93127-9

LOINC 2.82

Risk adjustment factor [Score]

RAF Scre

Definition

  • The Risk Adjustment Factor score (RAF) is calculated by the Centers for Medicare & Medicaid Services (CMS) on a quarterly basis. An individual patient's RAF is based on a combination of Hierarchical Condition Categories (HCCs), which are associated with ICD-10 diagnoses, and patient demographics (including gender and age). RAFs are used to calculate annual expenditure for an individual patient and help providers and insurers determine the potential financial risks of patient care. [www.aafp.org/fpm/2016/0900/p24.html]

Component

  • Risk adjustment factor

Specimen / system

  • ^Patient

Class

  • CLIN.RISK

Property

  • Score

Scale

  • Qn

Related names

  • CLIN; CLIN.RISK; CMS-HCC; Fac; Fact; Point in time; QNT; Quan; Quant; Quantitative; RAF; Random; Risk adjustment model; Scale; Scre

Index terms

  • CLIN
  • CLIN.RISK
  • CMS-HCC
  • Fac
  • Fact
  • Point in time
  • QNT
  • Quan
  • Quant
  • Quantitative
  • RAF
  • Random
  • Risk adjustment model
  • Scale
  • Scre