Defensible Healthcare Billing | Risk Adjustment and HCC Coding: Documentation, Compliance, and Audit Strategy for Risk Adjustment and HCC Coding
Idioma: inglés
Editorial: Linda Myrick, CPC, CPC-I, 2026
- Tapa blanda
- Nuevo

Librería: preigu, Osnabrück, Alemaniapreigu
Vendedor de AbeBooks desde 5 de agosto de 2024
Condición: Nuevo
EUR 57,45
Cantidad disponible: 5 disponibles
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N° de ref. del artículo 135043091
- Título
- Defensible Healthcare Billing | Risk Adjustment and HCC Coding: Documentation, Compliance, and Audit Strategy for Risk Adjustment and HCC Coding
- Autor
- Linda Myrick
- Editorial
- Linda Myrick, CPC, CPC-I
- Año de publicación
- 2026
- Estado
- Neu
- Encuadernación
- Taschenbuch
- Idioma
- inglés
- ISBN 13
- 9798994676288
- Peso del artículo
- 571 gramos
- Dimensiones
- 280 x 216 x 12 mm
- Serie
- Libro 8 de 8: Defensible Healthcare Billing Series
- Catálogos de vendedores
- Bücher
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.
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preigu
Osnabrück, Alemania
Vendedor de AbeBooks desde 5 de agosto de 2024
Tarifas de envío de Alemania a Estados Unidos de America
| Artículo | De 60 a 60 días hábiles | De 60 a 60 días hábiles |
|---|---|---|
| Primer artículo | EUR 70,00 | EUR 70,00 |
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