Risk Adjustment: Insights from an Industry Expert

Risk Adjustment (RA) is a complicated and fast-growing area in the business of healthcare. In this episode, Lori Cox sits down with Dr. Khush Singh, a well-known risk care management consultant, to talk about lawsuits related to RA, increased activity from OIG and the Department of Justice, and to answer questions like: Due to these risk adjustment lawsuits, what changes do you see coming in the next few years? What role do coders play in the quality of care? Do you think we will be able to pull diagnosis from other types of documentation? What advice do you have for providers participating in managed Medicare plans?