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CMS-HCC V28 Risk Score Calculator

Calculate Medicare Advantage risk scores instantly. Enter patient demographics and ICD-10 codes for a comprehensive HCC breakdown.

Patient Information

Try an example:

Risk Score Results

0.0 Low Risk Average (1.0) High Risk 5.0+

Total Risk Score

0.00

No calculation yet

HCC Breakdown

HCC Code Description Coefficient Contribution
No HCCs identified

Score Components

Demographics Score

0.00

HCC Score

0.00

How It Works

1

Enter Patient Data

Input the patient's age, sex, and model segment. Use example data to see how it works.

2

Add ICD-10 Codes

Enter or search for relevant ICD-10 diagnosis codes. The calculator maps them to HCCs automatically.

3

Get Results

View your comprehensive risk score with HCC breakdown, score components, and contribution analysis.

Disclaimer

This CMS-HCC V28 Risk Score Calculator is provided for educational and informational purposes only. Results are calculated based on the data you provide and CMS-HCC V28 model algorithms. The calculator does not constitute medical advice, and results should not be used as a substitute for professional medical or actuarial assessment. BFI Consulting Group makes no warranties regarding the accuracy or completeness of the results. Always consult with healthcare professionals and actuaries for clinical or financial decision-making.