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277CA Acknowledgement Report , 999 Acknowledgement Report , Acknowledgement Reports , Adjustments to Encounter Data Records , Advanced Billing Concept (ABC) Codes , Anesthesia Services , Beneficiary Identifiers , Capitated Services , Chart Review Edits , Chart Review Record Submissions , Chart Review Submissions , Claim Adjudication Disposition , CMS-HCC Model Risk Score Calculation , CMS-HCC Risk Adjustment Model , CMS 5010 Edits Spreadsheet , CPT/HCPCS Codes , Dual Status , ED & RAPS Informational Resources , ED & RAPS Reconciliation , ED & RAPS Submission , EDFES , EDFES Edits , EDFES Reports , EDPS Edits , EDPS Reports , EDS and RAPS Informational Resources , EDS Best Practices , EDS Overview , EDS Reports Overview , EDS Submission , EDS Submission Overview , Encounter Data Filtering Logic , Encounter Data Report Cards , Enrollment and Demographic Data , FERAS and RAPS Reports Overview , FERAS Response Report , Final Encounter Data Performance Metrics , FQHC and RAPS Submission , Frailty Score Calculation , HCC Mappings, Models, Descriptions , HCC Payment Hierarchy , HCPCS S-Codes and G-Codes , HIPPS Codes for SNF and HHA EDRs , ICD-10 Codes , Institutional Special Needs Program , MAO-001 , MAO-002 , MAO-004 , MARx Reports , MBI Implementation , Medicaid Status Data File , Missing Diagnoses from ED Based Risk Scores , MMR , Modifying Diagnoses , Monitoring & Compliance of Encounter Data , MOR , NDC Codes , New Medicare Card Project , NPI Fields , NPI Registry , Occurrence Codes and Dates , PACE Organizations , Performance Reports , RAPS Edits , RAPS Overview , RAPS Reports , Replacement and Void Logic Chart Review Records , Replacement and Void Logic EDRs , Report Restoration , Risk Adjustment Data Submission , Risk Adjustment Filtering Rules , Risk Adjustment Model Overview , Risk Adjustment Overpayment Reporting Module , Risk Score Calculation , Risk Score Calculation Runs for 2019, 2020, 2021 , Risk Score Comparison & Review , ST-SE Segments , Submission Deadlines , Submitting Void EDRs and CRRs , Supplemental Services , TA1 Acknowledgement Report , Technical Assistance , Telehealth Services , Terminating Contracts , TR3 Guides , TRR
2016 Technical Issue , 2016 Updates , 2019 Record Types , 2020 HOS & HOS-M Surveys , 277 Edits , 837I , 999 Edits , Accessing CPT codes , Accessing MAO-004 , Accessing MORs , Add or Delete Flag , Adding a suffix to a diagnosis , Allowable uses of risk adjustment data , Anchor Month , Applicability between Medicare Advantage and PACE , Assigning ICN , Background , Beneficiary Identifiers , Blended Risk Score , Blended Risk Scores , CEM Edits Spreadsheets , CMS-HCC Risk Adjustment Model , CMS Website , Coefficient values (2018) , Communications Handbook , Community Scores , Community ""Full Risk"" Risk Scores , Community, Institutional, and New Enrollee Segments , Corrected MAO-004 reports for error omitting some 2019 service records , CPT and HCPCS codes , Criteria for receiving an MAO-004 , Cross-claim line diagnoses and procedure code adjudication , Customer Service and Support Center (CSSC) , Data Collection Periods and Payment , Deadlines for submitting Deletes , Deciding to submit replace or void , Default HCPCS Codes , Default NPI codes, atypical providers , Definition of Phase I and Phase II , Dementia , Demographic factors (MMR and MOR) , Dental Services , Description and Report Layout , Description, explanation of adjustments , Description, File Naming Convention , Description, relation to MMR , Description, relation to MOR , Determining diagnoses for risk adjustment , Diagnoses included on MAO-002 but not on MAO-004 , Diagnoses initially accepted from subsets of CRRs and RRBs , Diagnosis codes , Diagnosis Filtering Logic , Diagnosis to HCC mappings , Disease Interactions , DME Encounters , DNR Condition Code , Dual Status , Duplicate edit and NDC code , Duplicate edits , E Code , Edit 00240 , Edit 00265 , Edit 00699 , Edit 00760 , Edit 00780 , Edit 00800 , Edit 00805 , Edit 00825 , Edit 00860 , Edit 01410 , Edit 02110 , Edit 02120 , Edit 02125 , Edit 02240 , Edit 02256 , Edit 04040 , Edit 145 , Edit 17310 , Edit 17404 , Edit 21160 , Edit 21821 , Edit 21970 , Edit 22490 , Edit 25005 , Edit 25010 , Edit 25010 and 27005 Informational edits , Edit 25015 , Edit 255 , Edit 30261 , Edit 360 , Edit 408, 409, 410 correction , Edit 453 , Edit 502 , Edit 503 , Edit 509 , Edit 747 , Edit 98300 , Edit 98315 , Edit 98320 , Edit 98325 , Edits 00845 and 00850 , Edits and Resolutions , EDFES , EDFES Edits Statistics , EDRs denied or rejected by submitter , EDS & RAPS Processing Flow , Eligibility and Enrollment , Encounter Data Population , Example of Replacement Across Record Types , Example of Replacement with Changed Through Date , Field 46 / Risk Adjustment Factor , Flat file layout and formatted report layout , Flow charts for EDS & RAPS processing , FY2018 Mappings , Gym Memberships , HCC Mappings, models, descriptions , HCC payment hierarchy applicability for 2020 , HCPCS code set changes , Hierarchical Condition Categories (HCCs) and MOR , HPMS Memo on Best Practices , HPMS Memos Location , ICD-10 to HCC mapping , Identifying frailty , Identifying Risk Adjustment Eligible Diagnoses , Impact on benchmarks for report cards and performance measures , Inactive Contracts , Inclusion Criteria , Indicating HCCs from EDS vs RAPS , Introduction to report cards , Key Fields , Layout , Legacy and new HIPPS codes , Linked and Unlinked CRRs , Linked CRRs , List of RAPS reports , List of RAPS reports, layout, naming convention , Locating a Contract , Location of resources , Mapping MAO-004 and MAO-002 Reports , Maximum linked chart review records , Maximum number of adjustments to an encounter , MBI Implementation Impact , MBI vs HICN , MBIs for transactions , Medicaid Status , Medicaid Status Data File , Medicaid Status Data Report (MSDR) , Medicare Managed Care Manual , Missing CRR-Deletes from MAO-004 (PY2016 & PY2017) , Missing Dx from MAO-004 , Missing risk adjustment eligible diagnoses , MMR , MMR and MOR description , MMR Fields , Model updates , Models, updates and record types , MOR Updates by model , New Enrollee Risk Scores , NPPES system , Overview , Overview and comparison to MAO-004 Phase II , Overview and comparison to MAO-004 Phase III , Overview and fields , Overview and initial timelines , Overview of encounter data filtering process , Overview of models in PY 2016 and 2017 , PACE capitation payment , PACE Organizations , Phase II Information, File Naming Convention , Phase III Information, File Naming Convention , Phase III report errors , Phase III Version 3 Reporting Errors , Preclusion List edits 01440, 01445, 01445, 01455 , Primary diagnosis codes , Procedure code impact on acceptance/rejection , Process flow, file layout, minimum data elements , Process flow, file layout, minimum data elements, history , Process flow, submission overview , Proposed mappings , PY 17 Risk score calculation , PY 19 Risk score calculation , PY 2017 Interim Risk Payment , PY 2017 Model revisions , PY 2018 Risk Score Calculation , PY 2018 Submission Deadlines , RAPS Cumulative Plan Activity Report , RAPS deletions PY 2015 , RAPS Daily Report , RAPS Duplicate Diagnosis Cluster Report , RAPS Error Frequency Reports , RAPS inpatient definition , RAPS Management Reports , RAPS Monthly Plan Activity Report , RAPS Report Restoration , RAPS Return File , RAPS Submission , RAPS Transaction Error Report , RAPS Transaction Summary Report , RASS MBI Related Changes ; Edit 500 , Recommended submission practice , Record Types , Records of service , Rejections at line level , Relative factors , Replacement CRR , Replacement EDRs , Report Layout , Reporting Overpayment , Reports Used for Risk Scores and Payment , Requirements to submit encounter data , Resource Guide , Risk Adjustment Data Submission , Risk score blending ratio (PY2017 & PY2018) , Risk score calculation , Risk score calculation for PY2020 , Risk Segments , Rolling anchor month reminder , Rounding & Risk score Calculation for PY2018 and PY2019 , Rounding & Risk score Calculation for PY2020 , Service Units , Source of enrollment and demographic data , Span Codes and Dates , Statistics , Submission and Processing Guide , Submission deadlines , Submission Date stamp in ICN , Submission frequency , Submission of Partially Capitated Encounters , Submitting anesthesia services with modifiers , Submitting FFS and capitated encounter data , Submitting personally identifiable information (PII) or personal health information (PHI) , Submitting Questions , Submitting Telehealth Services , Summary of PY2018 final reconciliation , System rejecting records incorrectly , Technical Assistance Website , Technical Refinements to the MAO-004 , Technical Specifications , Terminated / consolidated contracts , Timing , Timing of MAO-004 availability , Tips for successful submission , Top EDFES Edits in 2015, 2016 , Top EDPS Edits by Claim Type 2014 and 2015 , Top EDPS Edits by Claim Type 2015 , Top EDPS Edits in 2014, 2015, 2016 , Transition Period for MBIs , Troubleshooting , Type of Bill (TOB) , Unlinked chart reviews , Upcoming EDPS System Release , Updates to reports , Use of diagnoses from unlinked CRR , Void CRR , Void EDRs , Voiding a CRR - Delete , What information will CMS include
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