risk-adjustment-support
CommunityOptimize risk adjustment coding & RAF scores.
Authorwassemgtk
Version1.0.0
Installs0
System Documentation
What problem does it solve?
This Skill addresses the complexity and potential inaccuracies in healthcare risk adjustment coding, ensuring accurate RAF scores and complete documentation for revenue integrity.
Core Features & Use Cases
- HCC Coding Accuracy: Improves the accuracy of Hierarchical Condition Category (HCC) coding.
- RAF Score Optimization: Helps optimize Risk Adjustment Factor (RAF) scores by identifying gaps and ensuring proper documentation.
- RADV Audit Support: Prepares organizations for CMS Risk Adjustment Data Validation (RADV) audits.
- Use Case: A health plan wants to ensure its Medicare Advantage members' risk scores accurately reflect their health conditions to maximize reimbursement and comply with CMS regulations.
Quick Start
Analyze the provided diagnosis claims and member demographics to identify potential HCC coding gaps and estimate revenue impact.
Dependency Matrix
Required Modules
None requiredComponents
references
💻 Claude Code Installation
Recommended: Let Claude install automatically. Simply copy and paste the text below to Claude Code.
Please help me install this Skill: Name: risk-adjustment-support Download link: https://github.com/wassemgtk/skills-testing/archive/main.zip#risk-adjustment-support Please download this .zip file, extract it, and install it in the .claude/skills/ directory.
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