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Medicare Advantage’s transition from RAPS to EDS risk scores: 2017 impact09 February 2018 - By Deana Bell and David Koenig and Charlie Mills - Article

In 2017, many changes came to Medicare Advantage risk adjustment as the transition continued from Risk Adjustment Processing System data to Encounter Data System data.

Risk score impacts of the Medicare Advantage 2018 RxHCC risk score model update06 June 2017 - By Adrian L. Clark and David Koenig - Article

The Centers for Medicare and Medicaid Services finalized a Part D risk score model for payment year 2018, and the impact will vary based on demographics.

Impact of the transition from RAPS to EDS on Medicare Advantage risk scores13 January 2017 - By Deana Bell and David Koenig and Charlie Mills - Article

The transition to Encounter Data System-based risk scores will have a significant effect on Medicare Advantage organizations in payment year 2016 and future years.

Medicare Advantage and the Encounter Data Processing System: Be prepared15 September 2016 - By Charlie Mills and David Koenig and Deana Bell - Article

During the transition to using Encounter Data System (EDS) data files, Medicare Advantage organizations must be knowledgeable about EDS, understand the impact of the transition on revenue, and monitor and review EDS submissions closely to ensure their revenue will not be negatively affected.


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