When will an accepted encounter diagnosis not display on the MAO-004 Report?


Answer:

Diagnosis codes on an accepted encounter data record will not be on the MAO-004 report if the encounter data record does not meet the Phase III version 3 MAO-004 production criteria stated in the  December 20, 2017 Health Plan Management System (HPMS) memo with subject line “Phase III Version 3 MAO-004 Report Release Date and Announcement Regarding Final Encounter Data Deadlines for Payment Years 2016-17”.

Source: CMS HPMS Memo with subject “Phase III Version 3 MAO-004 Report Release Date and Announcement Regarding Final Encounter Data Deadlines for Payment Years 2016-17” (December 20, 2017)


Last Updated: 12/20/2017