Question #6
What is the general intent of risk adjustment?

Answer #6
The general intent of risk adjustment is to compensate or adjust for differences in case mix or risk factors (between an agency and a comparison sample) that should be taken into consideration if outcomes are to be compared validly. Risk adjustment compensates, or controls, for the potential influence of case mix variables, e.g., risk factors, which may affect clinical outcomes.

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Kristi R. Wheeler, RN, HCS-D, COS-C is a Clinical Consultant for Kinnser Software, Inc., and the owner of ACCS (Agency Compliance & Consulting Service, LLC.), a company specializing in comprehensive OASIS review and ICD-9 coding. ACCS has a highly trained staff of nurses who have both the HCS-D and COS-C certifications. For more information, contact Kristi at kristi.wheeler@accscoder.com or (214)335-7321.