Risk Adjustment (RA) FAQ
Guidance for FAQ regarding Risk Adjustment Operations and Reports
Program Area: Risk Adjustment (RA)
Question: What is the difference between discrepancy reports and Data Quality Analysis Reports (DQARs)?
Answer: Discrepancy reports are the reports issuers send to CMS regarding potential data error in their outbound reports generated on the EDGE server. The Data Quality Analysis Reports (DQARs) are separate from the EDGE Server Outbound Reports. These reports are not generated on an issuer's EDGE server. These reports are separate analyses conducted by CMS to provide issuers with technical summary metrics related to their RI payment calculation and RA score calculation estimates. The DQARs also identify potential technical data problems. CMS may require follow-up with issuers and confirmation of findings based on data summaries in the DQAR. For more information, see the discrepancy reporting and DQAR webinar from 1/28 at https://www.regtap.info/uploads/library/RA_RI_DR_DQARslides_012815_5CR_020415.pdf in the REGTAP Library.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: February 09, 2015
HHS is committed to making its websites and documents accessible to the widest possible audience, including individuals with disabilities. We are in the process of retroactively making some documents accessible. If you need assistance accessing an accessible version of this document, please reach out to the guidance@hhs.gov.
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.