Encounter and Risk Adjustment Program (Part C)


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Encounter and Risk Adjustment Program (Part C) Articles

2011 RAPS Compliant Error CodesIndustry Update QA - January 19, 2011EDPS Bulletin 17 - October 15, 2012Encounter Data Processing Status Report - Record File Layout - February 2, 2012EDPS Bulletin 31 - July 3, 2013EDPS Bulletin 20 - December 17, 2012Appendix 4C 277CA Acknowledgment Report Key Segments2014 Encounter Data National Technical Assistance Job Aids - August 14, 2014Risk Adjustment for EDS and RAPS User Group Q&As - July 21, 2016Risk Adjustment for EDS and RAPS User Group - May 18, 2017Appendix 3A MA Companion Guide: CMS' Supplemental Instructions for EDR & CRR Data ElementsRisk Adjustment for EDS and RAPS User Group - August 25, 2016Encounter Data Newsletter – Volume 4, Issue 1Encounter Data Processing Status Report - Sample Formatted Report - February 2, 20122011 Risk Adjustment Payment Reconciliation WorkbookEncounter Data Processing Status ReportEDS Front-End Testing Letter2003 Presentation SlidesProfessional January 2012 ReleaseEncounter Data Companion Guide - Professional November 2013 ReleaseRisk Adjustment for EDS and RAPS User Group - February 16, 2017Encounter Data User Group – May 16, 2013PACE Test Case Specifications - InstitutionalPACE Test Case Specifications - ProfessionalPACE Testing LetterPACE Front-End Industry Testing PackageEncounter Data User Group – January 10, 2013Encounter Data User Group Q&As – March 29, 2012Encounter Data User Group Q&As - November 29, 2012Encounter Data User Group – August 30, 2012Encounter Data User Group – October 18, 2012Encounter Data User Group - June 21, 20122012 Payment Regional Technical Assistance – Report Reconciliation Boot Camp WorkbookEncounter Data User Group Q&As - May 24, 20122012 Risk Adjustment Regional Technical Assistance – Risk Score Calculation Workbook2013 Risk Adjustment 101 Participant GuideEDPS Bulletin 4 – April 11, 2012Encounter Data User Group Q&As – March 7, 2013Encounter Data User Group Q&As - April 12, 2012Encounter Data User Group - January 12, 2012Appendix 4C 277CA Acknowledgment Report Key Segments2012 Risk Adjustment Regional Technical Assistance Resource GuideEDPS Bulletin 26 – April 11, 2013Encounter Data User Group - April 24, 2014Risk Adjustment for EDS and RAPS User Group - October 26, 2017Encounter Data User Group – April 4, 2013Appendix 4B 999 Acknowledgement Report Key SegmentsEncounter Data Newsletter – Quarter 3EDPS Bulletin 11 - May 30, 2012EDPS Bulletin 15 - July 19, 2012Encounter Data User Group Q&As - November 17, 2011MAO-001 Encounter Data Duplicates Report - Effective March 30, 2018FERAS User GuideEncounter Data Testing Schedule - RevisedPACE Testing LetterEncounter Data End-to-End Testing TipsBulletin for EDS and RAPS - September 2015Appendix 4B 999 Acknowledgement Report Key SegmentsAppendix 5B MAO-002 Report LayoutEncounter Data Submission and Processing GuideAppendix 5A MAO-001 Report LayoutAppendix 4A TA1 Acknowledgement Report Key SegmentsAppendix 3C MBI Edits for ED and RAPS DataAppendix 3A MA Companion Guide: CMS' Supplemental Instructions for EDR & CRR Data ElementsAppendix 4D Deactivated EditsAppendix 3C MBI Edits for ED and RAPS DataEncounter Data Submission and Processing GuideAppendix 4A TA1 Acknowledgement Report Key SegmentsAppendix 3B Crosswalk from Retired Minimum Data Element List to Appendix 3A MA Companion GuideEDPS Bulletin 2 – March 28, 2012EDPS Bulletin 1 - March 21, 2012EDPS Bulletin 3 - April 4, 2012EDPS Bulletin 6 – April 25, 2012EDPS Bulletin 7 – May 2, 2012EDPS Bulletin 5 – April 18, 2012EDPS Bulletin 8 – May 9, 2012EDPS Bulletin 9 - May 16, 2012EDPS Bulletin 10 – May 23, 2012EDPS Bulletin 14 - July 11, 2012EDPS Bulletin 12 - June 13, 2012EDPS Bulletin 13 - June 27, 2012Summary Notes Industry Update - January 19, 2011EDPS Bulletin 16 – September 17, 2012EDPS Bulletin 18 – November 7, 2012EDPS Bulletin 19 – November 27, 2012Encounter Data Industry Call - October 27, 2011Encounter Data Industry Call - April 20, 2011EDPS Bulletin 21 – January 16, 2013EDPS Bulletin 23 - February 27, 2013EDPS Bulletin 22 - January 30, 2013Summary Notes Industry Update - March 16, 2011EDPS Bulletin 24 - March 13, 2013EDPS Bulletin 27 - April 25, 2013EDPS Bulletin 25 – March 27, 2013EDPS Bulletin 30 - June 19, 2013Encounter Data Industry Call - February 2, 2012EDPS Bulletin 28 - May 9, 2013Encounter Data Industry Call Q&As - February 2, 2012Encounter Data Newsletter - Quarter 3Encounter Data Newsletter - Quarter 2Encounter Data Newsletter - Quarter 4Encounter Data Newsletter – Quarter 4Encounter Data Newsletter - Quarter 1Encounter Data Newsletter - Quarter 2Encounter Data Newsletter - Quarter 1Encounter Data Newsletter - Quarter 2Encounter Data Newsletter – Quarter 1Encounter Data Newsletter – Quarter 3Newsletter for EDS and RAPS - November 2014Newsletter for EDS and RAPS - September 2015Newsletter for EDS and RAPS - March 2015Risk Adjustment for EDS and RAPS User Group - August 17, 2017Risk Adjustment for EDS and RAPS User Group - September 28, 20172015 Risk Adjustment for EDS and RAPS Webinar Q&As – February 19, 20152014 Risk Adjustment for EDS and RAPS Webinar – December 18, 20142015 Risk Adjustment for EDS and RAPS Webinar - February 19, 20152014 Encounter Data 101 Q&As - August 7, 20142012 Encounter Data Regional Technical Assistance Job Aid – DME HCPCS Worksheet2014 Encounter Data National Technical Assistance Slides - August 14, 20142014 Encounter Data 101 - August 7, 20142011 Encounter Data Participant Guide2012 Encounter Data Regional Technical Assistance Presentation Slides2012 Encounter Data Regional Technical Assistance Participant Guide2011 Encounter Data Slide Presentation2014 Risk Adjustment Webinar - July 1, 20142014 Encounter Data National Technical Assistance Webinar Q&As - August 14, 20142014 Risk Adjustment Job Aids - July 1, 20142015 Risk Adjustment for EDS and RAPS Webinar Q&As - June 11, 20152014 Risk Adjustment for EDS and RAPS Webinar Q&As - December 18, 20142015 Risk Adjustment for EDS and RAPS Webinar - June 11, 2015Risk Adjustment for EDS and RAPS User Group Q&As - March 23, 2017Risk Adjustment for EDS and RAPS User Group QandAs - February 16, 2017Risk Adjustment for EDS and RAPS User Group - July 20, 2017Risk Adjustment for EDS and RAPS User Group - June 15, 2017Risk Adjustment for EDS and RAPS User Group - April 27, 2017Encounter Data User Group - November 03, 2011Encounter Data User Group - May 2, 2013Encounter Data User Group Q&As – May 2, 2013Encounter Data User Group - June 13, 2013Encounter Data User Group Q&As – July 18, 2013Encounter Data User Group Q&As – June 27, 2013Encounter Data User Group - July 18, 2013EDS 101 User Group Q&As – August 7, 2014Encounter Data User Group - June 26, 2014Encounter Data User Group - January 16, 2014Risk Adjustment for EDS and RAPS User Group Q&As - June 23, 2016Encounter Data User Group - November 21, 2013Risk Adjustment for EDS and RAPS User Group - September 29, 2016Risk Adjustment for EDS and RAPS User Group - November 17, 2016Risk Adjustment for EDS and RAPS User Group - October 20, 2016Risk Adjustment for EDS and RAPS User Group - January 19, 2017Risk Adjustment for EDS and RAPS User Group Q&As - August 25, 2016Risk Adjustment for EDS and RAPS User Group Q&As - November 17, 2016Risk Adjustment for EDS and RAPS User Group Q&As - January 19, 2017Risk Adjustment for EDS and RAPS User Group - March 23, 2017Encounter Data User Group - February 7, 2013Encounter Data User Group Q&As – April 18, 2013Encounter Data User Group – April 26, 2012Encounter Data User Group - March 29, 2012Encounter Data User Group - February 21, 2013Encounter Data User Group - April 12, 2012Encounter Data User Group Q&As -February 21, 2013Encounter Data PACE Work Group – March 21, 2012Encounter Data User Group Q&As – March 15, 2012Encounter Data User Group – March 15, 2012Encounter Data User Group - March 7, 2013Encounter Data User Group Q&As - February 16, 2012Encounter Data User Group - February 16, 2012Encounter Data User Group Q&As - April 4, 2013Encounter Data User Group Q&As - January 12, 2012User Group Q&As - December 15, 2011Encounter Data User Group - December 01, 2011Encounter Data User Group - December 15, 2011Encounter Data User Group Q&As – March 21, 2013User Group Q&As - December 01, 2011User Group - November 17, 2011Encounter Data User Group – March 21, 2013User Group Q&As - November 03, 2011Encounter Data User Group – April 18, 2013Encounter Data User Group - August 21, 2012Encounter Data User Group - May 24, 2012Encounter Data User Group Q&As - April 26, 2012Appendix 3B Crosswalk from Retired Minimum Data Element List to Appendix 3A MA Companion GuideEncounter Data User Group - June 7, 2012Encounter Data User Group Q&As - June 21, 2012Encounter Data User Group Q&As - June 7, 2012Encounter Data User Group Q&As - August 21, 2012Encounter Data PACE User Group - August 28, 2012Encounter Data User Group Q&As - October 4, 2012Encounter Data User Group Q&As – August 30, 2012Encounter Data User Group - October 4, 2012Encounter Data User Group Q&As – October 18, 2012Encounter Data User Group Q&As - November 15, 2012Encounter Data User Group – November 15, 2012Encounter Data User Group - November 29, 2012Encounter Data User Group Q&As – December 20, 2012Encounter Data User Group - December 20, 2012Encounter Data User Group Q&As - January 24, 2013Encounter Data User Group Q&As – January 10, 2013Encounter Data User Group – January 24, 2013Encounter Data User Group Q&As - May 10, 2012Encounter Data User Group Q&As – February 7, 2013Encounter Data User Group – May 10, 20122016 Risk Adjustment for EDS and RAPS Webinar Slides – June 23, 20162013 Risk Adjustment 101 Presentation Slides2012 Risk Adjustment Regional Technical Assistance Participant Guide2012 Payment Regional Technical Assistance Presentation Slides2012 Risk Adjustment Regional Technical Assistance Presentation Slides2012 Risk Adjustment Regional Technical Assistance Job Aids2012 Enrollment Regional Technical Assistance Materials2012 Payment Regional Technical Assistance Participant Guide2012 Payment Regional Technical Assistance Job Aid - TRCs2012 Enrollment Regional Technical Assistance Resource Guide2012 Enrollment Regional Technical Assistance Job AidsEncounter Data Newsletter – Volume 4, Issue 2Appendix 5A MAO-001 Report LayoutAppendix 4D Deactivated EditsEDPS Bulletin 29 – June 7, 2013Appendix 5B MAO-002 Report Layout2008 Participant Guide2007 Exercises2007 Presentation Slides2007 Participant Guide2006 February Participant Guide2011 Risk Adjustment Payment Reconciliation Additional Exercises Answer Key2006 July Risk Adjustment Training Materials Revisions Letter2007 Resource GuideEncounter Data Minimum Data Elements2011 MARx UI Step-by-Step Guide2006 February Presentation Slides2006 July Participant Guide2011 Payment Slide Presentations2006 July Presentation Slides2011 Payment Participant Guide2006 July Resource Guide2007 Job Aides2007 Answer Keys2008 Presentation Slides2008 Enrollment & Payment Technical Assistance Guide2008 Job Aides2011 Enrollment Slide Presentations2011 Risk Adjustment Payment Reconciliation Answer Key2011 Risk Adjustment Slide PresentationsEncounter Data Companion Guide – Professional March 2016 ReleaseEncounter Data Companion Guide - Professional July 2016 ReleaseEncounter Data Companion Guide – Institutional March 2016 ReleaseEncounter Data Companion Guide - Professional (DME) July 2016 ReleaseEncounter Data Companion Guide – Professional (DME) March 2016 ReleaseEncounter Data Companion Guide - Institutional July 2016 ReleaseEDPS Bulletin 32 - July 25, 20132004 Presentation Slides2005 Resource Guide2004 Participant Guide2005 Presentation Slides2003 Resource Guide2003 Regional Office Contacts2004 August Special Training Session2003 June RA Regional Training Q&As2005 Regional Training Video Contact List2006 February Risk Adjustment Training Materials & Revisions Log2003 Risk Adjustment Training Materials Revisions Letter2004 Resource Guide2006 February Resource GuideEDFES User Guide2005 Risk Adjustment Training Materials Revisions Letter2003 Participant Guide2004 Risk Adjustment Training Materials Revisions Letter2008 Resource GuideMAO-002 Report Notification2005 Participant GuideEDPPPS Proposed Edits ToolMAO-001 Encounter Data Duplicates ReportEDPPPS Proposed Edit Comments LetterEDPPPS Proposed Edit Comments ToolRisk Adjustment for EDS and RAPS User Group Q&As - April 27, 2017Encounter Data Companion Guide – Professional June 2015 ReleaseEncounter Data Companion Guide - Professional (DME) March 2015Encounter Data Companion Guide - Professional November 2014Encounter Data Companion Guide – Professional (DME) June 2015 ReleaseEncounter Data Companion Guide – Professional (DME) June 2013 ReleaseEncounter Data Companion Guide - Institutional December 2015Encounter Data Companion Guide – Institutional June 2015 ReleaseEncounter Data Companion Guide - Professional (DME) December 2015Encounter Data Companion Guide - Professional December 2015Encounter Data Companion Guide - Institutional November 2014Encounter Data Companion Guide - Professional (DME) November 2014Encounter Data Companion Guide - Professional September 2012 ReleaseEncounter Data Companion Guide – Institutional August 2012 ReleaseEncounter Data Companion Guide - Professional (DME) September 2012 ReleaseEncounter Data Companion Guide – Professional October 2012 ReleaseEncounter Data Companion Guide – Professional (DME) October 2012 ReleaseEncounter Data Companion Guide - Institutional September 2012 ReleaseEncounter Data Companion Guide – Professional November 2012 ReleaseEncounter Data Companion Guide – Institutional October 2012 ReleaseEncounter Data Companion Guide – Institutional November 2012 ReleaseEncounter Data Companion Guide – Professional (DME) November 2012 ReleaseEncounter Data Companion Guide – Professional (DME) December 2012 ReleaseEncounter Data Companion Guide – Professional (DME) January 2013 ReleaseEncounter Data Companion Guide – Institutional December 2012 ReleaseEncounter Data Companion Guide – Professional December 2012 ReleaseEncounter Data Companion Guide – Professional (DME) February 2013 ReleaseEncounter Data Companion Guide – Institutional January 2013 ReleaseEncounter Data Companion Guide – Professional February 2013 ReleaseEncounter Data Companion Guide – Professional January 2013 ReleaseEncounter Data Companion Guide – Professional September 2014 ReleaseEncounter Data Companion Guide – Institutional February 2013 ReleaseEncounter Data Companion Guide - Professional March 2013 ReleaseEncounter Data Companion Guide - Professional (DME) March 2013 ReleaseEncounter Data Companion Guide – Institutional September 2014 ReleaseEncounter Data Companion Guide - Institutional March 2013 ReleaseEncounter Data Companion Guide – Professional (DME) April 2013 ReleaseEncounter Data Companion Guide – Professional April 2013 ReleaseEncounter Data Companion Guide – Institutional April 2013 ReleaseEncounter Data Companion Guide - Institutional May 2013 ReleaseEncounter Data Companion Guide – Professional (DME) May 2013 ReleaseEncounter Data Companion Guide - Professional May 2013 ReleaseEncounter Data Companion Guide – Professional August 2012 ReleaseEncounter Data Companion Guide – Institutional January 2014 ReleaseEncounter Data Companion Guide – Institutional December 2013 ReleaseEncounter Data Companion Guide – Professional January 2014 ReleaseEncounter Data Companion Guide - Professional (DME)February 2014 ReleaseEncounter Data Companion Guide - Institutional February 2014 ReleaseEncounter Data Companion Guide - Professional April 2014 ReleaseEncounter Data Companion Guide - Professional February 2014 ReleaseEncounter Data Companion Guide - Institutional April 2014 ReleaseEncounter Data Companion Guide – Professional (DME) May 2014 ReleaseEncounter Data Companion Guide – Institutional May 2014 ReleaseEncounter Data Companion Guide – Professional May 2014 ReleaseEncounter Data Companion Guide – Professional (DME) January 2014 ReleaseEncounter Data Companion Guide – Institutional July 2014 ReleaseEncounter Data Companion Guide – Professional (DME) July 2014 ReleaseEncounter Data Companion Guide – Professional July 2014 ReleaseEncounter Data Companion Guide - Professional June 2013 ReleaseProfessional September ReleaseInstitutional September ReleaseUser Group - November 03, 2011Encounter Data User Group Q&As - May 16, 2013Institutional December ReleaseInstitutional January 2012 ReleaseProfessional November ReleaseProfessional December ReleaseInstitutional November ReleaseProfessional May 2012 ReleaseInstitutional February 2012 ReleaseInstitutional May 2012 ReleaseProfessional February 2012 ReleaseEncounter Data Companion Guide - Professional (DME) June 2012 ReleaseEncounter Data Companion Guides - Professional June 2012 ReleaseEncounter Data Companion Guides - Institutional June 2012 ReleaseEncounter Data Companion Guide – Professional (DME) August 2012 ReleaseEncounter Data Companion Guide – Professional December 2013 ReleaseEncounter Data Companion Guide - Institutional June 2013 ReleaseEncounter Data Companion Guide – Professional (DME) October 2013 ReleaseEncounter Data Companion Guide – Professional (DME) September 2013 ReleaseEncounter Data Companion Guide – Professional July 2013 ReleaseEncounter Data Companion Guide – Professional (DME) July 2013 ReleaseEncounter Data Companion Guide – Institutional July 2013 ReleaseEncounter Data Companion Guide – Institutional October 2013 ReleaseEncounter Data Companion Guide – Professional September 2013 ReleaseEncounter Data Companion Guide – Professional October 2013 ReleaseEncounter Data Companion Guide – Institutional September 2013 ReleaseEncounter Data Companion Guide - Institutional November 2013 ReleaseEncounter Data Companion Guide - Professional (DME) November 2013 ReleaseEncounter Data Companion Guide – Professional (DME) December 2013 ReleaseRisk Adjustment for EDS and RAPS User Group - July 21, 20162014 Risk Adjustment Webinar Q&A - July 1, 2014Gentran Dataset NamesEncounter Data Companion Guide - Professional March 2015Encounter Data Companion Guide - Institutional March 2015EDIPPS Proposed SNF and HH Comments LetterEDPS Testing and Certification TimelinePACE Test Case Specifications - ProfessionalEncounter Data End to End Test PlanEDS Front-End Testing InstructionsPACE Front-End Industry Testing PackageEncounter Data Companion Guide - Professional (DME) April 2014 ReleasePACE Test Case Specifications - DMEPACE Test Case Specifications - InstitutionalPACE Test Case Specifications - DMEEncounter Data Test Case Specifications - DMEEncounter Data Test Case Specifications - InstitutionalEncounter Data Test Case Specifications - ProfessionalED Testing Schedule - RevisedEDDPPS Proposed Edit Comments LetterEDDPPS Proposed Edits Comments ToolEDDPPS Proposed Edits ToolEDIPPS Proposed SNF and HH Edits ToolEDIPPS SNF and HH Edits Comments ToolEncounter Data Test Case Specifications – DMEEncounter Data User Group – June 27, 2013Encounter Data Companion Guide – Professional (DME) September 2014 Release

Last Updated: 08/23/2019