CMS-HCC Risk Adjustment

1. Risk adjustment overview

   Medicare Advantage risk adjustment methodology and RAF calculation.

2. Model software and mappings

   Annual HCC software, ICD-10 to HCC mappings and relative factors.

3. Rate announcements

   Annual rate announcements and risk model versions.

4. Diagnosis submission

   Encounter data and RAPS submission for risk adjustment.

5. RADV audits

   Risk adjustment data validation audits of medical record support.

6. ICD-10-CM source

   The diagnosis code set mapped into HCC categories.

Each section links to the official page. Titles and summaries by Extra Credit; the docs belong to their authors.