How do I document patient risk score?

Practice Fusion’s Patient risk score feature can assist providers with risk stratification and classification, which helps make it easier to identify patients who may need additional care management.

Documenting patient risk score

1. On the patient Summary, click the Go to drop-down menu and select Patient risk score or scroll down to the specific section. Click the + icon to document the risk type and score.

2. Select the Risk score type from the drop-down menu and enter the risk score. If the risk score type you are interested in documenting is not available, select Other. The risk score must be numeric and can include up to three characters, a decimal, and another three characters (e.g. XXX.XXX).

The following risk score types are available in Practice Fusion:

  • Hierarchical Condition Category (HCC): Hierarchical Condition Category (HCC) coding is a risk adjustment model used by the Centers for Medicare and Medicaid Services (CMS). This model identifies individuals with serious or chronic illness and assigns a risk factor score to the person based upon a combination of the individual’s health conditions and demographic details.

  • Adjusted Clinical Groups (ACG): The ACG system measures health status by grouping diagnoses into clinically cogent groups. The goal of the ACG system is to assign each individual a single, mutually exclusive ACG value, which is a relative measure of the individual's expected or actual consumption of health services.

  • Elder Risk Assessment (ERA): For adults over 60, ERA uses age, gender, marital status, number of hospital days over the prior two years, and selected comorbid medical illness to assign an index score to each patient.

  • Chronic Comorbidity Counts (CCC): The CCC risk adjustment method is based on the publicly available Agency for Healthcare Research and Quality’s Clinical Classification Software. The CCC method uses the total sum of chronic conditions grouped into 6 categories: 0, 1, 2, 3, 4, and 5 or more.

  • Minnesota Tiering (MN): The Minnesota Tiering (MN Tiering) risk adjustment model is based on a product of ACGs, Major Extended Diagnostic Groups. The purpose of MN Tiering is to group patients into “complexity tiers” based on the number of major condition categories from which they suffer.

  • Other: Use this category to record practice-specific risk scores or any other risk score not listed above.

3. Enter or edit the Date assigned and click Save.


4. The patient risk score will display for quick reference on the patient Summary.

5. To print the patient risk score, click the printer icon next to the Patient risk score section on the Summary page.


Q: Does Practice Fusion automatically calculate a risk score for my patients?
A: While some EHR products do generate risk scores for patients, that is not something that Practice Fusion offers right now. In this version of this feature, the Practice Fusion EHR supports the ability for a provider to record a structured patient risk score (in numeric form) in a patient's medical record.


  1. How do I search for patients in the EHR?
  2. How do I customize my patient chart view?
  3. How do I complete a chart note?
  4. How do I use rich text editing when charting my encounters?
  5. How do I add diagnoses to a patient chart?
  6. How do I add a medication?
  7. How do I use flowsheets?
  8. How can I preview previous encounters and results while completing an encounter?
  9. How do I print a patient's chart or certain sections of the patient's chart?
  10. How do I print a chart note?
  11. How do I add past medical history (PMH), allergies, medications and diagnoses to an encounter?
  12. How to record and print patient demographics and profile
  13. What information is available in a patient's Timeline?
  14. How do I use the growth charts?
  15. How do I merge duplicate charts?
  16. How do I print the care plan?
  17. How do I open an existing patient chart?
  18. Can vitals be added in Metric Units or US Customary Units?
  19. How do I add advanced directives?
  20. How do I add allergies?
  21. How can I edit my signed chart note?
  22. How do I add Family Health History?
  23. What is the difference between a SOAP and Simple note?
  24. What are the Character Limits when Charting?
  25. What are the limits of simultaneous editing?
  26. What are Screenings/Interventions/Assessments?
  27. Where can I learn more about the different components of an encounter?
  28. How do I delete or deactivate a patient?
  29. How do I edit information on the Patient Summary?
  30. How can I view Diagnosis comments?
  31. How do I search for inactive patients?
  32. What are Clinical Decision Support (CDS) advisories?
  33. How do I change the date in an encounter?
  34. How do I populate the list of Frequently prescribed medications?
  35. How do I view more information for medications?
  36. Why am I receiving the error "Unable to sign" when trying to sign a chart note?
  37. How do I delete an unsigned encounter?
  38. Who can sign a chart note?
  39. How do you change the 'Seen by' provider in the new encounter?
  40. How do I add a patient?
  41. What information is required to save a patient's chart?
  42. How do I create a patient record number?
  43. How do I edit an existing SOAP or Simple Note?
  44. How do I record "Unknown Family History?"
  45. How do I pull history from one patient visit to the next?
  46. How do I refresh a patient's chart?
  47. How do I start a new note/encounter in Practice Fusion?
  48. How do I create and export a Continuity of Care (CCD) clinical document?
  49. What is the file size of a patient image?
  50. Can I move a Patient Record Number from one chart to another?
  51. How do I view or update a patient's appointment within their chart?
  52. How do I add a custom medication?
  53. How many charts can be open and how do I close them simultaneously?
  54. How do I assign a Care Team?
  55. How do I add vitals to flowsheets?
  56. How do I customize my template line settings?
  57. How do I set my patient list and Timeline default?
  58. How do I attach a document to an encounter?
  59. How do I create and update "My Dx List"?
  60. How do I add custom allergies?
  61. How do I participate in the Prolia® Safety Program?
  62. How do I document patient risk score?
  63. How do I document an implantable device?
  64. How do I document social history?
  65. How do I add Goals and Health Concerns to the patient Summary?
  66. Why am I seeing CCDA display errors?
  67. How do I manage display settings for inbound CCDAs?
  68. How do I add new Encounter Types?

Feedback and Knowledge Base