HierCondHlthRskAdjFctr

Stores the risk adjustment factor for patients and members based on the set of Hierarchical Condition Category (HCC) codes that apply to them and the status of their benefits eligibility. This object is available in API version 61.0 and later.

Supported Calls

create(), delete(), describeLayout(), describeSObjects(), getDeleted(), getUpdated(), query(), retrieve(), search(), undelete(), update(), upsert()

Fields

CmnyFullBnftDualDisabled

Type: double
Properties: Create, Filter, Nillable, Sort, Update
Description: Specifies the risk adjustment factor for a patient who lives at home, has full benefits from both Medicare and Medicaid, and is enrolled in Medicare because of a disability.

CmnyPartialBenefitDualAged

Type: double
Properties: Create, Filter, Nillable, Sort, Update
Description: Specifies the risk adjustment factor for a patient who lives at home, has partial benefits from both Medicare and Medicaid, and is enrolled in Medicare because of their age.

CmnyPartialBnftDualDsbl

Type: double
Properties: Create, Filter, Nillable, Sort, Update
Description: Specifies the risk adjustment factor for a patient who lives at home, has partial benefits from both Medicare and Medicaid, and is enrolled in Medicare because of a disability.

Community

Type: double
Properties: Create, Filter, Nillable, Sort, Update
Description: Specifies the risk adjustment factor for a patient who lives at home.

CommunityFullBnftDualAged

Type: double
Properties: Create, Filter, Nillable, Sort, Update
Description: Specifies the risk adjustment factor for a patient who lives at home, has full benefits from both Medicare and Medicaid, and is enrolled in Medicare because of their age.

CommunityNonDualAged

Type: double
Properties: Create, Filter, Nillable, Sort, Update
Description: Specifies the risk adjustment factor for a patient who lives at home, is covered only by Medicare, and is enrolled in Medicare because of their age.

CommunityNonDualDisabled

Type: double
Properties: Create, Filter, Nillable, Sort, Update
Description: Specifies the risk adjustment factor for a patient who lives at home, is covered only by Medicare, and is enrolled in Medicare because of a disability.

Condition

Type: string
Properties: Create, Filter, Group, Sort, Update
Description: Specifies the condition for which the HCC code is defined.

ConditionCategory

Type: picklist
Properties: Create, Filter, Group, Nillable, Sort, Update
Description: Specifies the broader category that the specified condition belongs to. For instance, Respiratory Ailment.

HierCondCategoryCodeId

Type: reference
Properties: Create, Filter, Group, Sort, Update
Description: The record ID of the HCC code.

This field is a relationship field.
Relationship Name: HierCondCategoryCode
Relationship Type: Lookup
Refers To: CodeSet

Institutional

Type: double
Properties: Create, Filter, Nillable, Sort, Update
Description: Specifies the risk adjustment factor for a patient who lives at a healthcare facility.

IsActive

Type: boolean
Properties: Create, Defaulted on create, Filter, Group, Sort, Update
Description: Indicates that the risk adjustment factors defined in the record are active.
Default value: false

LastReferencedDate

Type: dateTime
Properties: Filter, Nillable, Sort
Description: The date and time when the record was last referenced.

LastViewedDate

Type: dateTime
Properties: Filter, Nillable, Sort
Description: The date and time when the record was last viewed.

Name

Type: string
Properties: Autonumber, Defaulted on create, Filter, idLookup, Sort
Description: The system-generated name of the record.

OverriddenCodes

Type: textarea
Properties: Create, Filter, Group, Nillable, Sort, Update
Description: The list of HCC codes overridden by the specified HCC code.

OwnerId

Type: reference
Properties: Create, Defaulted on create, Filter, Group, Sort, Update
Description: The owner of the record in the system.

This field is a polymorphic relationship field.
Relationship Name: Owner
Relationship Type: Lookup
Refers To: Group, User

PublishedYear

Type: int
Properties: Create, Filter, Group, Sort, Update
Description: The year when the specified risk adjustment factors were published.