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 category, MEAT, recapture, suspect HCC, RADV. Pairs after OpenMed NER + ICD-10 coding: consume Disease/Pathology entities from openmed.analyze_text, code them (see coding-icd10), then roll up to HCCs. CMS-HCC mappings and weights are public from CMS. This is a coding-support aid for human review, never autonomous risk-adjustment coding.
72
87%
Does it follow best practices?
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Adds up to 20 points to the overall score
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Low
Low-risk findings worth noting
Low
Low-risk findings.
1 low severity finding. Worth noting, but not necessarily harmful.
The skill exposes the agent to untrusted, user-generated content from public third-party sources, creating a risk of indirect prompt injection. This includes browsing arbitrary URLs, reading social media posts or forum comments, and analyzing content from unknown websites.
The required runtime path uses OpenMed’s analysis of a provided clinical `note` to extract spans and then directly slices `note[...]` into `meat_context`, which is outsider-authored free text supplied by someone other than the operating user (e.g., clinician/patient documentation), making indirect prompt-injection into the LLM context possible.
80da98c
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