Tag Archives: HCC code

What is Risk Adjustment Fraud?

In 1997, Congress decided that traditional Medicare was way too expensive.  At the time, Medicare operated under a traditional fee-for-service model.  Under this model, if a doctor delivered services to Mrs. Jones, the government paid the doctor a fee for his or her services, i.e, fee-for-services. Congress thought it found a better way.  Rather… Read More »