Diagnostic data are not used in calculating risk scores in the MA and FFS plans.
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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
Q121: The factor that is applied to calculations
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
Q127: Diagnoses are confirmed through appropriate documentation in
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