Which of the following general statements is NOT TRUE regarding Risk Adjustment practices and Quality?

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The accurate understanding of Quality Measures, such as Star Ratings and HEDIS, is integral to grasping the interplay between quality improvement and risk adjustment practices. The statement indicating that Quality Measures have no correlation with medical record information collected for risk adjustment is not true.

Quality Measures, including Star Ratings and HEDIS, are fundamentally linked to the data that is gathered for risk adjustment because both utilize similar medical record information to gauge quality and performance in healthcare delivery. These measures often reflect the healthcare outcomes associated with various diagnoses, treatment protocols, and patient care, which are the same data points that providers submit for risk adjustment.

Consequently, organizations focused on improving their quality scores will find that optimizing the accuracy and completeness of their medical records also benefits their risk adjustment processes. Therefore, the notion that there is no correlation between these quality measures and the data for risk adjustment does not align with the reality of how these systems function together in healthcare reporting and management.

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