Index to all blogs on this page

Risk Adjustment Section

1. Understanding the MAO-004 Report: A 2025 Guide for Medicare Advantage Organizations — Portal for Medicare, Medicaid and ACA Risk Adjustment Needs

2. Mastering the MMR: A Deep Dive into Medicare Advantage Payments, Adjustment Reason Codes, and RAF Data — Portal for Medicare, Medicaid and ACA Risk Adjustment Needs

3. Understanding the Model Output Report (MOR): A Vital Tool in Medicare Advantage Risk Adjustment — Portal for Medicare, Medicaid and ACA Risk Adjustment Needs

4. Understanding the CMS MAO-002 Encounter Data Processing Status Report — Portal for Medicare, Medicaid and ACA Risk Adjustment Needs

5. The CMS MMR File Explained: Your Roadmap to Financial Clarity in MA — Portal for Medicare, Medicaid and ACA Risk Adjustment Needs

6. Understanding the Model Output Report (MOR): A Key Component of Risk Adjustment Accuracy in Medicare Advantage  — Portal for Medicare, Medicaid and ACA Risk Adjustment Needs

7. Demystifying Risk Adjustment: Why It Matters in Medicare Advantage  — Portal for Medicare, Medicaid and ACA Risk Adjustment Needs

V24 to V28 Section

EDI 101