0 Table of Contents |
1 Da Vinci Risk Adjustment Implementation Guide Home Page |
2 Methodology |
2.1 General Guidance |
2.2 Report Generation |
2.3 Report Query |
2.4 Submit Data To Payer |
2.5 Add Remark to Condition Category |
3 Digital Condition Category (dCC) |
4 Profiles |
5 Extensions |
6 Terminology |
7 Operation |
8 Capability Statement |
9 Examples |
10 Glossary |
11 Downloads |
12 Change Log |
13 Artifacts Summary |
13.1 Risk Adjustment Data Submission Client Capability Statement |
13.2 Risk Adjustment Data Submission Server Capability Statement |
13.3 Risk Adjustment Reporting Client Capability Statement |
13.4 Risk Adjustment Reporting Server Capability Statement |
13.5 Evaluate Measure |
13.6 |
13.7 Risk Adjustment Data Exchange MeasureReport |
13.8 Risk Adjustment Coding Gap Report Bundle |
13.9 Risk Adjustment Coding Gap MeasureReport |
13.10 Risk Adjustment Model Measure |
13.11 Patient Group |
13.12 Condition Category Remark |
13.13 Risk Adjustment Condition Category Type |
13.14 Risk Adjustment Clinical Data Collection Deadline |
13.15 Confidence Scale |
13.16 Diagnosis Code |
13.17 Evidence Status |
13.18 Risk Adjustment Evidence Status Date |
13.19 Group Reference |
13.20 Hierarchical Status |
13.21 Payer Coding Gap Report Id |
13.22 Reporting Vendor Extension |
13.23 Risk Adjustment Conditioin Category Type ValueSet |
13.24 Coding Gap Remark |
13.25 Confidence Scale Value Set |
13.26 Risk Adjustment Evidence Status ValueSet |
13.27 Risk Adjustment Hierarchical Status ValueSet |
13.28 Remark Reason |
13.29 Sample CMS Hierarchical Condition Category |
13.30 Risk Adjustment Condition Categoryy Type CodeSystem |
13.31 Coding Gap Remark CodeSystem |
13.32 Risk Adjustment Evidence Status CodeSystem |
13.33 Risk Adjustment Hierarchical Status CodeSystem |
13.34 Remark Reason CodeSystem |
13.35 ra-bundle01: Risk Adjustment Bundle |
13.36 ra-group01: Risk Adjustment Patient Group |
13.37 ra-group02: Risk Adjustment Patient Group |
13.38 ra-measurereport01: Risk Adjustment Measure Report |
13.39 ra-measurereport01-with-remark: Risk Adjustment Measure Report with Condition Category Remark |
13.40 ra-measurereport02: Risk Adjustment Measure Report |
13.41 ra-measurereport03: Risk Adjustment Measure Report for HCC V24 for Patient 02 |
13.42 ra-measurereport04: Risk Adjustment Measure Report for HCC V21 for Patient 03 |
13.43 ra-measurereport05: Risk Adjustment Measure Report for RxHCC V5 for Patient03 |
13.44 ra-measurereport06: Risk Adjustment Measure Report for RxHCC V5 for Patient02 |
13.45 Condition01pat03: Other artificial openings of gastrointestinal tract status |
13.46 Condition02pat01: Diabetes mellitus due to underlying condition with other diabetic kidney complication |
13.47 Condition03pat01: Chronic obstructive pulmonary disease with (acute) exacerbation |
13.48 Condition04pat03: Chronic obstructive pulmonary disease with (acute) exacerbation |
13.49 Condition05pat03: Unspecified protein-calorie malnutrition |
13.50 Condition06pat03: Crohn's disease of large intestine with unspecified complicationss |
13.51 Condition07pat03: Other persistent atrial fibrillation |
13.52 Condition08pat01: Bipolar disorder, current episode mixed, mild |
13.53 Condition09pat01: Allergic bronchopulmonary aspergillosis |
13.54 Condition10pat01: Long term (current) use of insulin |
13.55 Condition11pat01: Acute pulmonary edema |
13.56 Condition12pat01: Manic episode, unspecified |
13.57 Condition15pat03: Diabetes mellitus due to underlying condition with diabetic chronic kidney diseases |
13.58 Condition16pat03: Dependence on renal dialysis |
13.59 Condition17pat01: Body mass index [BMI] 45.0-49.9, adult |
13.60 Condition18pat01: Longstanding persistent atrial fibrillation |
13.61 ConditionR01pat01: Cystic fibrosis with other intestinal manifestations |
13.62 Condition21pat03: Type 2 diabetes mellitus without complications |
13.63 Condition22pat03: Other acute kidney failure |
13.64 Condition23pat03: Chronic kidney disease, stage 5 |
13.65 Condition31pat02: Typical atrial flutter |
13.66 Condition32pat03: Chronic pulmonary embolism |
13.67 Condition33pat01: Respiratory arrest |
13.68 Condition35pat03: Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene |
13.69 Condition42pat03: Other artificial openings of gastrointestinal tract status |
13.70 Condition43pat01: Diabetes mellitus due to underlying condition with other diabetic kidney complication |
13.71 Condition44pat01: Allergic bronchopulmonary aspergillosis |
13.72 Documentreference01pat01: Outpatient Note |
13.73 Encounter on 20210714 |
13.74 Encounter on 20210131 |
13.75 Encounter on 20210926 |
13.76 Encounter on 20201218 |
13.77 Encounter on 20200303 |
13.78 Encounter on 20200917 |
13.79 Encounter on 20190207 |
13.80 Encounter on 20170203 |
13.81 Encounter on 20210327 |
13.82 Encounter on 20201102 |
13.83 Encounter on 20200808 |
13.84 Encounter on 20210727 |
13.85 Encounter on 20210823 |
13.86 Encounter on 20210130 |
13.87 Encounter on 20210701 |
13.88 Encounter on 20210806 |
13.89 Encounter on 20210212 |
13.90 Encounter on 20200210 |
13.91 Encounter on 20190210 |
13.92 Encounter on 20170118 |
13.93 Encounter on 20180721 |
13.94 Encounter on 2021-10-15 |
13.95 Observation: Trypsin [Mass/volume] in Serum or Plasma result from 20190617 |
13.96 Observation: Creatinine Result from 20210728 |
13.97 Observation: PHQ9 from 20190823 |
13.98 Trypsin [Mass/volume] in Serum or Plasma from 20170617 |
13.99 Laboratory01: XYZ Laboratory |
13.100 Vendor01: Best RA Vendor |
13.101 Organization01: ABC Payer |
13.102 Organization: Community Urgent Care |
13.103 Organization: GHH Outpatient Clinic |
13.104 Organization: Community HealthCenter |
13.105 Organization: Risk Adjustment Author |
13.106 Risk Adjustement Measure Report Patch |
13.107 Risk Adjustement Measure Report Patch With Multiple Values |
13.108 Patient01: Eve Everywoman |
13.109 Patient02: Adam Everyman |
13.110 Patient03: Nelda Nuclear |
13.111 Practitioner: Harold Hippocrates |
13.112 Practitioner: Patrick Pump |
13.113 Practitioner: Otto Osler |
13.114 ra-datax-measurereport01: Risk Adjustment Data Exchange Measure Report |
13.115 Submit Data for Risk Adjustement Data Exchange MeasureReport |
13.116 Risk Adjustment Model Version 24 - CMS Hierarchical Category Condition (CMS-HCC) |
13.117 Risk Adjustment Model Version 21 - CMS Hierarchical Category Condition (CMS-HCC) |
13.118 Risk Adjustment Model Version 5 - CMS Prescribing Drug Hierarchical Category Condition (CMS-HCC) |