What is a Risk Adjustment Audit?


In a risk adjustment audit, information from health provider records is used by the plan to determine the severity of illnesses of plan members. After these assessments, health plans that have a more significant number of “healthier” members are required to transfer funds to plans that have a more substantial number of “sicker” members. Please think of this audit as a way for the health plan to get a snapshot of the health of their plan members so they can forecast future expenses for their members as a whole and to recoup money from other health plans that may have spent less.

At Garcia & Veirs Chiropractic, we're focused on providing you with the highest quality of care, in the most efficient way possible. You can expect highly trained staff, tools leveraging the latest technology and a network of physicians able to deliver the best care for you and your family, right from your community. From the moment you walk into our clinic, you’ll receive personal attention in a warm and welcoming atmosphere. You get responsive, high-quality medical care – without the wait and expense.