Episource Bulletin
The 2019 final notice, CMS has advised on the implementation of the 21st Century Cures Act, requires that any changes made be phased in within 3...
Clinical suspecting is the process of identifying possible conditions that are indicated in clinical data but remain undocumented.
The shift from RAPS to EDS for Medicare Advantage is a massive undertaking. CMS released Parts 1 & 2 early to give plans plenty of time to prepare.
For CY 2022, CMS has proposed that encounter data submissions would be the only source used in risk score calculations. RAPS would no longer be used.
The Encounter Data System (EDS) and Risk Adjustment Suite of Systems (RASS, which is more commonly referred to with the catch-all RAPS).
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