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Medicare Advantage and Prescription Drug Plans December 28 ...

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Plan Communications User Guide Appendices, Version 6.3<br />

Item Field Size Position Comment Description<br />

HCC18<br />

50<br />

51<br />

52<br />

53<br />

54<br />

55<br />

56<br />

57<br />

58<br />

59<br />

60<br />

61<br />

62<br />

63<br />

64<br />

65<br />

66<br />

Disease<br />

Coefficients<br />

HCC19<br />

Disease<br />

Coefficients<br />

HCC21<br />

Disease<br />

Coefficients<br />

HCC25<br />

Disease<br />

Coefficients<br />

HCC26<br />

Disease<br />

Coefficients<br />

HCC27<br />

Disease<br />

Coefficients<br />

HCC31<br />

Disease<br />

Coefficients<br />

HCC32<br />

Disease<br />

Coefficients<br />

HCC33<br />

Disease<br />

Coefficients<br />

HCC37<br />

Disease<br />

Coefficients<br />

HCC38<br />

Disease<br />

Coefficients<br />

HCC44<br />

Disease<br />

Coefficients<br />

HCC45<br />

Disease<br />

Coefficients<br />

HCC51<br />

Disease<br />

Coefficients<br />

HCC52<br />

Disease<br />

Coefficients<br />

HCC54<br />

Disease<br />

Coefficients<br />

HCC55<br />

Disease<br />

Coefficients<br />

HCC67<br />

1 93 Set to "1" if applicable,<br />

otherwise "0"<br />

1 94 Set to "1" if applicable,<br />

otherwise "0"<br />

1 95 Set to "1" if applicable,<br />

otherwise "0"<br />

1 96 Set to "1" if applicable,<br />

otherwise "0"<br />

1 97 Set to "1" if applicable,<br />

otherwise "0"<br />

1 98 Set to "1" if applicable,<br />

otherwise "0"<br />

1 99 Set to "1" if applicable,<br />

otherwise "0"<br />

1 100 Set to "1" if applicable,<br />

otherwise "0"<br />

1 101 Set to "1" if applicable,<br />

otherwise "0"<br />

1 102 Set to "1" if applicable,<br />

otherwise "0"<br />

1 103 Set to "1" if applicable,<br />

otherwise "0"<br />

1 104 Set to "1" if applicable,<br />

otherwise "0"<br />

1 105 Set to "1" if applicable,<br />

otherwise "0"<br />

1 106 Set to "1" if applicable,<br />

otherwise "0"<br />

1 107 Set to "1" if applicable,<br />

otherwise "0"<br />

1 108 Set to "1" if applicable,<br />

otherwise "0"<br />

1 109 Set to "1" if applicable,<br />

otherwise "0"<br />

Diabetes without Complication<br />

Protein-Calorie Malnutrition<br />

End-Stage Liver Disease<br />

Cirrhosis of Liver<br />

Chronic Hepatitis<br />

Intestinal Obstruction/Perforation<br />

Pancreatic Disease<br />

Inflammatory Bowel Disease<br />

Bone/Joint/Muscle<br />

Infections/Necrosis<br />

Rheumatoid Arthritis <strong>and</strong><br />

Inflammatory Connective Tissue<br />

Disease<br />

Severe Hematological Disorders<br />

Disorders of Immunity<br />

<strong>Drug</strong>/Alcohol Psychosis<br />

<strong>Drug</strong>/Alcohol Dependence<br />

Schizophrenia<br />

Major Depressive, Bipolar, <strong>and</strong><br />

Paranoid Disorders<br />

Quadriplegia, Other Extensive<br />

Paralysis<br />

<strong>December</strong> <strong>28</strong>, 2012 F-56 Part C Risk Adjustment Model Output<br />

Data File

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