Which of the following may indicate a lower RAF Score?

Excel in HCC Coding and Risk Adjustment Test. Learn with detailed multiple-choice questions, each offering insights and clarifications. Prepare effectively for your certification exam!

A lower RAF (Risk Adjustment Factor) score can occur when there is insufficient claims data submission. This is because the RAF score is calculated based on the health status and demographic data of the patient population. If claims data is not submitted thoroughly or accurately, it may lead to an underrepresentation of the patient’s health conditions and complications, resulting in a lower RAF score.

Accurate and complete documentation, on the other hand, tends to raise the RAF score, as it allows for a full account of a patient's health complexities to be captured, ultimately highlighting the risk associated with their care.

Patients being routinely seen indicates that there is a continuity of care, which typically contributes to a more accurate depiction of their health status rather than indicating a lower risk score.

High patient satisfaction scores do not directly correlate with RAF scoring. They could indicate good care practices but do not affect the codes submitted or the risk score itself.

Thus, insufficient claims data submission is crucial in understanding how it negatively impacts the accuracy of the RAF score through inadequate reflection of the patient's true health needs in coding.

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