Risk adjustment factor [Score]   93127-9

LOINC Code


LOINC code93127-9
nameRisk adjustment factor [Score]
descriptionThe 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]
statusACTIVE

Fully-Specified Name

componentRisk adjustment factor
propertyScore
timePt  =  Point in time:  To identify measures at a point in time. This is a synonym for “spot” or “random” as applied to urine measurements.
system^Patient
scaleQn  =  Quantitative:  The result of the test is a numeric value that relates to a continuous numeric scale. Reported either as an integer, a ratio, a real number, or a range. The test result value may optionally contain a relational operator from the set {<=, <, >, >=}. Valid values for a quantitative test are of the form "7", "-7", "7.4", "-7.4", "7.8912", "0.125", "<10", "<10.15", ">12000", 1-10, 1:256
method

Additional Names

short nameRAF Score

Basic Attributes

classCLIN.RISK
type2  Clinical
order vs. observationObservation
example UCUM units{score}
The Unified Code for Units of Measure (UCUM) is a code system intended to include all units of measures being contemporarily used in international science, engineering, and business (www.unitsofmeasure.org)
example unitscore

Associated Observations

LOINC codes that represent optional associated observation(s) for a clinical observation or laboratory test. A LOINC term may represent a single associated observation or panel containing several associated observations.

History/Usage

first released
last updated2.67
last change typeADD  - added

Related Names

CLIN
CLIN.RISK
CMS-HCC
Fac
Fact
Point in time
QNT
Quan
Quant
Quantitative
RAF
Random
Risk adjustment model
Scale

Copyright © 2024 Regenstrief Institute, Inc. All Rights Reserved. To the extent included herein, the LOINC table and LOINC codes are copyright © 1995-2024, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. See https://loinc.org/license for the full LOINC copyright and license.

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