coding-hcc-risk-adjustment SKILL.md skillA
coding-hcc-risk-adjustment from maziyarpanahi/openmed is an agent skill: a SKILL.md folder an AI agent loads when a task calls for it.
mdr add maziyarpanahi/openmed/coding-hcc-risk-adjustment@v1.0Pins v1.0 in mdr.lock. Pin the fingerprint instead.
- Audit grade
- A, 17 of 17 checks passed
- Kind
- SKILL.md skill
- Repository
- maziyarpanahi/openmed
- Path
skills/coding-hcc-risk-adjustment/SKILL.md- Versions recorded
- 1
- Latest version
- v1.0, committed Jul 20, 2026
- Size
- 8,949 bytes
- Repository stars
- 5,784
- License
- Apache-2.0
Maps chronic conditions extracted by OpenMed to CMS-HCC V28 risk-adjustment categories and estimates a RAF (Risk Adjustment Factor) score as decision support. Use when the user wants to surface risk-adjustable diagnoses from notes, map ICD-10-CM codes to HCC categories, estimate or reconcile a patient/panel RAF, find suspected-but-undocumented HCCs, or check MEAT documentation support. Trigger keywords: HCC, CMS-HCC, V28, RAF score, risk adjustment, Medicare Advantage, hierarchical condition…
Collected from public GitHub. Every version is saved exactly as it was and never changes. Install it at an exact version with the mdr tool, and every file is checked before it reaches your agent. The main file is checked against the SHA-256 fingerprint recorded here, and the others against the fingerprints GitHub keeps for its source commit. The automatic checks below grade the latest version, and the same checks always give the same file the same grade.
What the file says
# Mapping conditions to CMS-HCC V28 and estimating RAF
Surface and risk-adjust the chronic conditions OpenMed extracts by mapping them
to **CMS-HCC** categories (the **V28** model, phasing in for payment years
2024–2026) and estimating a **RAF** (Risk Adjustment Factor) score. CMS pays
Medicare Advantage plans based on RAF, so accurate, *documented* capture of
chronic disease matters — and much of that signal lives in the **narrative note**,
exactly what OpenMed reads.
This is **decision support for coders/clinicians**, not autonomous coding. The
output is "candidate HCCs + estimated RAF + the documentation that supports (or
fails to support) each one," for human validation.
CMS-HCC crosswalks (ICD-10-CM → HCC) and the category coefficients are **public**
— CMS publishes them annually. Nothing restricted is bundled.
## When to use
- You want to **find risk-adjustable diagnoses** mentioned in a note that may not
be on the coded problem list ("suspect HCCs" / recapture).
- You need to **map ICD-10-CM codes to V28 HCCs** and apply the hierarchy.
- You want an **estimated RAF** for a patient or panel for review.
- You need to check whether a diagnosis has **MEAT** support
…Read the whole file at its exact version.
How to install
mdr add maziyarpanahi/openmed/coding-hcc-risk-adjustment@sha256:0afa910eaf191688The line at the top of this page pins the label v1.0, which is what most people want. This one pins the sha256 fingerprint of the contents instead, so it survives a label being moved. Either way the exact version is written to mdr.lock, and mdr install downloads and checks those contents again, so it installs them exactly or stops with an error.
[](https://markdownregistry.com/a/art_vm3g3vwefdbhzn7t)
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Versions
The registry has recorded 1 version of this file, committed on Jul 20, 2026.
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Source
maziyarpanahi/openmed · 5,784 stars · license Apache-2.0 · pushed 2026-11-07 · branch master
API
GET https://markdownregistry.com/api/v1/artifacts/art_vm3g3vwefdbhzn7t GET https://markdownregistry.com/api/v1/resolve?ref=maziyarpanahi/openmed/coding-hcc-risk-adjustment GET https://markdownregistry.com/api/v1/blob/0afa910eaf191688ab6f7a8ef5903db9cdac6928b8ef584968075cc9d4bff379
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