Aapc Practice Test & Exam Prep

Which of the following is a key difference between the CMS-HCC model and the HHS-HCC model?

The CMS-HCC model is used for Medicare Advantage, while the HHS-HCC model is used for the ACA commercial marketplace The CMS-HCC model is used for the ACA marketplace, while HHS-HCC is used for Medicare Advantage The HHS-HCC model only uses demographic factors, not diagnosis codes The CMS-HCC model does not use hierarchies to organize condition categories

Correct Answer:

The CMS-HCC model is used for Medicare Advantage, while the HHS-HCC model is used for the ACA commercial marketplace

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