Encounter and Risk Adjustment Program (Part C)
Diagnosis Code LookupRisk Adjustment for EDS and RAPS User Group Q&As - February 16, 2017Risk Adjustment for EDS and RAPS User Group Q&As - April 27, 2017Risk Adjustment for EDS and RAPS User Group - May 18, 2017Risk Adjustment for EDS and RAPS User Group - March 23, 2017Risk Adjustment for EDS and RAPS User Group - August 15, 2019FERAS and RAPS Error CodesRisk Adjustment for EDS and RAPS User Group - February 16, 2017TA1 Edit LookupRisk Adjustment for EDS and RAPS User Group - January 18, 2018Risk Adjustment for EDS and RAPS User Group - December 19, 2019Risk Adjustment for EDS and RAPS User Group - June 15, 2017Risk Adjustment for EDS and RAPS User Group - August 17, 2017Risk Adjustment for EDS and RAPS User Group - April 18, 2019Risk Adjustment for EDS and RAPS User Group - January 19, 2017Risk Adjustment for EDS and RAPS User Group - August 23, 2018Risk Adjustment for EDS and RAPS User Group - July 19, 2018Session 4 Encounter Data System ReportsSession 1 Risk Adjustment MethodologyRisk Adjustment for EDS and RAPS User Group - April 27, 2017Session 2 Risk Score CalculationRisk Adjustment for EDS and RAPS User Group – February 21, 2019Risk Adjustment for EDS and RAPS User Group - February 20, 2020Acceptable Physician Specialty Types Effective Payment Year 2019Washington Publishing CompanyAcceptable Physician Specialty Types Effective Payment Year 2017Risk Adjustment for EDS and RAPS User Group - November 30, 2017Risk Adjustment for EDS and RAPS User Group Q&As - January 19, 2017Risk Adjustment for EDS and RAPS User Group - January 17, 2019Risk Adjustment for EDS and RAPS User Group - May 17, 2018Risk Adjustment for EDS and RAPS User Group Q&As - March 23, 2017Risk Adjustment for EDS and RAPS User Group - September 28, 2017Risk Adjustment for EDS and RAPS User Group - November 01, 2018Risk Adjustment for EDS and RAPS User Group - June 20, 2019Acceptable Physician Specialty Types Effective Payment Year 2016Risk Adjustment for EDS and RAPS User Group Q&As - October 26, 2017Acceptable Physician Specialty Types Effective Payment Year 2018Risk Adjustment for EDS and RAPS User Group - April 19, 2018277 CA Edit LookupSession 3 Encounter DataRequest for Input - Risk Adjustment Reports - Model Output Report and MAO-004 ReportRisk Adjustment for EDS and RAPS User Group - February 22, 2018Risk Adjustment System ReportsCARC LookupRisk Adjustment for EDS and RAPS User Group - July 20, 2017Risk Adjustment for EDS and RAPS User Group - October 26, 2017Acceptable Physician Specialty Types Effective Payment Year 2020PC ACE Pro32Risk Adjustment for EDS and RAPS User Group - May 28, 2020Risk Adjustment for EDS and RAPS User Group - August 27, 2020Acceptable Physician Specialty Types Effective Payment Year 2021RAPS Inbound Record LayoutAcceptable Physician Specialty Types Effective Payment Year 2022Encounter Data Technical Assistance Call for PACE Organizations April 7, 2022Risk Adjustment Data Entry ToolRisk Adjustment for EDS and RAPS User Group: 2023 Rate Announcement May 5, 2022Encounter Data Submission and Processing GuideAppendix 3A MA Companion Guide: CMS' Supplemental Instructions for EDR & CRR Data ElementsAppendix 3B Crosswalk from Retired Minimum Data Element List to Appendix 3A MA Companion GuideAppendix 3C MBI Edits for Encounter Data and RAPS DataEDPS Edit LookupFERAS Edit LookupRAPS Edit LookupAcceptable Physician Specialty Types Effective Payment Year 2023EDS and RAPS Operational User Group January 26, 2023Risk Adjustment for EDS and RAPS User Group: 2024 Rate Announcement April 27, 2023Appendix 4A Deactivated Edits2025 Part D Risk Adjustment Model Update User Group - September 14, 20232015 Outpatient CPT HCPCS Excluded Services ListProcedure Codes for Edit 21950 ValidationAcceptable Physician Specialty Types Effective Payment Year 2024Risk Adjustment for EDS and RAPS User Group: Calendar Year 2025 Rate AnnouncementUse of Encounter Data in Overpayment Reruns User Group - May 1, 2024PACE Submission of Risk Adjustment to the EDS Technical Assistance Call - June 13, 20242018 Outpatient CPT HCPCS Excluded Services List2019 Outpatient CPT HCPCS Excluded Services ListSubmission of Supplemental Benefits Data on Medicare Advantage Encounter Data Records User Group - September 26, 2024Appendix B Supplemental Benefit Services Category Codes