Risk Adjustment for EDS and RAPS User Group - October 26, 2017

Slides 6-11 - EDPS Edits, Edit 98300, Submission guidance
Slides 13-19 - EDPS Edits, Edit 17310, Overview, analysis, prevention strategies, example of valid submission
Slide 18 - ICD-10 Codes, 837I
Slides 20-23 - Occurrence Codes and Dates, Span Codes and Dates, Overview, error codes, resources
Slide 24 - RAPS Edits, Edit 360, MBIs may not be used before the MBI Transition Date
Slide 27 - MOR, 2016 Technical Issue, Blank fields
Slides 29-31 - ED & RAPS Informational Resources, Customer Service and Support Center (CSSC), CSSC website and ListServ
Slide 32 - ED & RAPS Informational Resources, CMS Website
Slide 33 - ED & RAPS Informational Resources, CEM Edits Spreadsheets, Archive of new or changed policies or procedures to be incorporated into the CMS Online Manual System
Slide 35 - ED & RAPS Informational Resources, Medicare Managed Care Manual, Internet-Only Manual
Slides 39-40 - Technical Assistance, Submitting Questions, Whether to include Contract IDs and personal health information
Slide 41 - Risk Adjustment Overpayment Reporting Module, Locating a Contract
Slide 42 - MMR, Blended Risk Score, Frequently Asked Question
Slide 43 - ICD-10 Codes, Diagnosis to HCC mappings, Frequently Asked Question
Slide 44 - MARx Reports, MBIs for transactions, Frequently Asked Question

Last Updated: 10/26/2017

Table of Contents