Sweeps

Submission deadlines for Medicare- Advantage risk adjustment data to both RAPS and EDPS that occurs three times annually: January, in March, and September. Generally, claims continue to be accepted, and January. As described in 42 CFR 422.310(g), “The annual deadline for two weeks after risk adjustment data submission is the deadline.first Friday in September for risk adjustment data reflecting items and services furnished during the 12-month period ending the prior June 30, and the first Friday in March for data reflecting services furnished during the 12-month period ending the prior December 31.” The final reconciliation data sweep or deadline is described at 42 CFR 422.310(g)(ii), “After the final risk adjustment data submission deadline, which is a date announced by CMS that is no earlier than January 31 of the year following the payment year, an MA organization can submit data to correct overpayments but cannot submit diagnoses for additional payment.”