How will the RAPS system react if there are duplicate clusters submitted within the same batch?
There are no duplicate errors in the RAPS system. Every detail line processes, but the diagnosis will only be stored once. • When is submission to the new risk adjustment system (RAPS) required, what type of formats are acceptable for submission, and how long will current submission formats (UB92, ANSI X12 837 v. 3051 and 4010) be used? RAPS will be operational on October 1, 2002 and will accept all types of data (hospital inpatient, physician, and hospital outpatient). Medicare+Choice (M+C) organizations may select one or more types of submission formats for RAPS. Acceptable formats will be: UB92, ANSI X12 837 v. 4010 and v. 3051 until it expires, electronic minimum data set, and direct data entry with special software developed by CMS. The UB92 and ANSI X12 837 will continue to be used with RAPS and is required for submission of 2003 payment reconciliation data. • Can a M+C organization submit physician and hospital outpatient data after July 1, 2002 to the existing processing system
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- How will the RAPS system react if there are duplicate clusters submitted within the same batch?