Risk Adjustment & Coding

Risk adjustment is one way to predict future medical costs for our patient populations, which is done by evaluating various patient factors such as age, sex, residential, disability and insurance status, as well as existing chronic conditions. By thoroughly documenting the acuity of our patient population, we can ensure an adequate budget to care for their medical needs. With an overall goal to help manage patients’ healthcare costs, establishing best practices for acuity documentation and risk coding is the first step to ensure success.

Some helpful resources for providers on documentation best practices and common coding tips can be found in the Risk Adjustment and Coding section of the Provider Resources page.

For more information, please contact population health.