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Risk Adjustment (RA) FAQ

Guidance for FAQ regarding Risk Adjustment Operations and Policy

Program Area: Risk Adjustment (RA)

Question: What is 'supplemental data' submission?

Answer: Supplemental data refers specifically to supplemental diagnosis codes that were missed or omitted during initial External Data Gathering Environment (EDGE) server data submission and that are not part of the base adjudicated claim or accepted encounter on which the EDGE data is established. You must follow the EDGE Server ICD and business rules section 8 for submission of supplemental diagnosis data located in the REGTAP library.

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

Issue Date: January 25, 2019

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