Ursa Health HCC/RAF Module

Overview

The Ursa Health HCC/RAF module generates patient-level Hierarchical Condition Category (HCC) assignments and Risk-Adjustment Factor (RAF) score values, identifies patients with under-documented risk, and supports interventions to capture full patient risk.

Assets in this module are identified by the namespace URSA-HCC.

Release Notes

• Ursa Health HCC/RAF Module Release Notes

Reports

• URSA-HCC | Foundations

Objects

• Data Mart Objects

  • Data Mart for URSA-HCC Patient Timelines

• Synthetic Objects

  • Final Action Qualifying Diagnoses for CMS-HCC Calculations
  • Periods of Most Recent CMS-HCC Qualifying Diagnosis Submissions
  • Standard Initial, Midyear, and Final Run CMS-HCC Model Demogrphic Inputs
  • Patient Timelines of Final Action CMS-HCC Model Demographic Inputs
  • Patient Timelines of Standard Midyear Run CMS-HCC Results
  • Patient Timelines of Standard Initial Run CMS-HCC Results
  • Patient Timelines of Standard Final Action CMS-HCC Results
  • Patient Timelines of Historical-Diagnoses CMS-HCC Results
  • Patient Timelines of Within-Year-Updated CMS-HCC Results
  • Patient Timelines of Initial, Midyear, and Final Run RAF Results from MMR
  • Patient Timelines Master for URSA-HCC Concepts
  • Patient-Output Timelines of Missing Model Outputs

Measures

• URSA-HCC-R01: Patients with Calculated CMS-HCC RAF Score
• URSA-HCC-R02: Qualifying First-in-Year CMS-HCC Diagnoses
• URSA-HCC-R03: Registry of Missing CMS-HCC Model Outputs
• URSA-HCC-R04: Patient Within-Year-Updated CMS-HCC Results
• URSA-HCC-001: Within-Year-Updated CMS-HCC RAF Score
• URSA-HCC-002: Documentation of All Historical HCC Diagnoses
• URSA-HCC-003: Patients with Office Visit in Calendar YTD
• URSA-HCC-004: Visits Capturing All Missing Historical HCCs

Terms

• Ursa Health HCC/RAF Module Terms