Medicare Managed Care Manual - CMS

Medicare Managed care Manual Chapter 7 Risk Adjustment Table of Contents (Rev. 118, 09-19-14) Transmittals for Chapter 7 10 Introduction 20 Purpose of Risk Adjustment 30 Statutory and Regulatory Authority for Risk Adjustment 40 Role and Responsibilities of Plan Sponsors 50 History of Risk Adjustment 60 - Annual Schedule 70 Risk Adjustment Models- Overview Calibration of the CMS-HCC Risk Adjustment Models CMS-HCC Risk Adjustment Model Community, Institutional, and New Enrollee Segments Risk Score for Long Term Institutionalized Beneficiaries Demographic Factors in the CMS-HCC Model Original Reason for Entitlement Code (OREC) Medicaid Disease Hierarchy Disease and Disabled Interactions End Stage Renal Disease (ESRD) Dialysis Transplant Post-Transplant (Functioning Graft) New E

70.2 – CMS-HCC Risk Adjustment Model . 70.2.1 – Community, Institutional, and New Enrollee Segments . 70.2.2 – Risk Score for Long Term Institutionalized Beneficiaries . 70.2.3 – Demographic Factors in the CMS-HCC Model . 70.2.4 – Original Reason for Entitlement Code (OREC) 70.2.5 – Medicaid . 70.2.6 – Disease Hierarchy

Tags:

  Manual, Medicare, Care, Managed, Medicare managed care manual

Information

Related search queries