Costs can vary greatly from one patient to another; risk adjustment models are used to evaluate all patients on an equal scale. Risk adjustment models level the playing field when evaluating all patients being treated within a plan or group and documented variables can aid in identifying those patients who may have a higher medical need than others. From a payment perspective, risk adjustment models adjust health plan revenue to better reflect the projected costs of the patient population and to compensate plans that enroll high-cost patients. OK…but how does it work and what do I need to do to capture accurate revenue? During this presentation we will decipher the fundamentals of the HCC reimbursement methodology, along with the government audit process identifying pitfalls, documentation requirements and how these can impact your organization.