The factor that is applied to calculations to more accurately determine payment calculations is OREC.
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Q116: State-based reinsurance and risk adjustment programs and
Q117: Risk pools are where premiums are only
Q118: The HCC model is used to calculate
Q119: The HCC risk adjustment model includes the
Q120: While most diagnosis codes are used in
Q122: Diagnostic data are not used in calculating
Q123: Diagnostic radiology is an accepted source of
Q124: For a diagnosis code to be valid,
Q125: Risk adjustment scores are lower for a
Q126: For diagnoses to be captured in a
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