When worlds collide: HCCs and risk adjustment strategies

This paper is the third in a series on risk-based clinical documentation integrity (CDI). As the use of risk adjustment in healthcare expands, so too does the reach of CDI professionals in capturing the patient’s story, including level of risk related to demographic factors, comorbidities, and health history. This series will highlight the major risk models, explore the ways in which CDI professionals can impact risk-adjusted methodologies, and describe how these methodologies are transforming the nature of the CDI profession and the day-to-day work of CDI professionals.