Resources — Portal for Medicare, Medicaid and ACA Risk Adjustment Needs

Who We Serve

Payers - Medicare Advantage

Payers - Marketplace

Our Solutions

Risk Adjustment Platform

Risk Adjustment - Retrospective & Prospective

Knowledge Base

Risk Adjustment

EDPS Submissions

Who We Serve

Payers - Medicare Advantage

Payers - Marketplace

Our Solutions

Risk Adjustment Platform

Risk Adjustment - Retrospective & Prospective

Knowledge Base

Risk Adjustment

EDPS Submissions

Knowledge Base
Risk Adjustment
EDPS Submissions
The Model Run
V24 to V28
EDI 101
EDPS 101
Resources

Resources

Claims Processing Terms

A quick guide to navigating claims language
May 14, 2025

CMS RESOURCES

Essential CMS resources for providers and coders
October 6, 2023

Encounter Data Acronyms

Decoding shorthand in encounter reporting
December 20, 2024

Technical Information

Technical guidelines for encounter data compliance
May 16, 2024

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