Risk Adjustment Submission Time Table
CMS has decided not to make a coding intensity adjustment for 2011.
Instead, CMS announced it would be performing audits of MA plans each year that will validate MA coding practices. CMS intends to comprehensively review information from medical records and make contract-wide adjustment to payments based on the findings. CMS intends that coding intensity adjustments based upon this audit approach will affect payments for CY 2010 and future years.
Risk Adjustment Submission TableInitial CMS
Submission
DeadlineDates of ServicePayment DatePayment Type
Dates of ServicePayment DatePayment Type03/06/2010 01/01/2009 - 12/31/200907/01/2009Non-Lag
01/01/2009 - 12/31/200907/01/2009Non-Lag09/04/2010 07/01/2009 - 06/30/200901/01/2010Lag
07/01/2009 - 06/30/200901/01/2010Lag01/31/2011 01/01/2009 - 12/31/2009TBD Final
01/01/2009 - 12/31/2009TBD Final 
