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Risk Adjustment Coding and HCC Guide 2027

By Optum

1st Edition © 2027
Discipline:Health Care
Course:Medical Insurance, Billing & Coding
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The 2027 edition of 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 the “big picture” and the fine detail needed to document, code, and report essential information to ensure accurate risk levels are assigned, and appropriate reimbursement received.

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AboutTable of contentsResourcesPricing & formatsRelated products

About this product

The 2027 edition of 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 the “big picture” and the fine detail needed to document, code, and report essential information to ensure accurate risk levels are assigned, and appropriate reimbursement received.

Table of contents

  1. Introduction
  2. Chapter 1. Risk Adjustment Basics
  3. Chapter 2. Coding and Documentation
  4. Chapter 3. Audits and Quality Improvement
  5. Chapter 4. CY2026 CMS-HCC Model Category V29
  6. Chapter 5. CY2026 CMS RxHCC Model Category V09

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ISBN-13: 9798889521525
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