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Coding Counts

RxHCC Model

The second major HCC based risk adjustment model is the RxHCC model. The RxHCC model was created for Medicare Part D and Medicare Advantage plans. This model, like the CMS HCC model, can predict benefit costs that the plan will be responsible for covering and adjust standardized payments based on the underlying health status of the plan's members.

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HCC 40 – Rheumatoid Arthritis

We're focusing on Rheumatoid Arthritis.

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Angina Pectoris

We are focusing on ICD-10 Category I20 - Angina Pectoris.

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