When CMS looks at recalculating the risk adjustment model, it looks back on _________________ claims for the prior year to forecast the following year's costs.
A) outpatient
B) fee-for-service
C) inpatient
D) None of these is correct.

Question

Quizplus · Accepted Answer

CMS uses fee-for-service claims data from the prior year to recalibrate the risk adjustment model for forecasting future costs.

When CMS Looks at Recalculating the Risk Adjustment Model, It