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PUPIL ACADEMIC MONITORING SYSTEMUser Guide Analyzing Results(Updated on 16 Feb 2024)ContentsWork Flow 1 Cockpit Files Needed 2 File Naming Convention 6 Convert Cockpit Data SDT006 7 Convert Cockpit
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Who needs 42717 risk adjustment for?

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Healthcare providers who participate in risk adjustment programs
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Insurance companies and payers who use risk adjustment to calculate payments and reimbursements

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The 42717 risk adjustment is used to adjust healthcare funding based on the risk profile of enrolled individuals, ensuring that providers receive adequate compensation based on their patient populations.
Entities such as health plans and insurance providers that participate in programs like Medicare Advantage and Medicaid Managed Care are required to file the 42717 risk adjustment.
To fill out the 42717 risk adjustment, required data on patient demographics, diagnoses, and healthcare utilization must be accurately collected and reported according to the specified guidelines and formats.
The purpose of the 42717 risk adjustment is to ensure fair compensation for healthcare providers by taking into account the health status and needs of their patient population.
The information required includes patient identifiers, diagnosis codes, demographic data, and any relevant healthcare services provided during the reporting period.
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