What is CDI Risk Adjustment?

CDI Risk Adjustment refers to the process of Clinical Documentation Improvement (CDI) focused on ensuring accurate and thorough documentation of patient diagnoses and health status for risk adjustment models. This is important because proper documentation affects how healthcare organizations are reimbursed and how patient populations are assessed for health risks. CDI professionals working in risk adjustment review medical records to identify conditions that impact risk scores, supporting accurate coding and compliance with regulations. This work is vital for optimizing reimbursements and improving the quality of patient care.