Risk Adjustment for EDS and RAPS User Group - May 18, 2017


Risk Adjustment for EDS and RAPS User Group - May 18, 2017

Table of Contents

  • Slide 5 - EDPS Edits, Top EDPS Edits by Claim Type 2015
  • Slides 9-18 - EDPS Edits, Edit 98325, Includes edit descriptions, and analysis of edits, listing on MAO-001, prevention tips, bypass conditions
  • Slide 19 - EDPS Edits, Edit 98320
  • Slides 20-32 - Encounter Data Report Cards, Overview
  • Slide 38 - Report Restoration
  • Slide 39 - MAO-004, Accessing MAO-004
  • Slides 40-44 - EDFES Reports, Description, File Naming Convention
  • Slides 40-44 - EDPS Reports, Description, File Naming Convention
  • Slides 47-50 - TA1 Acknowledgement Report, Overview, Structure, error resolution
  • Slides 51-56 - 999 Acknowledgement Report, Overview, Structure, error resolution
  • Slides 57-58 - CMS 5010 Edits Spreadsheet, Overview, Location, description
  • Slides 59-65 - 277CA Acknowledgement Report, Overview, How to read 277CA, structure, error resolution
  • Slides 66-76 - MAO-001, Report Layout

Last Updated: 05/18/2017