBN 13
- 9781622548927
The Risk Adjustment Coding and HCC Guide brings together hard-to-find information about risk adjustment (RA) coding and hierarchical condition categories (HCCs) in a new comprehensive resource that explains this complex reimbursement methodology. Now your organization will have a guide that provides both the “big picture” and the fine detail needed to document, code, and report essential information so that accurate risk levels are assigned, and appropriate reimbursement received.
Originally developed for use by Medicare Advantage (MA) plans, HCCs are now used in a variety of value-based reimbursement (VBR) programs. Our guide helps you navigate the shift from a fee-for-service environment to VBR and provides the tools necessary to ensure risk levels and resources are aligned.
Key Features and Benefits:
- NEW - Optum Edge — RxHCC table. The addition of Medicare‘s RxHCC risk adjustment table that uses data derived from prescription drug usage into hierarchical condition categories for Medicare Part D and Medicare Advantage prescription drug plans.
- NEW - User friendly format. Our new updated format provides the same great information in an easier to read format.
- Optum Edge - Calculate RAF scores. Use the HCC tables to identify conditions that impact health status and cost of care. Calculate RAF scores for your patients to quantify risk.
- Optum Edge - Understand risk adjustment coding and HCCs. Three types of HCCs covered under Medicare, CMS-HCC, Rx-HCC, and ESRD/PACE-HCC are explained. HSS-HCCs used for commercial plans and VBR programs are also explored.
- Optum Edge - Learn which demographic factors and conditions impact risk. Discover the role chronic conditions play in overall risk adjustment, how the risk adjustment factor (RAF) score is calculated, and how the cumulative RAF score for covered beneficiaries drives payments to health plans.
- Optum Edge - Understand the provider’s role. Documentation and coding are the basis for delineating health status and calculating risk. Use the clinical documentation improvement tips to increase coding specificity which will translate into accurate RAF scores.
"Synopsis" may belong to another edition of this title.
World of Books Inc
Montgomery, IL, U.S.A.
AbeBooks seller since March 23, 2026
Shipping rates within U.S.A.
| Item | 4 to 12 business days | 3 to 6 business days |
|---|---|---|
| First item | £ 0.00 | £ 8.29 |
Payment methods
Store description
Founded in 2002, World of Books is a leading online destination for buying and selling both preloved and new books, committed to making sustainable reading accessible to all. With a mission to help people read more and waste less, World of Books offers a huge range of affordable, high-quality books — giving both new and preloved titles a second life. The company also operates World of Books – Sell Your Books, an easy-to-use platform that allows customers to trade in unwanted books for cash, helping to keep books in circulation while promoting sustainability. As a Certified B Corp, World of Books is driven by a vision to become the world’s largest and most sustainable dedicated online bookstore. The company measures its success through the positive environmental impact it creates, the value it provides to customers, and its ability to operate profitably while supporting its sustainable mission …
Specialty
Second Hand - All GenreSeller's business information
SBYB, Inc.
900 Knell Road
Montgomery, IL U.S.A. 60538
Right of withdrawal
If you are a consumer you can withdraw from the contract in accordance with the following. Consumer means any natural person who is acting for purposes which are outside his trade, business, craft or profession.
Information regarding the right of withdrawal
Statutory right to withdraw
You have the right to withdraw from this contract within 14 days without giving any reason.
The withdrawal period will expire after 14 days from the day on which you acquire, or a third party other than the carrier and indicated by you acquires, physical possession of the last good or the last lot or piece.
To exercise the right of withdrawal, electronically fill in and submit a clear statement on our website, under "My Purchases" in "My Account". We will communicate to you an acknowledgement of receipt of such a withdrawal on a durable medium (e.g. by e-mail) without delay.
To meet the withdrawal deadline, it is sufficient for you to send your communication concerning your exercise of the right of withdrawal before the withdrawal period has expired.
Effects of withdrawal
If you withdraw from this contract, we will reimburse to you all payments received from you, including the costs of delivery (except for the supplementary costs arising if you chose a type of delivery other than the least expensive type of standard delivery offered by us).
We may make a deduction from the reimbursement for loss in value of any goods supplied, if the loss is the result of unnecessary handling by you.
We will make the reimbursement without undue delay, and not later than 14 days after the day on which we are informed about your decision to withdraw from this contract.
We will make the reimbursement using the same means of payment as you used for the initial transaction, unless you have expressly agreed otherwise; in any event, you will not incur any fees as a result of such reimbursement.
We may withhold reimbursement until we have received the goods back, or you have supplied evidence of having sent back the goods, whichever is the earliest.
You shall send back the goods or hand them over to World of Books Inc, Montgomery, Illinois, U.S.A., without undue delay and in any event not later than 14 days from the day on which you communicate your withdrawal from this contract to us. The deadline is met if you send back the goods before the period of 14 days has expired. You will have to bear the direct cost of returning the goods. You are only liable for any diminished value of the goods resulting from the handling other than what is necessary to establish the nature, characteristics and functioning of the goods.
Exceptions to the right of withdrawal
The right of withdrawal does not apply to:
- The delivery of newspapers, journals or magazines with the exception of subscription contracts; and
- The supply of digital content which is not supplied on a tangible medium (e.g. on a CD or DVD) if you accepted when you placed your order that we could start to deliver it, and that you could not withdraw once delivery had started.