CMS-HCC Disease Interactions

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These are the disease interactions component of the CMS-HCC Risk Adjustments.

Disease Coefficients Description Label Community Factor Institutional Factor
Disease Interactions
SEPSIS_CARD_RESP_FAIL Sepsis*Cardiorespiratory Failure 0.634
CANCER_IMMUNE Cancer*Immune Disorders 1.101
DIABETES_CHF Diabetes*Congestive Heart Failure 0.237 0.143
CHF_COPD Congestive Heart Failure*Chronic Obstructive Pulmonary Disease 0.255 01.59
CHF_RENAL Congestive Heart Failure*Renal Disease 0.201
COPD_CARD_RESP_FAIL Chronic Obstructive Pulmonary Disease*Cardiorespiratory Failure 0.420
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