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Resource CMS gov RA resource

Three modules of training.

Module 1

An Overview of Risk Adjustment
An Overview of Risk Adjustment—provides an introduction to the foundation of risk adjustment, the legislative history, and how CMS Hierarchical Condition
Category (or HCC) and Prescription Drug Hierarchical
Condition Category (or RxHCC) models are used for risk
adjustment.

Module 2

Risk Score Calculation
Risk Score Calculation—reviews the risk score calculation process and the resources you’ll need to compute
(or validate) a beneficiary’s payment risk score.

Module 3

Applying the Risk Score Formula
Applying the Risk Score Formula—uses scenario-based
learning to walk you through the four-step process of
calculating risk scores for certain Medicare Part C and
Part D beneficiaries.

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