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Final Encounter Data Diagnosis Filtering Logic

Guidance for provides updated information about how CMS will extract risk adjustment eligible diagnoses from encounter data records for use in calculating risk scores

Download the Guidance Document

Final

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

Issue Date: December 22, 2015

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.