Risk Adjustment Data Files

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

• 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

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

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

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

• 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

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

V24 to V28 Model Migration

EDI 101