- Encounter and Risk Adjustment Program (Part C)
- Companion Guides
- EDPS Bulletins
- Encounter Data Submission and Processing Guide
- Enroll to Submit Risk Adjustment Data
- FAQs
- Front-end Risk Adjustment System (FERAS)
- Industry Calls
- Newsletters
- Report and File Layouts
- Resources
- Supplemental Benefit Services Submission Guidance
- Training Information
- User Group
How are encounter data submissions incorporated into risk score calculations?
Answer:
Please refer to the December 22, 2015 CMS Health Plan Management System (HPMS) memo entitled "Final Encounter Data Diagnosis Filtering Logic" related to how CMS will extract risk adjustment eligible diagnoses.
Source: User Group Q&A Documentation from February 16, 2017
Last Updated: 02/16/2017