Risk adjustment
Medicare information on risk adjustment, including:
- Evaluation of the CMS-HCC Risk Adjustment Model
- Model diagnosis codes
- Risk Adjustment model software
- Information on customer support for risk adjustment
HCC, RxHCC, and ESRD software
See downloads below
Downloads
- 2014 CMS-HCC model software (with FY2011 & 2012 diagnoses), as of April 3, 2013 (Note: This model software will produce raw, unblended risk scores. Updated software for C-SNP new enrollee factors to be posted soon.) [ZIP, 100KB]
- 2013 CMS-HCC MA and Cost Plan model software, with FY 2012 ICD-9-CM [ZIP, 77KB]
- 2013 RxHCC model software, with FY 2012 ICD-9-CM [ZIP, 118KB]
- Evaluation of the CMS-HCC Risk Adjustment Model - [PDF, 1MB]
- 2012 Model Diagnoses (with FY2012 ICD-9-CM) - [ZIP, 182KB]
- 2012 CMS-HCC MA and Cost Plan model software, with FY 2012 ICD-9-CM - Updated 11/21/2011 - [ZIP, 220KB]
- 2012 CMS-HCC PACE Plan model software, with FY 2012 ICD-9-CM - Updated 11/21/2011 - [ZIP, 250KB]
- 2012 CMS-HCC ESRD model software, with FY 2012 ICD-9-CM - Updated 11/21/2011 - [ZIP, 260KB]
- 2012 RxHCC model software, with FY 2012 ICD-9-CM - Updated 11/21/2011 - [ZIP, 242KB]
- 2012 Relative Factor Tables – Updated 06/06/2011 - [ZIP, 72KB]
Related Links
- Page last Modified: 04/04/2013 3:29 PM
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