CMS-HCC Disease Interactions
From PatientRecovery
These are the disease interactions component of the CMS-HCC Risk Adjustments.
| Disease Coefficients | Description Label | Community Factor | Institutional Factor |
|---|---|---|---|
| Disease Interactions | |||
| CANCER_IMMUNE | Cancer*Immune Disorders | 0.947 | |
| CHF_COPD | Congestive Heart Failure*Chronic Obstructive Pulmonary Disease | 0.259 | 0.221 |
| CHF_RENAL | Congestive Heart Failure*Renal Disease | 0.317 | |
| SEPSIS_CARD_RESP_FAIL | Sepsis*Cardiorespiratory Failure | 0.634 | |
| COPD_CARD_RESP_FAIL | Chronic Obstructive Pulmonary Disease*Cardiorespiratory Failure | 0.420 | |
| DIABETES_CHF | Diabetes*Congestive Heart Failure | 0.237 | 0.143 |
| CRFAIL_COPD | Cardiorespiratory Failure*Chronic Obstructive Pulmonary Disease | 0.524 | |
| SEPSIS_PRESSURE_ULCER | Sepsis*Pressure Ulcer | 0.538 | |
| SEPSIS_ARTIF_OPENINGS | Sepsis*Artificial Openings for Feeding or Elimination*Pressure Ulcer | 0.453 | |
| ARTIF_OPENINGS_PRESSURE_ULCER | Artificial Openings for Feeding or Elimination*Pressure Ulcer | 0.361 | |
| COPD_ASP_SPEC_BACT_PNEUM | Chronic Obstructive Pulmonary Disease*Aspiration and Specified Bacterial Pneumonias | 0.249 | |
| ASP_SPEC_BACT_PNEUM_PRES_ULCER | Aspiration and Specified Bacterial Pneumonias*Pressure Ulcer | 0.325 | |
| SEPSIS_ASP_SPEC_BACT_PNEUM | Sepsis*Aspiration and Specified Bacterial Pneumonia | 0.387 | |
| SCHIZOPHRENIA_COPD | Schizophrenia*Chronic Obstructive Pulmonary Disease | 0.187 | |
| SCHIZOPHRENIA_CHF | Schizophrenia*Congestive Heart Failure | 0.220 | |
| SCHIZOPHRENIA_SEIZURES | Schizophrenia*Seizure Disorders and Convulsions | 0.303 |
