Encounter and Risk Adjustment Program (Part C)


This page provides valuable CMS guidance, materials and information for the successful electronic submission of encounter and risk adjustment data.

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Encounter and Risk Adjustment Program (Part C) Articles

REVISED: Risk Adjustment for EDS and RAPS User Group - September 28, 2017REVISED: Risk Adjustment for EDS and RAPS User Group - May 17, 2018Value Codes UpdateFTP and Web Server IssuesSFTP/TIBCO Report Naming ConventionsSystem Status: March 15th - March 17thRisk Adjustment for EDS and RAPS User Group Q&As - August 25, 2016MAO-002 Edit 02110 - Beneficiary Member ID Not on FileRisk Adjustment for EDS and RAPS User Group - May 18, 2017Risk Adjustment Processing System ErrorsPassword Changes for Secure File Transfer Protocol (SFTP) Users OnlyUPDATE: System Status - SFTP Submitters OnlyRisk Adjustment for EDS and RAPS User Group Q&As - November 17, 2016Risk Adjustment for EDS and RAPS User Group Q&As - October 26, 2017Risk Adjustment for EDS and RAPS User Group - May 17, 2018RAPS Error Code 360REVISED: Medicare Advantage & Part D Communications HandbookRisk Adjustment for EDS and RAPS User Group - February 16, 2017Risk Adjustment for EDS and RAPS User Group - November 30, 2017REVISED: Risk Adjustment for EDS and RAPS User Group - November 1, 2018RAPS System Status - May 26th thru May 29thRisk Adjustment for EDS and RAPS User Group Q&As - April 27, 2017SFTP and Website Servers are now available!System Status - October 9, 2019Risk Adjustment for EDS and RAPS User Group - August 17, 2017Risk Adjustment for EDS and RAPS User Group - April 19, 2018Risk Adjustment for EDS and RAPS User Group - November 1, 2018FTP and Website Servers are now available!REVISED: Risk Adjustment for EDS and RAPS User Group - January 17, 2019Front-End Systems Password ChangesSFTP Users Only: Password Issue UpdateSystem Status - October 29, 2017Redistribution of MAO-001 and MAO-002 Reports - 10/05/2017Front-End Systems IssuesRisk Adjustment for EDS and RAPS User Group Q&As - January 19, 2017Front-End Systems Status UpdateRisk Adjustment for EDS and RAPS User Group - July 19, 2018REVISED: Medicare Advantage & Part D Communications HandbookSubmission Deadline ReminderRisk Adjustment for EDS and RAPS User Group - February 21, 2019CSSC Operations Enhanced Website Coming Soon!Risk Adjustment for EDS and RAPS User Group - June 20, 2019REVISED: Risk Adjustment for EDS and RAPS User Group - July 19, 2018CSSC Operations website is unavailableUpdate: ICN Assignments EnhancementEncounter Data Submission and Processing Guide - Version 2.0System Status - Upgrade Rescheduled to April 27, 2019System Upgrade - June 25, 2017Request for Input – Risk Adjustment Reports – Model Output Report (MOR) and MAO-004 ReportPassword Changes for Secure File Transfer Protocol-SFTP Users OnlyREVISED: Medicare Advantage & Part D Communications HandbookSFTP and Website Server IssuesTIBCO Update - FTP Users OnlySubmission Deadline ReminderRisk Adjustment for EDS and RAPS User Group - December 19, 2019RAPS Submission Cutoff Time ChangeSFTP Users Only: Password UpdatesPassword Changes for Secure File Transfer Protocol (SFTP) Users OnlyCombined Common Edit Module (CCEM) Edit DTP=573 UpdatePassword Changes for Secure File Transfer Protocol (SFTP) Users OnlyRAPS Format Effective 2017TIBCO Translator Transition UpdatePassword Changes for Secure File Transfer Protocol (SFTP) Users OnlyRisk Adjustment for EDS and RAPS User Group - October 26, 2017Password Changes for Secure File Transfer Protocol (SFTP) Users OnlyReminder: SFTP Transition and Front-End Website Decommission 8/4/2018Correction: System Status - March 20, 2019System Status - March 13, 2019Risk Adjustment for EDS and RAPS User Group - April 27, 2017CORRECTION: Password Changes for Secure File Transfer Protocol (SFTP) Users OnlyPassword Changes for Secure File Transfer Protocol (SFTP) Users OnlyElectronic Data Interchange (EDI) Translator Software TransitionUpdate - Condition Code P1CSSC Operations Website ReorganizationEncounter Data (ED) and RAPS Webinar Topics IndexPassword Changes for Secure File Transfer Protocol (SFTP) Users OnlyUpdated - Risk Adjustment for EDS and RAPS User Group - March 23, 2017CSSC Operations website is now available!MAO-001 Reports CorrectionSystem Status - SFTP Submitters OnlyRisk Adjustment for EDS and RAPS User Group - June 15, 2017Risk Adjustment for EDS and RAPS User Group - August 15, 2019System Status: August 10th - August 12, 2018SFTP Report Download OptionsRisk Adjustment for EDS and RAPS User Group - January 19, 2017EDPS Edit Codes 02240 and 02110Risk Adjustment for EDS and RAPS User Group - February 22, 2018Transition to Secure File Transfer Protocol (SFTP)Risk Adjustment for EDS and RAPS User Group - January 18, 2018277CA Response Reports DelimiterSystem Status - Websites and PRS MailboxesSystem Status - September 10, 2017ICN Assignments Enhancement ReminderRisk Adjustment for EDS and RAPS User Group - August 23, 2018System Status - October 28, 2018Encounter Data Files - DelimitersFile Transfer Protocol (FTP) port 2021ICN Assignments EnhancementCorrection: 999 and 277CA Response Reports Format - SFTP Users OnlySystem Status - August 27, 2017Submission Deadline ReminderRisk Adjustment for EDS and RAPS User Group - March 23, 2017Risk Adjustment for EDS and RAPS User Group - April 18, 2019Update - Type of Bill (TOB) 73XSystem Status - July 29, 2018Update: System Status: March 15th - March 17thRisk Adjustment for EDS and RAPS User Group Q&As - February and March 2017REVISED: Risk Adjustment for EDS and RAPS User Group - November 30, 2017REVISED: Risk Adjustment for EDS and RAPS User Group - April 19, 2018TIBCO Transition DatesREVISED: Risk Adjustment for EDS and RAPS User Group - June 20, 2019REVISED: Risk Adjustment for EDS and RAPS User Group - August 15, 2019Update - Value Code A2FTP and Website Server IssuesRisk Adjustment for EDS and RAPS User Group - July 20, 2017System Status - June 30, 2017SFTP/TIBCO Report Naming Conventions - PDE and RAPSUpdate to the MAO-001 ReportREVISED: Risk Adjustment for EDS and RAPS User Group - December 19, 2019Password Changes for File Transfer Protocol (FTP) Users OnlyRAPS and PDE Submitter Login Validation – SFTP Submitters OnlySubmission Deadline Reminder REVISED: Risk Adjustment for EDS and RAPS User Group - April 18, 2019Password Changes for File Transfer Protocol (FTP) Command Line Users OnlyREVISED: Medicare Advantage & Part D Communications HandbookMedicare Encounter Data and Risk Adjustment Data FAQsAcceptable Physician Specialty Types Effective Payment Year 2020Encounter Data Processing System - Edits and EDR ResubmissionFront-End Systems User Guides UpdatesEncounter Data Newsletter – Volume 4, Issue 1Password Changes for Secure File Transfer Protocol (SFTP) Users OnlyPassword Changes for Secure File Transfer Protocol (SFTP) Users OnlyDeactivation of Admitting Diagnosis Code EditEncounter Data Processing System Hold - May 18, 2020Encounter Data Processing System - Maintenance Activities UpdateCombined Common Edit Module (CCEM) Edit SpreadsheetsPassword Changes for Secure File Transfer Protocol - SFTP Users OnlyEDS and RAPS User Group Registration Computer Based TrainingPassword Changes for Secure File Transfer Protocol - SFTP Users OnlyRAPS Duplicate Diagnosis Report