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Tiering exception - universal is a form submitted to CMS by Medicare Advantage organizations requesting an exception to the data completeness requirements for the calculation of the CMS-HCC Risk Adjustment Model.
Medicare Advantage organizations are required to file tiering exception - universal if they are unable to meet the data completeness requirements for the CMS-HCC Risk Adjustment Model.
Tiering exception - universal is filled out by providing specific information about the missing diagnosis codes and the reason for the exception request.
The purpose of tiering exception - universal is to allow Medicare Advantage organizations to request an exception to the data completeness requirements when they are unable to meet them.
The information that must be reported on tiering exception - universal includes the missing diagnosis codes, the reason for the exception request, and any supporting documentation.
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