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Hi wanted to know can someone tell me where I can find information on how to read CMS-HCC model chart? I don’t understand it when you drop a number and use a number. I hope that make since
Chart has HCC numbers 27,28&29 in first column third column has29, 30, 31 and a condition might be 30 and another 31. Which would be used for calculating. I hope I explained correctlyBecause there are many components involved in Risk Adjustment, explaining the subject can be a bit lengthy and time consuming. When you state "drop a number and use a number", what are you referring to? Do you mean how do you look up an HCC? or calculate the RAF score? or use the HCC grouping?
Here are some links for you to get started:
Medpartners - Risk Adjustment 101 - a little bit sales pitchy, but still good info.
Availity - RA 101 - a little bit sales pitchy, but still good info.
CMS Risk Adjustment page
CMS Risk Adjustment Report to Congress (200+ pager!)
Let me know if you have more questions.
Thanks!