Measure Report Category: Risk Adjustment

Clinical Data Collection Deadline Extension: 2022-03-31

status: Complete

type: Individual

measure: Risk Adjustment Model Version 24 - CMS Hierarchical Category Condition (CMS-HCC)

subject: Adam Everyman (official) Female, DoB: 1950-12-16 ( Medical record number: 23456 (use: usual, ))

date: 2021-10-18

reporter: Organization ABC Payer

period: 2021-01-01 --> 2021-09-30

group

id

group-001

Condition Category Type Extension: Historic Condition Category Gap

Evidence Status Extension: Closed Condition Category Gap

Hierarchical Status Extension: Hierarchies applied and Condition Category is not superseded

code: CMS HCC: 96, Specified Heart.Arrhythmias

group

id

group-002

Condition Category Type Extension: Suspected Condition Category Gap

Evidence Status Extension: Open Condition Category Gap

Evidence Status Date Extension: 2020-07-15

Hierarchical Status Extension: Hierarchies applied and Condition Category is not superseded

code: HCC 110: Cystic Fibrosis

evaluatedResource:

• Condition Typical atrial flutter
• Encounter: status = finished; class = ambulatory (ActCode#AMB); type = Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 40-54 minutes of total time is spent on the date of the encounter.; period = 2021-08-06 --> 2021-08-06
• Observation Trypsin [Mass/volume] in Serum or Plasma
• Adam Everyman (official) Female, DoB: 1950-12-16 ( Medical record number: 23456 (use: usual, ))