Which factors can affect the Risk Adjustment Factor (RAF) score?

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The correct answer reflects that both the manifestation of a chronic illness and patient age and disease interactions significantly contribute to calculating the Risk Adjustment Factor (RAF) score.

Reporting the manifestation of a chronic illness is crucial as it recognizes the complexity and the cost of care required for managing such conditions. Accurate documentation of chronic illnesses leads to an appropriate adjustment in the RAF score, allowing for better resource allocation and risk management for those particular patients.

Similarly, patient age and disease interactions play an important role in determining the RAF score. Older patients may present different risk profiles compared to younger patients, and various diseases may interact differently based on a patient's age, impacting the expected healthcare costs. The RAF score incorporates these factors to account for the increasing complexity and potential costs associated with managing older populations alongside their specific health conditions.

Combining these two factors comprehensively illustrates the multidimensional conception of risk adjustment. Thus, the inclusion of both elements in the answer underscores the importance of a holistic approach to understanding patient risk and the complexities in calculating the RAF score correctly.

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