Encounter and Risk Adjustment Program (Part C)


This page provides valuable CMS guidance, materials and information for the successful electronic submission of encounter and risk adjustment data.

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Encounter and Risk Adjustment Program (Part C) Articles

FTP and Website Server IssuesRisk Adjustment for EDS and RAPS User Group - December 19, 2019Password Changes for Secure File Transfer Protocol (SFTP) Users OnlyUpdate - Value Code A2Update: ICN Assignments EnhancementSystem Status - October 28, 2018ICN Assignments EnhancementFile Transfer Protocol (FTP) port 2021Password Changes for Secure File Transfer Protocol (SFTP) Users OnlyRisk Adjustment for EDS and RAPS User Group - June 20, 2019Risk Adjustment for EDS and RAPS User Group - February 21, 2019Risk Adjustment for EDS and RAPS User Group - January 18, 2018Risk Adjustment for EDS and RAPS User Group - April 19, 2018Password Changes for File Transfer Protocol (FTP) Command Line Users OnlySystem Status - June 30, 2017REVISED: Medicare Advantage & Part D Communications HandbookSystem Status - September 10, 2017System Status - July 29, 2018System Status - August 27, 2017REVISED: Risk Adjustment for EDS and RAPS User Group - January 17, 2019Front-End Systems Status UpdateFTP and Web Server Issues277CA Response Reports DelimiterREVISED: Risk Adjustment for EDS and RAPS User Group - June 20, 2019Encounter Data (ED) and RAPS Webinar Topics IndexRequest for Input – Risk Adjustment Reports – Model Output Report (MOR) and MAO-004 ReportPassword Changes for Secure File Transfer Protocol (SFTP) Users OnlyCORRECTION: Password Changes for Secure File Transfer Protocol (SFTP) Users OnlyREVISED: Medicare Advantage & Part D Communications HandbookSFTP Users Only: Password UpdatesUpdate - Condition Code P1SFTP Report Download OptionsReminder: SFTP Transition and Front-End Website Decommission 8/4/2018Encounter Data Submission and Processing Guide - Version 2.0Risk Adjustment for EDS and RAPS User Group - August 23, 2018MAO-002 Edit 02110 - Beneficiary Member ID Not on FileREVISED: Risk Adjustment for EDS and RAPS User Group - May 17, 2018SFTP/TIBCO Report Naming ConventionsCSSC Operations Website ReorganizationTransition to Secure File Transfer Protocol (SFTP)Password Changes for File Transfer Protocol (FTP) Users OnlySystem Status - October 29, 2017SFTP and Website Server IssuesFront-End Systems Password ChangesSystem Upgrade - June 25, 2017RAPS Format Effective 2017Password Changes for Secure File Transfer Protocol (SFTP) Users OnlyEncounter Data Files - DelimitersSubmission Deadline ReminderSystem Status - October 9, 2019Risk Adjustment for EDS and RAPS User Group - March 23, 2017Updated - Risk Adjustment for EDS and RAPS User Group - March 23, 2017RAPS Submission Cutoff Time ChangeRisk Adjustment for EDS and RAPS User Group - January 19, 2017Risk Adjustment for EDS and RAPS User Group Q&As - November 17, 2016Risk Adjustment for EDS and RAPS User Group Q&As - April 27, 2017Redistribution of MAO-001 and MAO-002 Reports - 10/05/2017Risk Adjustment for EDS and RAPS User Group - July 20, 2017Risk Adjustment for EDS and RAPS User Group - August 17, 2017Risk Adjustment Processing System ErrorsRisk Adjustment for EDS and RAPS User Group - April 27, 2017RAPS System Status - May 26th thru May 29thRisk Adjustment for EDS and RAPS User Group - November 30, 2017REVISED: Risk Adjustment for EDS and RAPS User Group - July 19, 2018RAPS Error Code 360Risk Adjustment for EDS and RAPS User Group - July 19, 2018Risk Adjustment for EDS and RAPS User Group - October 26, 2017Risk Adjustment for EDS and RAPS User Group - May 18, 2017Combined Common Edit Module (CCEM) Edit DTP=573 UpdateREVISED: Risk Adjustment for EDS and RAPS User Group - September 28, 2017Risk Adjustment for EDS and RAPS User Group - June 15, 2017REVISED: Risk Adjustment for EDS and RAPS User Group - April 19, 2018Risk Adjustment for EDS and RAPS User Group - May 17, 2018REVISED: Medicare Advantage & Part D Communications HandbookREVISED: Risk Adjustment for EDS and RAPS User Group - November 30, 2017Risk Adjustment for EDS and RAPS User Group - February 22, 2018Risk Adjustment for EDS and RAPS User Group Q&As - October 26, 2017TIBCO Update - FTP Users OnlyICN Assignments Enhancement ReminderREVISED: Risk Adjustment for EDS and RAPS User Group - November 1, 2018Risk Adjustment for EDS and RAPS User Group - November 1, 2018SFTP/TIBCO Report Naming Conventions - PDE and RAPSSubmission Deadline Reminder Update - Type of Bill (TOB) 73XPassword Changes for Secure File Transfer Protocol (SFTP) Users OnlySystem Status: August 10th - August 12, 2018System Status - March 13, 2019Electronic Data Interchange (EDI) Translator Software TransitionREVISED: Risk Adjustment for EDS and RAPS User Group - April 18, 2019Correction: System Status - March 20, 2019System Status: March 15th - March 17thUpdate: System Status: March 15th - March 17thCorrection: 999 and 277CA Response Reports Format - SFTP Users OnlyUpdate to the MAO-001 ReportREVISED: Risk Adjustment for EDS and RAPS User Group - August 15, 2019Password Changes for Secure File Transfer Protocol (SFTP) Users OnlyREVISED: Medicare Advantage & Part D Communications HandbookSFTP Users Only: Password Issue UpdateTIBCO Transition DatesRisk Adjustment for EDS and RAPS User Group Q&As - August 25, 2016Risk Adjustment for EDS and RAPS User Group - February 16, 2017TIBCO Translator Transition UpdateRisk Adjustment for EDS and RAPS User Group Q&As - February and March 2017SFTP and Website Servers are now available!Front-End Systems IssuesFTP and Website Servers are now available!CSSC Operations website is unavailableCSSC Operations website is now available!Password Changes for Secure File Transfer Protocol (SFTP) Users OnlyREVISED: Risk Adjustment for EDS and RAPS User Group - December 19, 2019Submission Deadline ReminderRisk Adjustment for EDS and RAPS User Group Q&As - January 19, 2017System Status - Upgrade Rescheduled to April 27, 2019System Status - Websites and PRS MailboxesRisk Adjustment for EDS and RAPS User Group - August 15, 2019Password Changes for Secure File Transfer Protocol-SFTP Users OnlyMAO-001 Reports CorrectionUPDATE: System Status - SFTP Submitters OnlyCSSC Operations Enhanced Website Coming Soon!RAPS and PDE Submitter Login Validation – SFTP Submitters OnlySystem Status - SFTP Submitters OnlySubmission Deadline ReminderEDPS Edit Codes 02240 and 02110Value Codes UpdateRisk Adjustment for EDS and RAPS User Group - April 18, 2019Medicare Encounter Data and Risk Adjustment Data FAQsAcceptable Physician Specialty Types Effective Payment Year 2020Encounter Data Processing System - Edits and EDR ResubmissionFront-End Systems User Guides UpdatesEncounter Data Newsletter – Volume 4, Issue 1Password Changes for Secure File Transfer Protocol (SFTP) Users OnlyPassword Changes for Secure File Transfer Protocol (SFTP) Users OnlyDeactivation of Admitting Diagnosis Code EditEncounter Data Processing System Hold - May 18, 2020Encounter Data Processing System - Maintenance Activities UpdateCombined Common Edit Module (CCEM) Edit SpreadsheetsPassword Changes for Secure File Transfer Protocol - SFTP Users OnlyEDS and RAPS User Group Registration Computer Based TrainingPassword Changes for Secure File Transfer Protocol - SFTP Users OnlyRAPS Duplicate Diagnosis Report