Risk Adjustment for EDS and RAPS User Group - August 15, 2019

Slide 9 - Missing Diagnoses from ED Based Risk Scores, Missing CRR-Deletes from MAO-004 (PY2016 & PY2017), Missing data addressed in future risk score runs
Slide 11 - CMS-HCC Model Risk Score Calculation, Rounding & Risk score Calculation for PY2020, Correction to technical rounding issue
Slides 12-15 - Risk Score Calculation, Risk score calculation for PY2020, Anesthesia
Slide 18 - EDPS Edits, Edit 00805
Slide 18 - EDPS Edits, Edit 25010
Slide 20 - ED & RAPS Reconciliation, Summary of PY2018 final reconciliation, Summary of June 25, 2019 HPMS memo
Slide 22 - MAO-004, Corrected MAO-004 reports for error omitting some 2019 service records, Re-issuing corrected phase III for Jan-April 2019 submissions
Slide 26 - RAPS Edits, Edit 502
Slide 27 - Chart Review Record Submissions, Unlinked chart reviews
Slide 28 - EDS Submission, Assigning ICN
Slide 29 - MMR, Identifying frailty
Slide 30 - CMS-HCC Model Risk Score Calculation, Coefficient values (2018)
Slide 31 - MMR, Risk score blending ratio (PY2017 & PY2018)
Slide 32 - MOR, Demographic factors (MMR and MOR)

Last Updated: 08/15/2019

Table of Contents