Dashboard Name
ROI Dashboard
About This Dashboard
This dashboard provides a view of first in HCCs and approximate dollar values for the HCC and sources.
Project Type
Risk Adjustment
Service Type
Full Service, Platform Only
Intended User
Executive / Manager
Best For
Analyzing return on investment from different HCC Sources.
What Information Can I Filter?
| Projects |
What do the Data Items Mean?
| Data Item | Description |
| Member ID | Voyager internal Member ID |
| DATE SUBMITTED TO CMS | Date when the claim is submitted to CMS |
| SERVICE DATE | Claim service date |
| HCC Source | Diagnosis code claim source (Ex : Professional, Institutional, Chart Vendor etc.,) |
| Encounter Core ID | Claim ID |
| HCC | Hierarchical condition category |
| Risk Score | Risk score value (Could be demographic risk score, HCC risk score etc) |
| PMPM$ | Per Member Per Month Revenue |
| PMPY$ | Per member Per Year Revenue |
| MMR Plan ID | CMS Contract # (H#) for the member from the MMR |
| MMR PBP | CMS PBP # for the member from the MMR |
| RAF Type Code | RAF Type Code taken from the Source MMR |
| Base Rate | The payment rate used for this member as their base premium |
| CMS Plan ID | Member's Plan ID |
| AGE | Member's age |
| BIRTH DATE | Member's DOB |
| Gender Code | Member's gender |
| Original Reason Entitlement Code | Member's OREC status |
| Medicaid Status Prior Year | Member's Medicaid status |
| Disability Indicator | Member's disability status |
| PART AB TOTAL PRE FFS SCORE | Member's RAF score, prior to Normalization and Coding Intensity adjustment |
| PART AB Demo Score | Member's demographic score |
| PART AB Interaction Score | Member's interaction score |
| Hospice Indicator | Member's Hospice status. 0=NO, 1=YES |
| ESRD Indicator | Member's ESRD status |
| Long Term Institutional Factor | Risk score value specific to long term institutional |
| New to Plan Source Code | Member's default indicator. |
| Payment Year | Dates of Service |
| RAF Calcs Source | This corresponds to all claims in house (ex: R1, R3, R5) or just CMS accepted claims (ex: R2, R4) |