{"product_id":"defensible-healthcare-billing-linda-myrick-9798994676288","title":"Defensible Healthcare Billing: Risk Adjustment and HCC Coding: Documentation, Compliance, and Audit Strategy for Risk Adjustment and HCC Coding","description":"\u003cp\u003eDefensible Healthcare Billing: Risk Adjustment and HCC Coding is a comprehensive, audit-focused guide that explains how diagnosis reporting, documentation, and clinical validation intersect within modern risk adjustment models. Designed for coders, auditors, clinicians, compliance professionals, and healthcare leaders, this book provides a structured, real-world approach to understanding how patient conditions are translated into risk scores and drive reimbursement.\u003c\/p\u003e\u003cp\u003e\u003c\/p\u003e\u003cp\u003eUnlike traditional fee-for-service billing, risk adjustment operates as a longitudinal, data-driven system that evaluates patient complexity over time rather than at a single encounter. This book explains that model clearly, emphasizing clinical validity, documentation integrity, encounter eligibility, and condition capture accuracy. It demonstrates how each reported diagnosis must be supported by documentation and a coherent clinical story aligned across the medical record.\u003c\/p\u003e\u003cp\u003e\u003c\/p\u003e\u003cp\u003eThe text uses a code-agnostic framework, focusing on decision-making, documentation strategy, and audit defensibility rather than proprietary coding systems. Readers gain insight into how conditions are evaluated under audit, why diagnoses are removed, and how documentation patterns influence financial risk. The book highlights common failure points such as unsupported conditions, improper recapture, template-driven documentation, and misuse of predictive analytics.\u003c\/p\u003e\u003cp\u003e\u003c\/p\u003e\u003cp\u003eIn addition to foundational concepts, the book explores advanced topics shaping the 2026 environment, including RADV audits, extrapolation risk, AI-driven audit detection, suspect coding compliance, and the growing role of data analytics in identifying documentation patterns. It also provides practical frameworks for internal audit methodology, provider education, and building a defensible risk adjustment program.\u003c\/p\u003e\u003cp\u003e\u003c\/p\u003e\u003cp\u003eA key strength of the book is its application-based structure. Through case studies, structured frameworks, and condition-specific chapters covering high-risk diagnoses such as diabetes, chronic kidney disease, heart failure, and behavioral health conditions, readers learn how to apply concepts in practice. Appendices further support implementation with audit checklists, appeal strategies, denial language, and documentation guidance.\u003c\/p\u003e\u003cp\u003e\u003c\/p\u003e\u003cp\u003eUltimately, this book equips professionals to move beyond basic coding knowledge and develop a defensible, system-driven approach to risk adjustment, helping organizations reduce compliance risk, improve accuracy, and withstand increasing audit scrutiny.\u003c\/p\u003e\u003cbr\u003e\u003cbr\u003e\u003cb\u003eAuthor:\u003c\/b\u003e Linda Myrick\u003cbr\u003e\u003cb\u003eISBN-13:\u003c\/b\u003e 9798994676288\u003cbr\u003e\u003cb\u003ePublisher:\u003c\/b\u003e Linda Myrick, Cpc, Cpc-I\u003cbr\u003e\u003cb\u003eLanguage:\u003c\/b\u003e English\u003cbr\u003e\u003cb\u003ePublished:\u003c\/b\u003e 04\/01\/2026\u003cbr\u003e\u003cb\u003ePages:\u003c\/b\u003e 222\u003cbr\u003e\u003cb\u003eFormat:\u003c\/b\u003e Paperback\u003cbr\u003e\u003cb\u003eWeight:\u003c\/b\u003e 1.16lbs\u003cbr\u003e\u003cb\u003eSize:\u003c\/b\u003e 11.00h x 8.50w x 0.47d","brand":"Linda Myrick","offers":[{"title":"Paperback","offer_id":48520568635647,"sku":"9798994676288","price":69.95,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0662\/2982\/9887\/files\/img_b7ee9ebf-7aae-414e-970a-736a68978ee0.jpg?v=1778742355","url":"https:\/\/www.whiterainbookhouse.com\/products\/defensible-healthcare-billing-linda-myrick-9798994676288","provider":"WR Book House","version":"1.0","type":"link"}