A user friendly, interactive version of Accuracy in Documentation and Coding, our most requested provider risk adjustment (RA) tool. Includes 2008, 2009 and 2010 HCC factors.

This tool allows you to calculate a member’s actual risk score. Includes 2008 and 2009 payment year factors.

This paper provides up-to-date basic facts about the importance of EMRs and their practical utility for busy clinicians and professionals. If you do not have time to read a whole book on this topic, download this file now.

This analysis of the Medicare Advantage 2009 Rate Announcement describes changes to CMS payment for 2009, an explanation of the proposed coding intensity adjustment, and CMS risk adjustment data validation (RADV) plans for 2008 and beyond.

A supplement to the Summary of the CY2009 Rate Announcement, this tool compares payment year 2008 and 2009 HCC and demographic factors.

A pocket sized ICD-9 tool. Just print on card stock, fold in half and it’s ready to use.

The Superbill Generator allows you to select ICD-9 codes based on specialty or body system, and create a diagnosis code based superbill.

Downloadable version of the 2007 (DOS) risk score calculator. The 2008/2009 version is available online here.

A one page handout that explains the appropriate documentation and coding of diabetes and Chronic Kidney Disease.

Tips for accurate documentation and coding. We recommend posting a copy where physicians document so that they have easy reference to it..

Looking for information on Signature logs? According to CMS, signature logs are only acceptable when they are part of the health plan’s contract with the provider. CMS will not accept signature logs created after the fact to support a diagnosis code. Want to know more? Go to http://www.csscoperations.com/new/usergroup/2009usergroupinfo.html, scroll down to User Group Notes and select January 2009.

This tool shows the CMS timeline for submission of risk adjustment data through 12/31/2009.

Confused about lag, non-lag and final payment types in the Risk Adjustment Submission Timetable? This document explains what these terms mean.

This is the official Health Plan training manual for Part C. Contents include everything from the history of Risk Adjustment, Data Submission, and Medical Record Review.

Full text of the ICD-9-CM codes, by year.

CMS answers to past questions related to Risk Adjustment Data Validation Studies.