Calculation of the Coding Factor Clause Samples
Calculation of the Coding Factor. For a given Performance Year, the coding factor will equal the ratio of:
1. The Aged/Disabled reference beneficiary HCC risk ratio (described below); to
2. The Aged/Disabled reference beneficiary demographic HCC risk ratio (described below). The Aged/Disabled reference beneficiary HCC risk ratio will equal the ratio of:
Calculation of the Coding Factor. For a given Performance Year, the coding factor will equal the ratio of:
1. The Aged/Disabled reference beneficiary HCC risk ratio (described below); to
2. The Aged/Disabled reference beneficiary demographic HCC risk ratio (described below). The Aged/Disabled reference beneficiary HCC risk ratio will equal the ratio of:
1. The average HCC risk score of the Aged/Disabled reference beneficiaries in the Performance Year; to
2. The average HCC risk score of the Aged/Disabled reference beneficiaries in the base year. The Aged/Disabled reference beneficiary demographic risk ratio will equal the ratio of: