Episource’s Risk Adjustment Toolkit delivers a comprehensive set of tools for analyzing Medicare Advantage risk adjustment data. Powered by Risk Adjustment Toolkit, the industry’s leading Risk Adjustment Analytics engine, the Excel add-in empowers health plans and provider groups to better understand their members’ risk scores, identify DX/HCC gaps, and track risk program ROI.
Function Parameters | Description | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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dx_array | Array of text cells. Each text cell can contain a single dx code or a comma separated list of dx codes. Any decimals in DX codes are stripped before processing. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
cc_array | Array of text cells. Each text cell can contain a single HCC code or a comma separated list of HCC codes. HCC Codes can be in the string form HCCNNN(eg "HCC001"), or can be integer values. "+" or "-" values are accepted for the purposes of raf calculations: +HCC18 - HCC19 gives the net value of upgrading DM2 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
version (CMS Model + DOS Year)* |
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model | Medicare Part - C
Medicare Part - D
Affordable Care Act
Medicare Part - E (v21)
Medicare Part - E (v24)
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age | Age of Member | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
sex | Sex of Member | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
plate | Enrollee's plan level Plates provided by our Toolkit:
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baserate | Base reimbursement premium for a member. This number * RAF becomes the PMPM premium in US Dollars. Default baserate - $800 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
DOB | DOB of member to calculate age of the member given calculation year | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
orec | Original reason for entitlement. Indicates presence of ESRD or disability.
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enrollmentDuration | Enrollee’s enrollment duration in months in benefit year; enrollment duration is not applicable to Child and Infant models; variable ignored | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
calculation_year | Used for calculating the current age of a member given DOB | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
disabl | Flag to indicate a member is on disability and should use a disabled demographic score | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
never_trump | Suppress trumping logic in the outputs such that both trumped and non-trumped codes are returned (This can be useful for suspecting) |
*As available in the Risk Adjustment Toolkit
Functions | Arguments | description |
dx_desc | dx_array, version | Returns colon-separated list of descriptions of each DX Code from CMS crosswalk. |
dx_raf | dx_array, age, version, model, sex, disabl, verbose, never_trump, baserate | Returns cc raf of associated dx codes after conversion to cc and trumping/interaction logic is applied (equivalent of cc_raf(dx2cc(dx_array)) |
dx2cc | dx_array, age, version, model, sex, disabl, never_trump, verbose | Returns a comma separated list of the ccs represented by a list of DX codes after trumping/interaction logic is applied |
clean_cc | cc_array, version | Given a list of ccs, return a list of deduped and untrumped ccs codes valid for the coding model |
clean_dx | dx_array, version | Given a list of dx codes, return a list of deduped and untrumped dx codes valid for the coding model |
cc_desc | cc_array, version | Returns a colon-separated list of descriptions of each HCC Code from CMS crosswalk. |
cc_raf | cc_array, version, model, age, sex, | Returns cc raf (does not include demographic RAF) of cc codes after trumping/interaction logic is applied |
cc_combine | base_cc_array, additional_cc_array, version, model, | Returns a list of ccs after combining them and applying trumping/interaction logic; |
cc_diff | base_cc_array, additional_cc_array, version, | Compares a base list of ccs and additional ccs and returns an information block on the differences ; eg: "Adds: HCC001, HCC18; Deletes: HCC135; Upgraded: HCC019; Downgraded:" |
cc_diff_raf | base_cc_array, additional_cc_array, [options] | Returns net raf difference between baseline ccs and additional ccs |
cc_diff_adds | base_cc_array, additional_cc_array, [options] | Compares a base list of ccs and additional ccs and returns a list of ccs that are considered adds over the baseline |
cc_diff_adds_raf | base_cc_array, additional_cc_array, [options] | Returns the net raf value of ccs that are considered adds over the baseline |
cc_diff_deletes | base_cc_array, additional_cc_array, [options] | Compares a base list of ccs and additional ccs and returns a list of ccs that are deletes between the additional codes vs the baseline |
cc_diff_deletes_raf | base_cc_array, additional_cc_array, [options] | Returns the net raf value of ccs that are deletes between the additional codes vs the baseline |
cc_diff_upgraded | base_cc_array, additional_cc_array, [options] | Compares a base list of ccs and additional ccs and returns a list of ccs that are considered upgraded in the baseline |
cc_diff_downgraded | base_cc_array, additional_cc_array, [options] | Compares a base list of ccs and additional ccs and returns a list of ccs that are downgraded in the baseline compared to additional codes |
cc_diff_downgrade_to | base_cc_array, additional_cc_array, [options] | Compares a base list of ccs and additional ccs and returns a list of ccs that are downgraded_to in additional codes compared to the baseline |
cc_increment | base_cc_array, additional_cc_array, [options] | Returns the net incremental change between cc_lists, for example for calculating the value of a coding project over claims. Equivalent of +Adds - Upgraded in the format("+HCC001, +HCC18, - HCC019") |
cc_increment_raf | base_cc_array, additional_cc_array, [options] | Returns the RAF of the net incremental change (+Adds - Upgraded) between cc_lists. Equivalent of cc_raf(cc_diff_increment) |
cc_gaps | base_cc_array, additional_cc_array, [options] | Compares a base list of ccs and additional ccs and returns a list of ccs that are deletes or downgrades between the additional codes vs the baseline |
cc_gaps_raf | base_cc_array, additional_cc_array, [options] | Compares a base list of ccs and additional ccs and returns raf of ccs that are deletes or downgrades between the additional codes vs the baseline |
dx_increment | base_dx_array, additional_dx_array, [options] | Returns the net incremental change between dx_lists, for example for calculating the value of a coding project over claims. Equivalent of +Adds - Upgraded in the format("+dx001, +dx18, - dx019") |
dx_increment_raf | base_dx_array, additional_dx_array, [options] | Returns the RAF of the net incremental change (+Adds - Upgraded) between dx_lists. Equivalent of dx_raf(dx_diff_increment) |
dx_gaps | base_dx_array, additional_dx_array, [options] | Compares a base list of dxs and additional dxs and returns a list of dxs that are deletes or downgrades between the additional codes vs the baseline |
dx_gaps_raf | base_dx_array, additional_dx_array, [options] | dx_diff_deletes_raf focuses on YoY Chronic Gaps and downgrades (net raf of downgraded). Equivalent of dx_chronic(dx_diff_deletes). |
dx_diff | base_dx_array, additional_dx_array, [options] | Compares a base list of dx and additional dx and returns an information block on the differences ; eg: "Adds: E119, I2720; Deletes: I495; Upgraded: F10250; Downgraded:" |
dx_diff_raf | base_dx_array, additional_dx_array, [options] | Returns net raf difference between baseline ccs and additional ccs |
cc_chronic | cc_array, [options] | Returns the subset of a cc list that pertain to chronic conditions |
cc_acute | cc_array, [options] | Returns the subset of a cc list that pertain to acute conditions |
cc_hybrid | cc_array, [options] | Returns the subset of a cc list that pertain to hybrid (both acute and chronic) conditions |
dx_chronic | dx_array, [options] | Returns the subset of a dx list that pertain to chronic conditions |
dx_acute | dx_array, [options] | Returns the subset of a dx list that pertain to acute conditions |
dx_hybrid | dx_array, [options] | Returns the subset of a dx list that pertain to hybrid (both acute and chronic) conditions |
memprofile | memberid_column, dx_column_array, dos_column, sex, age, [options] | This would be to process a received claims file. Consolidates data into a new sheet containing a table w/ 1 row per member containing for each dos year: unique DXs, their ccs, RAF value. |
dx_profile_compare | memberid_column, dx_column_array, dos_column, sex, age, [options] | This would be a comparison between two raf_profile sheets. Consolidates data from both the sheet into a new sheet containing a table w/1 row per member containing Dx Codes from both the sheets. Run both dx_increment and dx_gaps to get the Dx difference between both the sheets and the corresponding RAF Value |
A | B | C | D | E | F | G | H | I | J | K | |
1 | name | dx | version | raf_type | age | sex | hccs | demo_raf | dx_raf | hcc_raf | total_raf |
2 | Bob Jones | E119 | v24_2022 | CN | 67 | M | =epi.DX2CC(B2,C2,D2,E2,F2) | =epi.DEMO_RAF(,C2,D2,E2,F2,) | =epi.DX_RAF(B2,C2,D2,E2,F2) | =epi.CC_RAF(G2,C2,D2,E2,) | =H2+I2 |
3 | Mark Mathews | N183, N184 | hhs_v05_2021 | ADULT | 78 | M | =epi.DX2CC(B3,C3,D3,E3,F3) | =epi.DEMO_RAF(,C3,D3,E3,F3,) | =epi.DX_RAF(B3,C3,D3,E3,F3) | =epi.CC_RAF(G3,C3,D3,E3,) | =H3+I3 |
G | H | I | J | K | |
1 | hccs | demo_raf | dx_raf | hcc_raf | total_raf |
2 | HCC19 | 0.257 | 0.088 | 0.088 | 0.345 |
3 | HHS_HCC188,ED_11 | 0.238 | 0.898 | 0.898 | 1.136 |
A | B | C | D | E | F | G | H | I | J | K | |
1 | name | claims_dx | chart_audit_results | ver | raf_type | age | sex | baserate | incremental_dx | raf_change | chart_audit_roi |
2 | John Williams | E119 | E1151 | v24_2021 | CP | 40 | M | 800 | =epi.DX_INCREMENT(B2,C2,D2,E2,F2,G2) | =epi.DX_INCREMENT_RAF(B2,C2,D2,E2,F2,G2,) | =J2*H2 |
3 | Mathew James | D330 | E1152 | v05_2021 | D3 | 70 | F | 880 | =epi.DX_INCREMENT(B3,C3,D3,E3,F3,G3) | =epi.DX_INCREMENT_RAF(B3,C3,D3,E3,F3,G3,) | =J3*H3 |
I | J | K | |
1 | incremental_dx | raf_change | chart_audit_roi |
2 | E1151,-E119 | 0.475 | 380 |
3 | E1152 | 0.559 | 491.92 |
A | B | C | D | E | F | G | H | I | J | |
1 | name | claims_dx | chart_audit_results | ver | raf_type | age | baserate | incremental_dx | raf_change | chart_audit_roi |
2 | John Williams | HCC19 | HCC17 | v24_2021 | CP | 40 | 800 | =epi.CC_INCREMENT(B2,C2,D2,E2,F2) | =epi.CC_INCREMENT_RAF(B2,C2,D2,E2,F2) | =I2*G2 |
3 | Mathew James | HHS_HCC174, HHS_HCC4 | HHS_HCC3 | hhs_v07_2023 | CHILD | 10 | 880 | =epi.CC_INCREMENT(B3,C3,D3,E3,F3,) | =epi.CC_INCREMENT_RAF(B3,C3,D3,E3,F3,) | =I3*G3 |
H | I | J | |
1 | incremental_hcc | raf_change | chart_audit_roi |
2 | HCC17,-HCC19 | 0.211 | 168.8 |
3 | HHS_HCC003,-HHS_HCC004 | 2.192 | 1928.96 |
A | B | C | D | E | F | G | H | I | |
1 | name | base_cond | new_cond | version | model | age | sex | dx_gaps | dx_gaps_raf |
2 | John Williams | E1142 | E119 | v24_2022 | CN | 59 | M | =epi.DX_GAPS(B2,C2,D2,E2,F2,G2,) | =epi.DX_GAPS_RAF(B2,C2,D2,E2,F2,G2,) |
3 | Sharin Winget | F3181, G8220 | F603 | hhs_v07_2022 | CHILD | 12 | F | =epi.DX_GAPS(B3,C3,D3,E3,F3,G3,) | =epi.DX_GAPS_RAF(B3,C3,D3,E3,F3,G3,) |
H | I | |
1 | dx_gaps | dx_gaps_raf |
2 | E1142 | -0.189 |
3 | G8220,F3181 | -2.063 |
A | B | C | D | E | F | G | H | I | |
1 | name | base_cond | new_cond | version | model | age | sex | hcc_gaps | hcc_gaps_raf |
2 | John Williams | HCC17, HCC1 | HCC18 | v24_2022 | CN | 59 | M | =epi.CC_GAPS(B2,C2,D2,E2,F2,G2,) | =epi.CC_GAPS_RAF(B2,C2,D2,E2,F2,G2,) |
3 | Sharin Winget | HHS_HCC1 | HHS_HCC2 | hhs_v07_2022 | CHILD | 12 | F | =epi.CC_GAPS(B3,C3,D3,E3,F3,G3,) | =epi.CC_GAPS_RAF(B3,C3,D3,E3,F3,G3,) |
H | I | |
1 | hcc_gaps | hcc_gaps_raf |
2 | HCC1,HCC17 | -0.24 |
3 | HHS_HCC001 | -5.222 |
A | B | C | D | E | F | G | H | I | J | K | L | |
1 | name | memid | chartid | age | sex | dos | model | Enrollment_duration | Plate | Calculation_Year | DOB | dx |
2 | Erik | 1 | 11 | 65 | M | 2018 | 3 | E119,i420,f330,d330 | ||||
3 | Erik | 1 | 12 | 85 | M | 2018 | CF | 4 | E1151 | |||
4 | Bob | 2 | 21 | 42 | 1/14/2019 | CP | 4 | D330, F330 | ||||
5 | Tom | 2 | 21 | 42 | 3/19/2019 | CP | F330 | |||||
6 | Mark | 2 | 23 | 90 | F | 6/29/2018 | CP | E119 | ||||
7 | Jane | 3 | 24 | 59 | F | 5/3/2018 | CF | i420 | ||||
8 | Robert | 4 | 31 | 74 | M | 9/4/2019 | ADULT | E119 | ||||
9 | Amy | 5 | 41 | F | 3/25/2019 | CF | e119 | |||||
10 | Jude | 6 | 43 | F | 4/25/2019 | ADULT | 7 | g | 2020 | 1/19/1970 | A0105 |
=epi.MEMPROFILE(InputTable!A1:A10,InputTable!B1:B10,InputTable!C1:C10,InputTable!D1:D10,InputTable!E1:E10,InputTable!F1:F10,InputTable!L1:L10,InputTable!G1:G10,InputTable!J1:J10,InputTable!K1:K10,InputTable!H1:H10,InputTable!I1:I10,1) |
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A | B | C | D | E | F | G | H | I | J | K | L | M | |
1 | name | memid | dos | age | sex | model | enrollmentDuration | plate | dx | HCCs | DemoRAF | HCCRAF | TotalRAF |
2 | Erik | 1 | 2018 | 85 | M | CF | E119,I420,F330,D330,E1151 | HCC12,HCC18,HCC59,HCC85,HCC108,DIABETES_CHF | 0.923 | 1.48 | 2.403 | ||
3 | Bob | 2 | 2019 | 42 | M | CP | D330, F330 | HCC12,HCC59 | 0.241 | 0.207 | 0.448 | ||
4 | Tom | 2 | 2019 | 42 | M | CP | F330 | HCC59 | 0.241 | 0.048 | 0.289 | ||
5 | Mark | 2 | 2018 | 90 | F | CP | E119 | HCC19 | 0.817 | 0.096 | 0.913 | ||
6 | Jane | 3 | 2018 | 59 | F | CF | I420 | HCC85,DISABLED_HCC85 | 0.392 | 0.422 | 0.814 | ||
7 | Robert | 4 | 2019 | 74 | M | ADULT | 11 | S | E119 | HHS_HCC021,ED_11 | 0.361 | 0.519 | 0.88 |
8 | Amy | 5 | 2019 | 80 | F | CF | E119 | HCC19 | 0.639 | 0.09 | 0.729 | ||
9 | Jude | 6 | 2019 | 50 | F | ADULT | 7 | G | A0105 | HHS_HCC055,ED_7 | 0.519 | 5.492 | 6.011 |
A | B | C | D | E | F | G | H | |
1 | name | memid | chartid | age | sex | dos | model | dx |
2 | Erik | 1 | 11 | M | 1/1/2018 | E119,f330,d330 | ||
3 | Erik | 1 | 12 | M | 2/23/2018 | E119 | ||
4 | Bob | 2 | 21 | 42 | 1/14/2019 | D330 | ||
5 | Bob | 2 | 21 | 42 | F | 3/19/2019 | CF | C770 |
6 | Bob | 2 | 23 | 41 | 6/29/2018 | CP | E119 | |
7 | Tom | 3 | 24 | 59 | F | 3/5/2018 | i420 | |
8 | 4 | 31 | 74 | 4/9/2019 | I | E119 | ||
9 | Jane | 5 | 41 | 65 | F | 3/25/2019 | CF | e119 |
10 | Jude | 6 | 43 | 55 | F | 4/25/2019 | ADULT | A0105 |
11 | Jack | 7 | 45 | 68 | M | 4/13/2019 | D1 | E119,i420 |
A | B | C | D | E | F | G | H | I | J | K | L | |
1 | name | memid | chartid | age | sex | dos | model | Enrollment_duration | Plate | Calculation_Year | DOB | dx |
2 | Erik | 1 | 11 | 85 | M | 1/1/2018 | 3 | E119,i420,f330,d330 | ||||
3 | Erik | 1 | 12 | 85 | M | 2/23/2018 | 4 | E1151 | ||||
4 | Bob | 2 | 21 | 42 | M | 1/14/2019 | CP | 4 | D330 | |||
5 | Bob | 2 | 21 | 42 | M | 3/19/2019 | CP | F330 | ||||
6 | Bob | 2 | 23 | 41 | F | 6/29/2018 | CP | E119 | ||||
7 | Tom | 3 | 24 | 59 | F | 3/5/2018 | CF | A0105 | ||||
8 | Mark | 4 | 31 | 74 | M | 4/9/2019 | I | E119 | ||||
9 | Jane | 5 | 65 | F | 3/25/2019 | CF | e119 | |||||
10 | Jude | 6 | 43 | 55 | F | 4/25/2019 | ADULT | E1111 | ||||
11 | Jack | 7 | 45 | 68 | M | 4/13/2019 | D1 | E089 |
=epi.DX_PROFILE_COMPARE(Claims!A1:A11,Claims!B1:B11,Claims!C1:C11,Claims!D1:D11,Claims!E1:E11,Claims!F1:F11,Claims!H1:H11,Claims!G1:G11,,,,,Coding!A1:A11,Coding!B1:B11,Coding!C1:C11,Coding!D1:D11,Coding!E1:E11,Coding!F1:F11,Coding!L1:L11,Coding!G1:G11,Coding!J1:J11,Coding!K1:K11,Coding!H1:H11,Coding!I1:I11,1,0) |
A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | |
1 | name | memid | dos | age | sex | model | enrollmentDuration | plate | dx_1 | dx_2 | ver | HCCs_1 | DemoRAF_1 | HCCRAF_1 | TotalRAF_1 | HCCs_2 | DemoRAF_2 | HCCRAF_2 | TotalRAF_2 | dx_increment | RAF_increment | dx_gaps | RAF_gaps |
2 | Erik | 1 | 2018 | 85 | M | CP | E119,F330,D330 | E119,I420,F330,D330,E1151 | v23_2018 | HCC12,HCC19,HCC59 | 0.679 | 0.338 | 1.017 | HCC12,HCC18,HCC59,HCC85,HCC108,DIABETES_CHF | 0.679 | 1.391 | 2.07 | I420,E1151,-E119 | 1.053 | 0 | |||
3 | Bob | 2 | 2019 | 42 | F | CF | D330,C770 | D330,F330 | v24_2019 | HCC8 | 0.288 | 2.444 | 2.732 | HCC12,HCC59 | 0.288 | 0.232 | 0.52 | F330 | 0.056 | C770 | -2.268 | ||
4 | Bob | 2 | 2018 | 41 | F | CP | E119 | E119 | v23_2018 | HCC19 | 0.384 | 0.133 | 0.517 | HCC19 | 0.384 | 0.133 | 0.517 | 0 | 0 | ||||
5 | Tom | 3 | 2018 | 59 | F | CF | I420 | A0105 | v23_2018 | HCC85,DISABLED_HCC85 | 0.392 | 0.422 | 0.814 | HCC39,DISABLED_HCC39 | 0.392 | 0.724 | 1.116 | A0105 | 0.724 | I420 | -0.422 | ||
6 | Mark | 4 | 2019 | 74 | M | I | E119 | E119 | v24_2019 | HCC19 | 1.164 | 0.148 | 1.312 | HCC19 | 1.164 | 0.148 | 1.312 | 0 | 0 | ||||
7 | Jane | 5 | 2019 | 65 | F | CF | E119 | E119 | v24_2019 | HCC19 | 0.38 | 0.09 | 0.47 | HCC19 | 0.38 | 0.09 | 0.47 | 0 | 0 | ||||
8 | Jude | 6 | 2019 | 55 | F | ADULT | 11 | S | A0105 | E1111 | hhs_v05_2019 | HHS_HCC055,ED_11 | 0.382 | 5.252 | 5.634 | HHS_HCC019,ED_11 | 0.382 | 0.519 | 0.901 | E1111 | 0.462 | A0105 | -5.252 |
9 | Jack | 7 | 2019 | 68 | M | D1 | E119,I420 | E089 | v05_2019 | RXHCC31,RXHCC186 | 0.261 | 0.437 | 0.698 | RXHCC31 | 0.261 | 0.27 | 0.531 | 0 | I420 | -0.167 |
A | B | C | D | E | F | G | H | |
1 | name | memid | chartid | age | sex | dos | model | hcc |
2 | Jane | 5 | 41 | F | 3/25/2019 | CF | HCC19 | |
3 | Jude | 6 | 43 | 55 | F | 4/25/2019 | ADULT | HHS_HCC055 |
4 | Jack | 7 | 45 | 68 | M | 4/13/2019 | D1 | RXHCC186,RXHCC31 |
5 | Robert | 8 | 52 | F | 4/25/2022 | ADULT | HHS_HCC21 | |
6 | Mike | 9 | 55 | 68 | M | 4/13/2023 | D1 | RXHCC186,RXHCC31 |
7 | Jerry | 10 | 57 | 59 | F | 3/5/2022 | 85 | |
8 | Bruno | 11 | 60 | 85 | 2/23/2023 | HCC38 |
A | B | C | D | E | F | G | H | I | J | K | L | |
1 | name | memid | chartid | age | sex | dos | model | Enrollment_duration | Plate | Calculation_Year | DOB | hcc |
2 | Jane | 5 | 41 | F | 3/25/2019 | CF | HCC19 | |||||
3 | Jude | 6 | 43 | 55 | F | 4/25/2019 | Adult | HHS_HCC019 | ||||
4 | Jack | 7 | 45 | 68 | M | 4/13/2019 | D1 | RXHCC31 | ||||
5 | Robert | 8 | 52 | F | 4/25/2022 | ADULT | 7 | G | 2022 | 1/19/1960 | HHS_HCC008 | |
6 | Mike | 9 | 55 | 68 | M | 4/13/2023 | D1 | RXHCC31 | ||||
7 | Jerry | 10 | 57 | 59 | F | 3/5/2022 | CF | HCC39 | ||||
8 | Bruno | 11 | 60 | M | 2/23/2023 | 4 | 37 |
=epi.HCC_PROFILE_COMPARE(Claims!A1:A8,Claims!B1:B8,Claims!C1:C8,Claims!D1:D8,Claims!E1:E8,Claims!F1:F8,Claims!H1:H8,Claims!G1:G8,,,,,Coding!A1:A8,Coding!B1:B8,Coding!C1:C8,Coding!D1:D8,Coding!E1:E8,Coding!F1:F8,Coding!L1:L8,Coding!G1:G8,Coding!J1:J8,Coding!K1:K8,Coding!H1:H8,Coding!I1:I8,1,0) |
A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | |
1 | name | memid | dos | age | sex | model | ver | HCCs_1 | DemoRAF_1 | HCCRAF_1 | TotalRAF_1 | HCCs_2 | DemoRAF_2 | HCCRAF_2 | TotalRAF_2 | hcc_increment | hcc_increment_raf | hcc_gaps | hcc_gaps_raf |
2 | Jane | 5 | 2019 | 65 | F | CF | v24_2019 | HCC19 | 0.38 | 0.09 | 0.47 | HCC19 | 0.38 | 0.09 | 0.47 | 0 | 0 | ||
3 | Jude | 6 | 2019 | 55 | F | ADULT | hhs_v05_2019 | HHS_HCC055 | 0.382 | 5.252 | 5.634 | HHS_HCC019 | 0.382 | 0.519 | 0.901 | HHS_HCC019 | 0.462 | HHS_HCC055 | -5.252 |
4 | Jack | 7 | 2019 | 68 | M | D1 | v05_2019 | RXHCC186,RXHCC31 | 0.261 | 0.437 | 0.698 | RXHCC31 | 0.261 | 0.27 | 0.531 | 0 | RXHCC186 | -0.167 | |
5 | Robert | 8 | 2022 | 62 | F | ADULT | hhs_v07_2022 | HHS_HCC021 | 0.337 | 0.101 | 0.438 | HHS_HCC008 | 0.337 | 22.661 | 22.998 | HHS_HCC008 | 22.661 | HHS_HCC021 | -0.101 |
6 | Mike | 9 | 2023 | 68 | M | D1 | v08_2023 | RXHCC186,RXHCC31 | 0.19 | 0.453 | 0.643 | RXHCC31 | 0.19 | 0.243 | 0.433 | 0 | RXHCC186 | -0.21 | |
7 | Jerry | 10 | 2022 | 59 | F | CF | v24_2022 | HCC85 | 0.362 | 0.406 | 0.768 | HCC39 | 0.362 | 0.569 | 0.931 | HCC39,DISABLED_HCC39 | 0.569 | HCC85,DISABLED_HCC85 | -0.406 |
8 | Bruno | 11 | 2023 | 85 | M | CN | v28_2023 | HCC38 | 0.616 | 0.154 | 0.77 | HCC37 | 0.616 | 0.154 | 0.77 | HCC37,-HCC38 | 0 | 0 |
A | B | C | D | |
1 | dx | ver | acute | chronic |
2 | F23, E1142, E1100 | v23_2018 | =epi.DX_ACUTE(A2, B2) | =epi.DX_CHRONIC(A2, B2) |
3 | F330, C770 | v24_2021 | =epi.dx_acute(A3, B3) | =epi.dx_chronic(A3, B3) |
C | D | |
1 | acute | chronic |
2 | F23 | E1142,E1100 |
3 | J683 | F330,C770 |
A | B | C | D | E | |
1 | hcc | ver | acute | chronic | hybrid |
2 | HCC18, HCC169, HCC138 | v24_2019 | =epi.CC_ACUTE(A2, B2) | =epi.CC_CHRONIC(A2, B2) | =epi.CC_HYBRID(A2, B2) |
3 | HCC19, HCC1 | v24_2022 | =epi.CC_ACUTE(A3, B3) | =epi.CC_CHRONIC(A3, B3) | =epi.CC_HYBRID(A3, B3) |
C | D | E | |
1 | acute | chronic | hybrid |
2 | HCC169 | HCC138 | HCC18 |
3 | HCC1 | HCC19 |
A | B | |
1 | function | output |
2 | =epi.CLEAN_DX("e11.9", "v24_2022") | E119 |
3 | =epi.CC_DESC("HCC18") | HCC18:Diabetes with Chronic Complications |
4 | =epi.DX_DESC("E1111", "hhs_v07_2023") | E1111:Type 2 diabetes mellitus with ketoacidosis with coma |
5 | =epi.DX2CC("E1142", "hhs_v05_2021") | HHS_HCC020,ED_11 |
6 | =epi.CC_RAF("HCC19", "V24_2019") | 0.092 |
7 | =epi.DEMO_RAF(,"v28_2023", "CN", 65, "F" ) | 0.306 |
8 | =epi.CC_INFO("HCC17", ,"CF", 30) | desc: Diabetes with Acute Complications; children: HCC18,HCC19; parents: ; RAF: 0.353 |
9 | =epi.CC_COMBINE("HCC56, HCC57", "v24_2022") | HCC56,HCC57,gSubstanceUseDisorder_gPsych |
10 | =epi.CC_DIFF("HCC19, HCC56","HCC17, HCC18, HCC55") | adds: HCC17,HCC55; upgraded: HCC19,HCC56; downgraded: ; downgraded_to: ; deletes: |
11 | =epi.CC_DIFF_RAF("HCC19, HCC56", "HCC17, HCC18, HCC55", "v24_2021","CPD",) | 0.211 |
12 | =epi.DX_INCREMENT("E119", "E1111") | E1111,-E119 |
13 | =epi.CC_INCREMENT_RAF("HCC19, HCC56", "HCC17, HCC18, HCC55", "v23_2018","CPD",,,,) | 0.455 |
14 | =epi.CC_GAPS("HCC19, HCC85", "HCC55",,,,,,) | HCC19,HCC85,DIABETES_CHF |
15 | =epi.CC_GAPS_RAF("HCC19, HCC85", "HCC55",,"CF",18,) | -0.563 |
16 | =epi.DX_INCREMENT("E119, F1110", "E1111, E1042, F1020") | E1111,F1020,-E119,-F1110 |
17 | =epi.DX_INCREMENT_RAF("E119", "F10.14, E1151", "v28_2023", "CP", 10) | 0.147 |
18 | =epi.DX_GAPS("E119, I281", "E1111, E1042, F1020") | I281 |
19 | =epi.DX_GAPS_RAF("E119, I281", "E1111, E1042, F1020", "v24_2020", "CP", 18) | -0.35 |
20 | =epi.DX_DIFF("E119, F1110", "E1111, E1042, F1020") | adds: E1111,F1020; upgraded: E119,F1110; downgraded: ; downgraded_to: ; deletes: |
21 | =epi.DX_DIFF_RAF("E119", "E1111", "V24_2022", "CF", 70) | 0.195 |