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Risk Adjustment for EDS and RAPS User Group - July 20, 2017

Risk Adjustment for EDS and RAPS User Group - July 20, 2017

Table of Contents

Slides 7-8 - MAO-004, Key Fields, Comparison of MAO-004 and MAO-002
Slides 9-12 - MAO-004, Inclusion Criteria
Slides 13-14 - MAO-002, Identifying Risk Adjustment Eligible Diagnoses
Slides 15-19 - MAO-004, Determining diagnoses for risk adjustment, Scenarios
Slides 20-24 - MAO-004, Troubleshooting
Slides 28-42 - EDPS Edits, Edit 02125, Includes edit descriptions and analysis of edits
Slides 28-42 - EDPS Edits, Edit 02240, Includes edit descriptions, and analysis of edits, prevention tips
Slides 28-42 - EDPS Edits, Edit 02256, Includes edit descriptions and analysis of edits
Slide 29 - Enrollment and Demographic Data, Source of enrollment and demographic data, MARx
Slide 44 - EDS Best Practices, HPMS Memo on Best Practices, See June 22, 2017 HPMS Memo titled ''Best Practices for Encounter Data Submission''
Slides 46-52 - CMS-HCC Risk Adjustment Model, PY 2018 Risk Score Calculation, Calculation overview, normalization models

Last Updated: 07/20/2017