93127-9
ClinicalRisk adjustment factor [Score]
Definition
The Risk Adjustment Factor score (RAF) is calculated by the Centers for Medicare & Medicaid Services (CMS) on a quarterly basis. An individual patient's RAF is based on a combination of Hierarchical Condition Categories (HCCs), which are associated with ICD-10 diagnoses, and patient demographics (including gender and age). RAFs are used to calculate annual expenditure for an individual patient and help providers and insurers determine the potential financial risks of patient care. [www.aafp.org/fpm/2016/0900/p24.html]
LOINC 6-Axis Classification
Component
Risk adjustment factor
Property
Score
Time Aspect
Pt
System
^Patient
Scale Type
Qn
Method Type
N/A
Details
Class
CLIN.RISK
Order/Observation
Observation
Short Name
RAF Scre
Related Names
Frequently Asked Questions
What is LOINC code 93127-9?
LOINC code 93127-9 identifies "Risk adjustment factor [Score]". The Risk Adjustment Factor score (RAF) is calculated by the Centers for Medicare & Medicaid Services (CMS) on a quarterly basis. An individual patient's RAF is based on a combination of Hierarchical Condition Categories (HCCs), which are associated with ICD-10 diagnoses, and patient demographics (including gender and age). RAFs are used to calculate annual expenditure for an individual patient and help providers and insurers determine the potential financial risks of patient care. [www.aafp.org/fpm/2016/0900/p24.html]
What does 93127-9 measure?
This code measures Risk adjustment factor in ^Patient. It belongs to the CLIN.RISK class in the LOINC classification.
What is LOINC?
LOINC (Logical Observation Identifiers Names and Codes) is a universal standard for identifying laboratory and clinical observations. It is maintained by the Regenstrief Institute and used worldwide for health data exchange.