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.

Release Notes

• Ursa Health HCC/RAF Module Release Notes

Reports

• URSA-HCC | Foundations

Objects

• Data Mart Objects

  • [DM/URSA-HCC] Data Mart for URSA-HCC Patient Timelines

• Measure Objects

  • [MO/URSA-HCC] URSA-HCC-R03: Registry of Missing CMS-HCC Model Outputs

• Synthetic Objects

  • [SO/URSA-HCC] Final Action Qualifying Diagnoses for CMS-HCC Calculations
  • [SO/URSA-HCC] Patient Timelines Master for URSA-HCC Concepts
  • [SO/URSA-HCC] Patient Timelines of Final Action CMS-HCC Model Demographic Inputs
  • [SO/URSA-HCC] Patient Timelines of Historical-Diagnoses CMS-HCC Results
  • [SO/URSA-HCC] Patient Timelines of Historical-Diagnoses CMS-HCC Results, Precursor 3 (Version 24 Model Output)
  • [SO/URSA-HCC] Patient Timelines of Historical-Diagnoses CMS-HCC Results, Precursor 4 (Version 28 Model Output)
  • [SO/URSA-HCC] Patient Timelines of Initial, Midyear, and Final Run RAF Results from MMR
  • [SO/URSA-HCC] Patient Timelines of Standard Final Action CMS-HCC Results
  • [SO/URSA-HCC] Patient Timelines of Standard Final Action CMS-HCC Results, Precursor 3 (Version 24 Model Output)
  • [SO/URSA-HCC] Patient Timelines of Standard Final Action CMS-HCC Results, Precursor 4 (Version 28 Model Output)
  • [SO/URSA-HCC] Patient Timelines of Standard Initial Run CMS-HCC Results
  • [SO/URSA-HCC] Patient Timelines of Standard Initial Run CMS-HCC Results, Precursor 3 (Version 24 Model Output)
  • [SO/URSA-HCC] Patient Timelines of Standard Initial Run CMS-HCC Results, Precursor 4 (Version 28 Model Output)
  • [SO/URSA-HCC] Patient Timelines of Standard Midyear Run CMS-HCC Results
  • [SO/URSA-HCC] Patient Timelines of Standard Midyear Run CMS-HCC Results, Precursor 3 (Version 24 Model Output)
  • [SO/URSA-HCC] Patient Timelines of Standard Midyear Run CMS-HCC Results, Precursor 4 (Version 28 Model Output)
  • [SO/URSA-HCC] Patient Timelines of Within-Year-Updated CMS-HCC Results
  • [SO/URSA-HCC] Patient Timelines of Within-Year-Updated CMS-HCC Results, Precursor 3 (Version 24 Model Output)
  • [SO/URSA-HCC] Patient Timelines of Within-Year-Updated CMS-HCC Results, Precursor 4 (Version 28 Model Output)
  • [SO/URSA-HCC] Patient-Output Timelines of Missing Model Outputs
  • [SO/URSA-HCC] Periods of Most Recent CMS-HCC Qualifying Diagnosis Submissions
  • [SO/URSA-HCC] Standard Initial, Midyear, and Final Run CMS-HCC Model Demographic Inputs

Measures

• 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
• URSA-HCC-R01: Patients with Calculated CMS-HCC RAF Score
• URSA-HCC-R02: Qualifying CMS-HCC Diagnoses
• URSA-HCC-R03: Registry of Missing CMS-HCC Model Outputs
• URSA-HCC-R04: Patient Within-Year-Updated CMS-HCC Results

Terms

• Ursa Health HCC/RAF Module Terms