Examples of Risk adjustment in a sentence
Risk adjustment factors for each payment year are based on risk adjustment data submitted for items and services furnished during the 12-month period before the payment year that is specified by CMS.
Risk adjustment data are all data that are used in the development and appli- cation of a risk adjustment payment model.
Risk adjustment of Medicare capitation payments using the CMS-HCC model.
Risk adjustment is designed to compensate plans for the increased cost of treating older and sicker beneficiaries, and thus discourage plans from preferential enrollment of healthier individuals.
Risk adjustment data that are received after the annual January 31 late data submission deadline will not be accept- ed for the purposes of reconciliation.[73 FR 48757, Aug.