Medical & Healthcare
Coding HCC Risk Adjustment
Maps chronic conditions extracted by OpenMed to CMS-HCC V28 risk-adjustment categories and estimates a RAF (Risk Adjustment Factor) score as decision support. Use when the user wants to surface risk-adjustable diagnoses from notes, map ICD-10-CM codes to HCC categories, estimate or reconcile a patient/panel RAF, find suspected-but-undocumented HCCs, or check MEAT documentation support. Trigger keywords: HCC, CMS-HCC, V28, RAF score, risk adjustment, Medicare Advantage, hierarchical condition category, MEAT, recapture, suspect HCC, RADV. Pairs after OpenMed NER + ICD-10 coding: consume Disease/Pathology entities from openmed.analyze_text, code them (see coding-icd10), then roll up to HCCs. CMS-HCC mappings and weights are public from CMS. This is a coding-support aid for human review, never autonomous risk-adjustment coding.
- Publisher / source
- maziyarpanahi/openmed (found on GitHub top repositories)
- Upstream record
- maziyarpanahi/openmed
- Version
- Version 1
- Published
- Publication review
- Approved for publication · recorded passed scan 2026-11-05
- Content fingerprint
0afa910eaf191688ab6f7a8ef5903db9cdac6928b8ef584968075cc9d4bff379