Distributed Data Collection (DDC) for RA Including HCRP/EDGE Server FAQ
Guidance for FAQ regarding Edge Server Operations and Policy
Program Area: Distributed Data Collection (DDC) for RA Including HCRP/EDGE Server
Question: Are issuers supposed to send both primary and secondary diagnosis codes and does the order matter?
Answer: Issuers should just apply the diagnosis codes from the original claim. Order is not relevant for risk adjustment calculations, but should be similar to what is represented on the original claim or encounter. For additional information, please review the EDGE Server Business Rules (ESBR), located under the Distributed Data Collection (DDC) program area at https://www.REGTAP.info in the REGTAP Library.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: November 25, 2014
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