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Portal for Medicare, Medicaid and ACA Risk Adjustment Needs

Home
About
Who We Serve
Payers - Medicare Advantage
Payers - Marketplace
Providers
ACOs
Our Solutions
Risk Adjustment Platform
Risk Adjustment - Retrospective & Prospective
Consulting
Knowledge Base
Risk Adjustment
V24 to V28
EDI 101
EDPS 101
Resources
Blog
Contact Us
  • Knowledge Base
  • Risk Adjustment
  • V24 to V28
  • EDI 101
  • EDPS 101
  • Resources

Risk Adjustment Insights

Understanding the MAO-004 Report

A 2025 Guide for Medicare Advantage Organizations

June 26, 2024

Understanding the CMS MAO-002

foundational document provided by CMS to help Medicare Advantage Organizations (MAOs) understand the acceptance or rejection status of submitted encounter data

September 10, 2024

Mastering the CMS MMR File

Your Complete Guide to Medicare Advantage Payments, Risk Adjustment, and Financial Accuracy

April 30, 2025

Demystifying Risk Adjustment

Find out Why It Matters in Medicare Advantage 

August 13, 2025

Understanding the Model Output Report (MOR)

The Complete Guide to Medicare Advantage Risk Adjustment Transparency

December 16, 2024

Risk Adjustment Explained

A Practical Guide to HCC, RAS, and Manual Risk Scoring (V28)

September 30, 2025

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