Certified Risk Adjustment Coder (CRC)

What is the reporting period for risk adjustment coding?

1. October to September

2. January to October

3. January to December

4. June to May

The correct answer is: January to December

The reporting period for risk adjustment coding is based on the calendar year, which is from January to December. This period is crucial for gathering and analyzing data that reflects the health status of patients covered under risk adjustment models, particularly in the context of Medicare Advantage plans. The coding during this time accounts for diagnoses and care that occur throughout the entire year, which contributes to calculating risk scores that determine funding levels. By utilizing a full calendar year, the information captured can better inform health plans of the population they are serving and help in assessing the resource needs based on the chronic conditions present in the patient population. This comprehensive approach ensures that coding reflects all relevant conditions that might influence a patient's health status, ultimately aiding in providing appropriate care and funding. Other options suggest different, non-standard reporting periods that do not align with typical practices in risk adjustment coding and may lead to incomplete data or miscalculations of risk scores.