Possible enumeration values:
| Name | Value | Description |
|---|---|---|
| CMSHCCv28 |
98 |
Version 28 CMS-HCC risk-adjustment model that is used to calculate the risk score for Medicare beneficiaries. Payment Year 2024 - HCC v28 (Macro Name: C2824T2N), relative coefficients for 9 regression models developed using CY2018/2019 data and CMS denominator $10,402.34 (CMS 10/19/2022). |
| CMSHCCv24 |
99 |
Version 24 CMS-HCC risk-adjustment model that is used to calculate the risk score for Medicare beneficiaries. Payment Year 2020 - HCC v24 (Macro Name: C2419P1M), relative coefficients for 9 regression models developed using CY2014/2015 data and CMS denominator $9,365.50 (CMS 09/24/2018). |
| CMSHCCv23 |
100 |
Version 23 CMS-HCC risk-adjustment model that is used to calculate the risk score for Medicare beneficiaries. Payment Year 2019 - HCC v23 (Macro Name: C2318P1Q), relative coefficients for 9 regression models developed using CY2014/2015 data and CMS denominator $9,367.51 (CMS 11/27/2017). |
| CMSHCCv22 |
101 |
Used to calculate the risk score for Medicare beneficiaries Payment Year 2019 - HCC v22 (Macro Name: C2214O5P), relative coefficients for 9 regression models developed using CY2013/2014 data and CMS denominator $9,185.29 (CMS 3/6/2016). |
| CMSHCCv21PACE |
102 |
Version 21 CMS-HCC risk-adjustment model that is used to derive risk assessment on PACE. Payment Year 2019 - 2012 CMS-HCC PACE Model (Macro Name: C2110H2R), relative coefficients for 3 regression models created on CY2006/2007 data using the CMS denominator 8034.71 (1/18/2010). |
| RxHCCv05 |
200 |
The CMS-RXHCC risk-adjustment model that is used for prescription drug hierarchical conditions for risk adjustment programs. Payment Year 2019 - RxHCC v5 (Macro Name: R0515P2Q), relative coefficients for 8 regression models created on CY2014/2015 data using denominator $1,047.96 (CMS 12-12-2016). |
| ESRDv21 |
300 |
The CMS-ESRD risk-adjustment model that is used to derive risk assessment on End-stage renal disease. Payment Year 2019 - ESRD HCC v21 (Macro Name: D2117P2R), relative coefficients for 5 regression models created on CY2014/2015 data using the denominators 82,113.76 (10/12/2017, sent by CMS and used for dialysis and transplant) and 9,366.89 (10/12/2017, sent by CMS and used for functioning graft). |