Question: Check Your Understanding 4.2 1. List two risk adjustment models developed by the HHS. a. 2. Describe how diagnosis codes are utilized to determine risk
Check Your Understanding 4.2 1. List two risk adjustment models developed by the HHS. a. 2. Describe how diagnosis codes are utilized to determine risk scores in the CMS- HCC risk adjustment model. 3. Explain how the beneficiary's CMS-HCC risk score impacts the MA PMPM rate. 4. What is the difference between one-sided and two-sided risk in the ACO payment model? 5. How are Medicare beneficiaries attributed to ACOs
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