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Distributed Data Collection (DDC) for RA Including HCRP/EDGE Server FAQ

Guidance for FAQ regarding Edge Server Operations and Data Submission - RA Related

Program Area: Distributed Data Collection (DDC) for RA Including HCRP/EDGE Server

Question: Will the External Data Gathering Environment (EDGE) server accept claims with acceptable bill types such as 111 or 131 and a discharge code of 30 for Risk Adjustment (RA) claims selection?

Answer: The exclusion of claims with discharge status code 30 (still a patient) only applies to hospital inpatient bill types (111 or 117) for RA claims selection.

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: March 26, 2015

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