ACESOAI

HCC 2025 V28 Calculator

? MCE Edit on ICD10
Adjusting diagnosis based on age and sex

Reimbursement Premium: -----

Medicare Advantage Monthly Regional Rates for

Bonus Rate

Medicare Advantage Monthly Capitation Rates for

All Plans except PACE:

PACE Plans:

Normalized Factor

DOB

? Long-Term Institutional Medicaid (LTIMCAID)
Check if Medicaid-eligible beneficiary is also residing long-term in an institution, such as: Nursing homes, Long-term care facilities or Skilled nursing facilities, for the payment year
? New Medicare enrollee with Medicaid: This applies if the patient is newly enrolled in Medicare and had at least one month of Medicaid coverage during the payment year.

Add Icd10

    Or Extract Icd10s codes from text

    Selected ICD10 Codes:

    Risk Adjustment Score (RAF)

    ? A unique identifier for the patient (e.g., MRN). This ID will be used when saving the result.
    Type Icd10 Coeffecient Description Score Amount

    Trumpped HCC

    Icd10 HCC HCC description