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
How can MAOs submit questions regarding MAO-004 reports that they did not receive, but believe they should have?
Answer:
MAOs and other entities can submit questions regarding missing MAO-004 Reports to encounterdata@cms.hhs.gov. If asking about specific records versus whole reports, please include the related Internal Control Numbers (ICNs) of the encounter(s) in question.Prior to submitting questions, please verify that reports are not in your established File Transfer Protocol (FTP) mailbox or are not available through the Medicare Advantage Prescription Drug User Interface (MARx UI).
If you believe an Encounter Data Record (EDR) is missing from the MAO-004, please check to make sure the EDR meets the criteria below.
Does the data in question have a date of service of January 2014 or later?
Is the encounter data record accepted at the header level by Encounter Data System (EDS), as reported on the MAO-002 report?
Does the encounter data record pass the CMS published filtering logic for each specific encounter type under consideration– Professional, Outpatient, Inpatient?
If an encounter data record meets these criteria, all diagnoses on the record will be indicated as either allowed or disallowed and will also be designated as add, delete, or blank. Diagnoses marked as allowed and either add or blank are considered eligible for risk adjustment, however, not all eligible diagnoses map to an Hierarchical Condition Category (HCC) in the risk adjustment models.