oc8f38lb2bdx~notused~CSSC Operations will be closed Monday, January 18, 2021 in observance of the Martin Luther King Jr. holiday. The Front-End Systems (FERAS, PDFS, and EDFES) will be available during this time for RAPS, PDE, Medicare Encounter and Medicare-Medicaid data submissions.~none~_blank~blue~01-12-2021 12:40~01-20-2021 06:00||oc8f38lb2bcc~notused~CSSC Operations will be closed Monday, May 31, 2021 in observance of the Memorial day holiday. The Front-End Systems (FERAS, PDFS, and EDFES) will be available during this time for RAPS, PDE, Medicare Encounter and Medicare-Medicaid data submissions.~none~_blank~blue~05-27-2021 12:40~06-01-2021 06:00||cje8ri2xp9zd~notused~CSSC Operations will be closed Monday, July 5, 2021 in observance of the Independence Day holiday. The Front-End Systems (FERAS, PDFS, and EDFES) will be available during this time for RAPS, PDE, Medicare Encounter and Medicare-Medicaid data submissions.~~_blank~blue~07-01-2021 06:00~07-06-2021 06:00||cje8ri2xp9dd~notused~CSSC Operations will be closed Monday, September 6, 2021 in observance of the Labor Day holiday. The Front-End Systems (FERAS, PDFS, and EDFES) will be available during this time for RAPS, PDE, Medicare Encounter and Medicare-Medicaid data submissions.~~_blank~blue~09-03-2021 06:00~09-07-2021 06:00||3samv18vpxkk~notused~CSSC Operations will be closed Thursday, November 25, 2020 and Friday, November 25, 2020 in observance of the Thanksgiving holiday. The Front-End Systems (FERAS, PDFS, and EDFES) will be available during this time for RAPS, PDE, Medicare Encounter and Medicare-Medicaid data submissions.~none~_blank~blue~11-23-2021 07:00~11-28-2021 07:00||p35y937gpjsx~notused~CSSC Operations will be closed Friday, December 23, 2021 and Monday, December 27, 2021 in observance of the Christmas holiday. The Front-End Systems (FERAS, PDFS, and EDFES) will be available during this time for RAPS, PDE, Medicare Encounter and Medicare-Medicaid data submissions~none~_blank~blue~12-22-2021 07:00~12-28-2021 07:00||vpphkwmwueaa~notused~CSSC Operations will be closed Friday, December 31, 2021 in observance of the New Year's Day holiday. The Front-End Systems (FERAS, PDFS, and EDFES) will be available during this time for RAPS, PDE, Medicare Encounter and Medicare-Medicaid data submissions.~none~_blank~blue~12-28-2021 07:00~01-02-2022 07:00
Why would the MAO-004 report list a diagnosis as disallowed?
Answer:
The MAO-004 report will identify diagnoses as “allowed” or “disallowed” to indicate whether or not they are risk adjustment eligible. If diagnoses pass the CMS filtering logic, they are “allowed.” Allowed diagnoses are considered eligible for risk adjustment since these are the diagnoses that are run through the model when calculating risk scores. Not all diagnoses that are run through the model will be included in the risk score calculation, since not all diagnoses map to the Hierarchical Condition Category (HCC) in the model. Please refer to the December 20, 2017 CMS Health Plan Management System (HPMS) Memo with subject line, “Phase III Version 3 MAO-004 Report Release Date and Announcement Regarding Final Encounter Data Deadlines for Payment Years 2016-17.
Source: CMS HPMS Memo with subject “Phase III Version 3 MAO-004 Report Release Date and Announcement Regarding Final Encounter Data Deadlines for Payment Years 2016-17” (December 20, 2017)
The URL you have just viewed was automatically launched for your convenience.