[Bill14564]

Originally Posted by Rainger99

The main reason is curiosity. I am curious to find out how healthy Medicare has me coded. I think I am in fantastic health but I would like to know if Medicare agrees with me. I would expect a less than 1.0 so if it were significantly higher than 1, I might ask Medicare to review my records to see if they are accurate. I believe in transparency.

Don't you like to know your credit score? It used to be difficult to get your credit rating, but it is much easier now. That is important because if there are mistakes, it really impacts you. Several years ago, I checked my credit rating and they had someone with a similar name but it wasn't me. I asked them to change it.

A week ago, I had never heard of RAF scoring. However, since RAF rating appears to be one of the major factors in TVH bankruptcy, I am concerned that my RAF might be inflated.

Also, I am in Advantage right now and I am considering moving to Medicare next year. However, if I have an elevated RAF score, it might prevent me from transferring.

I found this article on the internet. Check out how complicated it is!!

Diagnosis Coding for Value-Based Payment: A Quick Reference Tool | AAFP

My credit score affects my wallet, my RAF does not.
Things that affect my credit score are objective, things that affect my RAF are subjective. I can argue one but I’m not qualified to argue the other.

This is beyond what I have looked into but I believe RAF, a number used for reimbursing MA plans, has no meaning on “regular” Medicare.