CMS has posted an updated Calendar Year 2011 Model Diagnoses crosswalk on the Risk Adjustment webpage. The crosswalk incorporates Fiscal Year 2011 ICD-9 code updates that are effective October 1, 2010. The crosswalk file link is named “2011 Model Diagnoses” and can be found on the CMS Website here: http://www.cms.gov/MedicareAdvtgSpecRateStats/06_Risk_adjustment.asp
Read more »
CMS is planning to begin collection of encounter data from Medicare Managed Care Organizations. Today CMS announced a National Meeting to review the business and technical requirements for encounter reporting to CMS; timelines; impact of ICD-9 to ICD-10 coding and the launch of workgroups. Each organization is allowed an attendee and additional web seats. ...
Read more »
During a breakout session at AHIP on September 13, 2010 CMS announced that there will be an October 2010 meeting where CMS will be reviewing the preliminary files, processes and expectations for MA health plans to transition from submitting RAPS files to ‘full encounter’ data. No details were shared at AHIP, but there is...
Read more »
