Risk Adjustment Factor (RAF)
The Risk Adjustment Factor (RAF) is a numerical score used primarily in Medicare Advantage and value-based care programs to estimate a patient's expected healthcare costs.
Definition
The Risk Adjustment Factor (RAF) is a numerical score used primarily in Medicare Advantage and value-based care programs to estimate a patient's expected healthcare costs.
Why it matters
Risk Adjustment Factor (RAF) is part of the Coding vocabulary used across home health operations, documentation, and revenue cycle. Understanding it helps clinicians, QA leads, and administrators stay aligned on care quality and compliance.
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