What is malignant Nephrosclerosis?

What is malignant Nephrosclerosis?

nephrosclerosis, hardening of the walls of the small arteries and arterioles (small arteries that convey blood from arteries to the even smaller capillaries) of the kidney. This condition is caused by hypertension (high blood pressure).

What is a CMS HCC condition?

The CMS hierarchical condition categories (CMS-HCC) model, implemented in 2004, adjusts Medicare capitation payments to Medicare Advantage health care plans for the health. expenditure risk of their enrollees. Its intended use is to pay plans appropriately for their. expected relative costs.

How many 20cc HCC categories are there?

For 2020 there are 86 HCCs used to determine a patient’s risk adjustment factor (RAF) score.

What is the most likely cause of hypertensive nephrosclerosis?

One mechanism suggests that glomerular ischemia causes hypertensive nephrosclerosis. This occurs as a consequence of chronic hypertension resulting in narrowing of preglomerular arteries and arterioles, with a consequent reduction in glomerular blood flow.

What is an HCC score?

Hierarchical condition category relies on ICD-10 coding to assign risk scores to patients. Each HCC is mapped to an ICD-10 code. Along with demographic factors (such as age and gender), insurance companies use HCC coding to assign patients a risk adjustment factor (RAF) score.

What is an RxHCC?

The RxHCC model predicts the drug costs for which the Part D plan is liable – in other words, it does not include cost sharing amounts for which the enrollee or costs for which the government is responsible for paying.

How long can you live with malignant hypertension?

The prognosis of patients with malignant hypertension is guarded. Five-year survivals of 75% to 84% have been reported with treatment; without treatment, the life expectancy is less than 24 months. Most deaths are a result of heart failure, stroke, or renal failure.