Synopsis
Defensible Healthcare Billing: Risk Adjustment and HCC Coding is a comprehensive, audit-focused guide that explains how diagnosis reporting, documentation, and clinical validation intersect within modern risk adjustment models. Designed for coders, auditors, clinicians, compliance professionals, and healthcare leaders, this book provides a structured, real-world approach to understanding how patient conditions are translated into risk scores and drive reimbursement.
Unlike traditional fee-for-service billing, risk adjustment operates as a longitudinal, data-driven system that evaluates patient complexity over time rather than at a single encounter. This book explains that model clearly, emphasizing clinical validity, documentation integrity, encounter eligibility, and condition capture accuracy. It demonstrates how each reported diagnosis must be supported by documentation and a coherent clinical story aligned across the medical record.
The text uses a code-agnostic framework, focusing on decision-making, documentation strategy, and audit defensibility rather than proprietary coding systems. Readers gain insight into how conditions are evaluated under audit, why diagnoses are removed, and how documentation patterns influence financial risk. The book highlights common failure points such as unsupported conditions, improper recapture, template-driven documentation, and misuse of predictive analytics.
In addition to foundational concepts, the book explores advanced topics shaping the 2026 environment, including RADV audits, extrapolation risk, AI-driven audit detection, suspect coding compliance, and the growing role of data analytics in identifying documentation patterns. It also provides practical frameworks for internal audit methodology, provider education, and building a defensible risk adjustment program.
A key strength of the book is its application-based structure. Through case studies, structured frameworks, and condition-specific chapters covering high-risk diagnoses such as diabetes, chronic kidney disease, heart failure, and behavioral health conditions, readers learn how to apply concepts in practice. Appendices further support implementation with audit checklists, appeal strategies, denial language, and documentation guidance.
Ultimately, this book equips professionals to move beyond basic coding knowledge and develop a defensible, system-driven approach to risk adjustment, helping organizations reduce compliance risk, improve accuracy, and withstand increasing audit scrutiny.
About the Author
Linda Myrick, CPC, CPC-I is a healthcare billing, auditing, and compliance expert with extensive experience across professional and facility reimbursement, payer audits, and complex claim appeals. Her work has focused on high-risk, documentation-dependent services where billing accuracy, clinical alignment, and audit defensibility are critical.Throughout her career, Linda has worked closely with coding teams, clinicians, revenue integrity departments, and compliance leaders to identify risk, resolve audit findings, and implement defensible billing practices. Her expertise spans payer review processes, documentation standards, audit escalation, and appeal strategy, with particular emphasis on translating regulatory guidance into practical, real-world application.Linda is known for her ability to explain how healthcare claims are evaluated under scrutiny, not just how they are submitted. Rather than emphasizing memorization of rules or reliance on proprietary code sets, her work focuses on clinical reasoning, documentation alignment, and consistent decision-making that withstands audit and payer review.The Defensible Healthcare Billing series reflects this approach. Each volume is designed to help professionals understand how billing decisions are interpreted, challenged, and defended in modern reimbursement environments. Linda's goal is to equip coders, auditors, clinicians, and compliance professionals with the judgment and structure needed to manage risk confidently and sustainably across medical specialties.
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