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Found 2 Skills
Pipeline skill for CMS-HCC risk adjustment calculation and coding gap identification. Use when the user asks to apply the ICD-10-to-HCC crosswalk, calculate RAF scores, resolve disease hierarchies programmatically, identify coding gaps from Rx or lab proxies, project member-level risk scores, build a risk adjustment data pipeline, compute HCC coefficients, run hierarchy resolution code, or generate member risk score reports. Triggers include "calculate RAF score", "ICD-10 to HCC crosswalk", "hierarchy resolution code", "coding gap detection", "Rx proxy gap", "lab proxy gap", "risk score projection", "HCC pipeline", "member risk report", "risk adjustment Python", "risk adjustment SQL", "RAF calculation code", "CMS-HCC pipeline".
Reasoning skill for CMS-HCC risk adjustment strategy and methodology. Use when the user asks about CMS-HCC model versions V24 or V28, blended transition methodology, ICD-10-to-HCC mapping logic, disease interaction hierarchies, RAF score methodology, risk adjustment factor calculation, coding gap identification, audit-defensible documentation, HCC recapture strategy, prospective vs retrospective risk adjustment, or Medicare Advantage risk scoring. Triggers include "CMS-HCC", "V24", "V28", "blended transition", "HCC mapping", "disease hierarchy", "RAF score", "risk adjustment", "coding gap", "HCC recapture", "chart review", "audit defensible", "risk score methodology", "Medicare Advantage risk", "capitation revenue", "hierarchical condition category".