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Key Differences in Pediatric Risk Adjustment

Doctor using stethoscope to hear the heartbeat of a baby
Episource
July 28, 2020

Are you navigating the complexities of pediatric risk adjustment? Whether you’re a healthcare provider, payer, or professional in the risk adjustment sector, understanding the nuances that distinguish pediatric from adult risk adjustment is crucial. Our white paper offers a comprehensive guide tailored to enhance your strategies and ensure accurate documentation and coding.

Pediatric risk adjustment poses unique challenges and demands specific attention, especially under the Affordable Care Act (ACA) and managed-care Medicaid frameworks. Our white paper delves into essential topics such as the significant role of acute conditions in pediatric cases, the prevalence of diabetes mellitus in children, and the intricate nuances of coding for conditions like malnutrition, substance abuse, mental disorders, and more.

Why Download This White Paper?

  • Expert Insights: Gain valuable insights from industry leaders with years of experience in risk adjustment. Our white paper is crafted to provide you with actionable knowledge and expert recommendations.
  • Enhance Coding Accuracy: Discover the critical differences in coding for pediatric conditions. Learn how to effectively capture risk-adjusting conditions at the time of occurrence and navigate the narrow windows for coding acute pediatric conditions.
  • Improve Financial Outcomes: Accurate risk adjustment can lead to better financial reimbursement. This guide helps ensure that all relevant conditions are properly documented and coded, optimizing financial outcomes for healthcare providers.
  • Advance Patient Care: By understanding the specifics of pediatric risk adjustment, you can contribute to more accurate diagnoses and better patient care, ultimately leading to improved health outcomes for younger patients.

Download our white paper to examine how to achieve accurate coding for pediatric patients.

Check out Episource’s coding services and solutions to help your organization.

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