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1.     To delete files from your FERAS mailbox  follow these instructions  1  Place the mouse pointer over the file you wish to delete  use the down arrow to display the list if your  file does not appear in the box      Click the left mouse button once to select the file     2   3  Click the Delete button to bring up the confirmation page in Figure 10   4  Select Delete File s  to delete the file or Cancel to cancel the delete     NOTE  If you click the Delete File s  button  the file will be permanently deleted from your FERAS    mailbox     File Delete Confirmation Box    Click Delete File s  button to delete the file  or Cancel to cancel the deletion     Delete File Confirmation      Get Help On This Section    How to delete the file s       Click on the Delete File s  link to delete the file from your mailbox     You will be returned to your mailbox listing after the file s  are deleted     How to cancel the delete      Click on the Cancel link to cancel the delete process and return to your mailbox listing     File Name   RSP02191 RSP FERAS RESP  RSP02192 RSP FERAS RESP  RSP02195 RSP FERAS RESP  RSP02196 RSP FERAS RESP  RSP02202 RSP FERAS RESP    Dated Time Created Size in Bytes    Jul 29 02 19  Jul 29 02 29  Jul 29 02 42  Jul 29 02 42  Jul 29 02 43    820  820  820  820  820    Figure 10  Mailbox File Delete Confirmation        Front End Risk Adjustment System User Guide    12    Centers for Medicare  amp  Medicaid Services 2 16 2010       Viewing Files in Your FERAS Mail
2.  Files From Your Mailbox    To download files from your FERAS mailbox to your computer  follow these instructions     1  Select up to 5 files from the list of available files    2  Click the left mouse button once to select the file  use the CTRL and SHIFT keys to select multiple  files    3  Click the Download button     Once your selected files are ready for downloading you will receive the page shown in Figure 9   You can save the file with the same name as the file you are downloading  or  if you wish  you can rename    the file to something else when downloading it to your computer  simply type the file name you want in the  File name text box        Front End Risk Adjustment System User Guide 10    Centers for Medicare  amp  Medicaid Services 2 16 2010       Download Files      Get Help On This Section    Notes     The latest set of files downloaded will be removed from the system at midnight     Compressed files will have a  zip extension so that your zip program will recognize the file     How to download the file s      Right click on the link and choose to save the file on your computer     File Name Downloaded On Size in Bytes  RSP02191 RSP FERAS RESP txt July 29  2008 820  RSP02192 RSP FERAS RESP txt July 29  2008 820  RSP02195 RSP FERAS RESP txt July 29  2008 820  RSP02196 RSP FERAS RESP txt July 29  2008 820  RSP02202 RSP FERAS RESP txt July 29  2008 820    You can return to this list by clicking the Latest Downloads link on the mailbox directory page     If you
3.  Guide 30    Centers for Medicare  amp  Medicaid Services 2 16 2010       Downloading the File    To download the file you created  click on the Download File button  and then choose a location on your  computer to store the file from the Save As    dialog box  You may also choose to return to the previous  page using the Back button  continue to build this file using the Continue button  or to suspend and or  cancel this file using the Suspend Cancel button     NOTE  You must download your file prior to performing the upload  This is done to ensure that you have  a copy of the file if an error occurs during the upload process     Submitting the File    To submit your file to the FERAS  click on the Upload File button  You will receive a confirmation page  with some statistics on your file as shown in Figure 27     Risk Adjustment Submission   File Submitted    Get Help On This Section    Your file has been submitted to the FERAS     File Statistics    AAA Records 1  BBB Records 1  CCC Records 1  YYY Records 1  222 Records 1  File Size 2570 bytes      Counts reflect the total number of each record type in your file     You can check for your response in your Mailbox        If you do not receive a response within an hour from your completed transmission  please  contact the CSSC     Figure 27 File Statistics Page        Front End Risk Adjustment System User Guide 31    Centers for Medicare  amp  Medicaid Services 2 16 2010       Continuing a Suspended File and File Recovery   
4.  Logging so you will not be asked for individual file  confirmation when transferring multiple files  use the     i    option    Example  ftp    i   3  At this point  you must open the server connection  Type the following at the ftp   prompt and press    ENTER     ftp   open 32 77 242 3 2021   4  Aconnection message will display  along with a prompt to enter your User Name and Password  Type  your User Name and press   ENTER    Type your password and press   ENTER    This is the  Submitter Id and password assigned to you when you enrolled for electronic claims submission with  the CSSC  You may change your password    NOTE  This user name and password are both case sensitive  You must enter the user name and  password exactly as they were assigned to you by the CSSC  After you enter the  password at least once  you may change the password  If you do change the password  be  sure to remember it because the CSSC will not have a record of it        c  windows gt  ftp   ftp gt  open 32 77 242 3 2021   Connected to 32 77 242 3   220 A70Atedi2 FXF FTP     server ready  User  ftp  32 77 242 3   none    SH9999  User name okay  need password   Password           Figure 41 Login Command Sequence        Front End Risk Adjustment System User Guide 44    Centers for Medicare  amp  Medicaid Services 02 16 10       Once you have successfully entered the required user name and password  a welcome message will  display  You now need to set your mode to    binary    to allow for zipped files 
5.  SEARCH  RESULTS sei  ette crie e e eie Medo vrec n ate tef Ld eee ee enia d 36  HELP CCo     M                    37  FREQUENTLY ASKED QUESTIONS PAGE                      ee ee eee eee ee essere estan seta sese ans e tasa etta eese seta aee 38  DOCUMENTATION  PA GE       55e eo co toronto ooh eoa eee neve eo tenue eden ee ooa eon rosi stis qu na o eaa Fo See nasus ooreo eren s eaa aS 39  SITE ACCESSIBILITY INFORMATION                       e  eere eee eee ee ees etos to sesto setae eee eee renee resne 40  LE 8 OH CO I TUAM PAGE D                                              41  SITE MAP PA GE OE 42  SEARCHING THE FERAS SITE di  ccssctcccesvescosccesessssquescbieceossessacescoescsostscnnssotdeconsssssesnst  cuslssscsessecddecesssees 43  PERFORMING A SEARCH       c cccesssscecssssecesssscecsessececssneececsnsecsesuececsensececsssecsesaeeecsenaececeeseecsesaeeecsesaeeesneaaeeess 43  SEARCH RESULTS  EAA E PI               Pem 43  FILE TRANSFER USING MICROSOFT FTP SOFTWARE                      sss eese ee ee eene etta seen sesta setae seen see 44  PASSWOBDS  assassins ait etant a nete ead ME 44  LOGGING ON TO THEETP  SERVER    iiti entire po ene te cie e bees 44       Front End Risk Adjustment System User Guide ii    Centers for Medicare  amp  Medicaid Services Table of Contents       RISK ADJUSTMENT DATA UPLOAD USING MICROSOFT FTP    45  RISK ADJUSTMENT DATA DOWNLOAD USING MICROSOFT FTP    45  DOWNLOADING  A SINGLE  FEIEE     teret slencout ones bade vectes tege aeleduouounsieeg
6.  Services 2 16 2010       Edit   Review Page    Clicking the Build File button from the CCC Record Page will display the page in Figure 20  This page  allows you to edit and review the file you just built before the actual file creation and submission to the  FERAS  You can also choose to continue building the file if you have more information to add  The build  process will continue at the next CCC record under the last BBB record you entered  You may also choose  to suspend or cancel this file     Risk Adjustment Submission   Edit Review and Build File     Get Help On This Section    Use the functions to ensure your file is correct before uploading it to the FERAS system  To continue building  your file  click the Continue button       CreateFile   View File   Continue   Cancel    Edit and Review AAA Record  To edit review the AAA record click the Edit Review button     Edit Review AAA    Edit and Review BBB Record          To edit review a BBB record enter the sequence number then click the Edit Review button        BBB Seq No    Edit Review BBB    Edit and Review CCC Record             To edit review a CCC record enter the BBB and CCC sequence numbers then click the Edit Review  button                       BBB Seq No CCC Seq No          Edit Review CCC    Figure 20 Edit Review Page        Front End Risk Adjustment System User Guide 24    Centers for Medicare  amp  Medicaid Services 02 16 10       Editing   Reviewing the AAA Record    By clicking the Edit Review button be
7.  Type the following  command at the ftp   prompt    ftp   binary   A    Type Set to I  message will appear  indicating that you may receive and send binary files  You are  now logged on to the FERAS FTP server and ready to perform data transfers     Risk Adjustment data Upload Using Microsoft FTP    Perform the following sample steps to place claim files in your upload directory     1   2     3     See the above section titled    Logging On to the FTP Server  to establish an FTP session    At the ftp gt  prompt  type the    put    command to upload the file and press  lt ENTER gt     ftp gt  put YOURFILENAME CUSTOMER_UPLD FTP  lt enter gt    Once you press  lt ENTER gt   the FTP software will transfer the file s   A    File transfer is complete     message will appear indicating successful transfer of each file  You will return to the ftp gt  prompt  when the transfer operation is complete  The return to the ftp gt  prompt does not mean that all files  were successfully transferred  Please verify the    File transfer complete    message for each file  uploaded     Risk Adjustment data Download Using Microsoft FTP    To download remittances  reports and other files  follow these sample steps     1   2     See the above section titled    Logging On to the FTP Server  to establish an FTP session    Type the following commands and press  lt ENTER gt  to change to the download directory on the server   ftp   cd      enter     ftp   cd outbound   enter     You will see a    CWD com
8.  You can choose to continue a file that has not been submitted to the FERAS  You can stop building a file  at any point in the build process  by clicking the Suspend Cancel button when available  and continue that  file at a later time or another day  Just make note of the File ID and enter that same File ID on the AAA  Record page or choose from the list of files  see Figure 30  you have created from the Welcome or AAA  Record pages  Once you have entered a File ID that you wish to continue you will receive the page shown  in Figure 28  If the file was already submitted to the FERAS you will receive the page shown in Figure 29   in this case you will have to start a new file     Why Would I Need to Continue a File     There are many reasons why this feature has been implemented  some of which are listed below  Mainly  this feature is available for recovery purposes     You do not have time to complete the file at one sitting   You lose connection to the FERAS web site    The web server experiences problems or crashes    You need more information to complete the file     LM    At What Point Does the Continuation Process Start in the File     If you have no BBB records in your file  the continuation process will begin with the first BBB record  If  you have BBB records in your file  the continue process will always start at the next CCC record under the  last BBB record you entered     File Status is In Progress    A status of  In Progress  indicates that this file has not bee
9.  for Medicare  amp  Medicaid Services 2 16 2010       Menu and Home Page    After you enter a valid username and password  you will see the page in Figure 4  You can choose to go to  any of the file actions from this menu  You can go back and forth between these functions by using the  menu bar or the links at the bottom of the site  This page also serves as your Home page once you have  logged into the FERAS  By selecting the Home menu option  or pressing ALT   H then ENTER  you will  be returned to this page    Welcome to the Front End Risk Adjustment System  FERAS  web site     Some of the main features of the FERAS site are      Upload RAPS files for processing   Create RAPS files on line via the Direct Data Entry  DDE  function  Download reports from your mailbox   Search the Error Code database    Retrieve FERAS and RAPS related information    If you require assistance using this site  try the following     Access the FERAS online Help  Read the FERAS User Guide    Contact the Customer Service and Support Center  CSSC     Figure 4  Menu and Home Page        Front End Risk Adjustment System User Guide 7    Centers for Medicare  amp  Medicaid Services 02 16 10       News  amp  Updates Page    The News  amp  Updates page can be reached by clicking News  amp  Updates menu item or by clicking the read  more  gt  gt  link in the sidebar area under Latest News or by pressing ALT   N then ENTER  The News  amp   Updates page is shown in Figure 5  This page is used to post new in
10.  have problems with the download  please contact the CSSC     Figure 9  Downloading Files     Downloading Files to Your Computer    The page in Figure 9 lists the files you chose to download  To begin a download  right click on the  filename and choose  Save as     or whatever menu item that allows you to save the file onto your  computer  Also note that the size of the file is displayed next to each link and those large files will take a  long time to download  You can select to download one file at a time  or you can select each file to  download simultaneously     You will notice that the file names you chose have been modified to replace all period separators with  underscores and to add a file extension  Compressed  zipped  files will receive a  zip extension  all other  files will receive a  txt extension  This is done to eliminate the need to rename zipped files so they are  recognized as such by your compression software     NOTE  Left clicking on the file may cause your browser to attempt to display the file  This is why we  recommend the right click method     Returning to the Latest Downloads    You can return to the latest list of downloads by clicking the Latest Downloads link from the My Mailbox  page  This will display the page in Figure 9 just as it appeared when you first chose this set of files to  download        Front End Risk Adjustment System User Guide 11    Centers for Medicare  amp  Medicaid Services    2 16 2010       Deleting Files From Your Mailbox
11.  transferred using command line FTP   Please Note   Transfer times are dependent on your connection speed and the size of your file  You may time out if you have    a very slow connection and or your file is very large     To submit a Risk Adjustment File     Step 1   Select your file  Choose your file by pressing the Browse button  or typing in the full path to your file     NOTE  Please enter the entire path and file name  example  if your file is named  mytransfer txt  in the  directory  myfiles  on the  C   drive  enter c  myfiles mytransfer txt             Browse            Step 2   Upload your file  Click the Upload File button to upload your file     Figure 13 File Upload Page       Front End Risk Adjustment System User Guide 15    Centers for Medicare  amp  Medicaid Services 02 16 10       2  Use the File Upload window  as shown in Figure 14  to navigate to the file you wish to upload  You  can click on the file you wish to upload  press the Open button  and close the File Upload window  or  double click the file and the file will be selected and the window will close automatically     Choose file    Look in  IG ferasfiles        8 er E3      2 emm  My Recent  Documents    Desktop    My Documents          My Network File name   terastransactions  txt m      Places       Files of type  All Files       v Cancel      Figure 14 File Selection Dialog Box    3  Once you return to the window in Figure 13  the file you selected should appear in the text box next to  the Brows
12.  waiting for processing  Try using  sequential names  i e   FILE1  FILE2  etc      Visit our News  amp  Updates page periodically to check for new features  changes or updates        Front End Risk Adjustment System User Guide 47    Centers for Medicare  amp  Medicaid Services 2 16 2010       Appendix A    To automate the FTP transfer  create a batch file to launch the FTP software with the following  command line options  Example     Sample batch file  c  ftp ftpbatch bat    ftp  n  i  s c  ftp ftpscript txt  Command line reference      n Suppress auto login   i Suppress interactive prompting   s  lt  lt Filename gt  gt  Specify what file contains commands to execute in ftp session    This file calls ftpscript txt which contains the commands to be executed when the FTP program  starts  The file ftpscript txt should contain the following commands     Sample FTP Command Script  c  ftp ftpscript txt    open 32 77 242 3 2021    user  lt  lt username gt  gt   lt  lt password gt  gt   binary   cd upload   mput c  mco upload     Icd c  mco download   cd  download   mget      bye       Front End Risk Adjustment System User Guide 48    
13. 10       Contact Info Page    The Contact Information menu option will take you to the window shown in Figure 37  From here you    can access the contact information for the CSSC Help Desk     Contact Information    Phone Number    CSSC Help Desk  877  534 CSSC  2772     FAX Number     803  935 0171    Mailing Address    Palmetto GBA   CSSC Operations   AG 570  P O  Box 100275  Columbia  SC 29202 3275    Express Mailing Address    Palmetto GBA   CSSC Operations   AG 570   2300 Springdale Drive  Bldg  One  Camden  SC 29020    Figure 37 Contact Info Page       Front End Risk Adjustment System User Guide    41    Centers for Medicare  amp  Medicaid Services    02 16 10       Site Map Page    The Site Map menu option will take you to the page shown in Figure 38  This page contains a list of links  to all of the pages available on the FERAS web site  You can use the menu at the top of the page to jump  to the sections of the FERAS  or simply scroll down to browse through all the pages of the FERAS     Site Map    e Help    e Home    Mailbox    Upload File    DDE    Error Codes    Help    oo 0000    oo 00    Overview of the FERAS  Requirements for Using the FERAS  Connecting to the FERAS   Testing   Production Cycles   File Transfer Help      Netscape Navigator   3 0 or higher      Microsft Internet Explorer   5 0 or higher    Standard Microsoft   FTP software    Other FTP software      Appendix 4    Helpful Hints and FAQs for Transferring Files  File Building Help    444 Record He
14. 20080730 TEST Complete X v  v  v   5465165465 20080718 TEST In Progress q  X 4 yw  5646516547 20080718 TEST In Progress v  X X v   9999999999 20080717 TEST In Progress v  X 3    yw        star oe    pE Home    Figure 30 File Listing Page     Completed Files    Completed files can be viewed  downloaded and deleted from this page  When deleting a file  you will be  asked for a confirmation  as this will permanently delete all records associated to the file from our database  on the web site  Since these files have already been completed and submitted to the FERAS they are not  available for continuation     Incomplete Files    Incomplete files are marked as  In Progress   These files can be continued for completion and submission  to the FERAS and deleted  These files are not available for viewing or downloading from this page   however these features are available from the Edit Review Page when you reach that point in the building  process for that file  When deleting a file  you will be asked for a confirmation  as this will permanently  delete all records associated to the file from our database on the web site        Front End Risk Adjustment System User Guide 34    Centers for Medicare  amp  Medicaid Services 2 16 2010       Error Code Lookup Page    The Error Codes menu option will take you to the window shown in Figure 31  Here  searches can be  performed to look up a description for a particular Error Code for Risk Adjustment     Performing a Search    To perform an Err
15. CENTERS For MEDICARE d MEDICAID SERVICES    Front End  Risk Adjustment System      FERAS      User Guide     HE  ramen cea    Centers for Medicare  amp  Medicaid Services Table of Contents       Table of Contents   TRADEMARK INFORMATIONN                 sss ee ee ee en eee seson ossa assos seen Pee seen ee ette e seen sese en osons 1  INTRODUCTION Tr        S 2  FERAS OVERVIEW erm 2  WHO TO CALL AND HOURS OF OPERATION        eessececssecesssecssoocessoceesseceessecscseessoceesseceesoecsssseesseceese 2  FERAS AVAILABILITY i sssccccessnscssscssesseesscdaosbscsesvcosessonssbssesstsdsesbassossbeassedvssessusesestacdboaessseepucesdsessoncsbeseess 2  REQUIREMENTS FOR USING THE FER ASR  sss ss sss ss sss sss ss ss sss sss sss esasan osons saos a osons 3  PRODUCTION  CY  9l nor                3  TESTING REQUIREMNBNUTS    e deees ec teat no eo to see a bear ooo ec pe Sv eo we Dep se suae Fest ve e pee ea va EEEN Eae EEEN 3  CONNECTING TO THE FERAS   sss ss ss sss ss ceres esee eren ee eate eee tnos etta assos asees aoao Pese seen eese a aoaea 4  CONNECTING TO THE  MDYN      et ccoa eee sao seva rose et veta daivainas Puno eoo raa aoo Tee E CU deoi ERE Feet ase OE eS eere N EES 4  LOCATING THE FERAS                             si 4  SITE LAV OUD wisisssssisssccscsssecsssssescssovscessoesecessoestsosdvasices sbeccisssbadeesscdecssesbesiscssbesssassscssesecseosstbeesdvasseossbesbiessons 5  SITE HEADER  cheer cedecececteeterte eaten erede cedente tert teteecee ede dece dece ee os ette ee 
16. Hh Mateus T ECHTE EER 5  SITE MENU  encender ied puerile eder ciet cec erece tet ta e ped exdesvendestecens 5  EBEELSIDEBAR unused nee nee eru es vee Dap ua aaa dR ede e bap d ed ede ode bp g ede S SETS RESET 5  SITE EOOTEB        ence hehehe cecus ea eec eae Da ba sein ced eae upd ta eer eene dece ere cete Geb own e Dap honda e e Sedasencees 5  LOGIN M LIU D                                      IA       6  LOGGING INTO THE FERAS              ess ecos eoo eoo rna ean nra roa een eoe e Ea rh reos Ia oe e rao o o eY ES ee ee erro so aeo er eaae pn 6  MENU AND  gt  18 I 1 OR XOU o              teisi 7  NEWS   amp  UPDATES PAGE oM                                              8  MAILBOX dec 9  FILTERING YOUR MAILBOX LISTING sss see ee eee 9  DOWNLOADING FILES FROM YOUR MAILBOX           sscsssesssssesesssssesssesssesesesesesessscsesesesessseseseseseseseseseeeeeeees 10  DOWNLOADING FILES TO YOUR COMPUTER    11  Returning to the Latest Downloads               eese eene etre enne ener entente tenerent nennen 11  DELETING FILES FROM YOUR MAILBOX sse 12  File Delete Confirmation Box s  Aged aptae teet tnter 12  VIEWING FILES IN YOUR FERAS MAILBOX          ceeeeeeeeeeeeee eene hehehe retener nene n ennt nennen nnn nnn 13  Viewing The Selected  Files 5  oie nU Rete tta otorga tee pp D 13  Viewing a Fileze e dI D dba eae EUR netu tede rte 14  Returning to the Latest List of Files Viewed  sss esse eee 14  WPLOA 453 OLLI EET EE 14  UPEOAD RESETRICTIONS     tret beet reete test ee tese et ee
17. RAS technicians will only be  equipped to support Windows 9x and Windows NT environments  In addition  the FERAS  technicians will only be able to support Netscape Navigator version 3 0 or higher and Internet  Explorer version 3 02 or higher browsers     Production Cycle    Production Cycles run at 5 00 p m   EST   Claims submitted via the FERAS must be completely  transmitted in order to process in the 5 00 p m  production cycle  CMS Reports will be available the  following morning     Testing Requirements    Submitter testing is required to ensure the flow of data from the Submitter to the FERAS works properly   Testing also ensures the data submitted is valid and formatted correctly  If you would like to send data in a  test format  please contact the CSSC Help Line at  877  534 2772  534 CSSC  to notify them of your test  submission  Test data will be processed at CMS and reports will be available the next morning  By calling  the CSSC Help Line prior to transmission of your first production or test file  a CSSC representative will  be able to give you information on how to properly submit a test and or production file        Front End Risk Adjustment System User Guide 3    Centers for Medicare  amp  Medicaid Services 02 16 10       Connecting to the FERAS    To establish an IP connection with the FERAS  you must be connected to the Medicare Data  Communications Network  MDCN   which is provided by AT amp T Global Network Services  The MDCN is  the secure network linking 
18. abytes  it is recommended that large files are  zipped and uploaded using the command line method     What constitutes a large file  This can be anywhere from 5 to 75 megabytes  If you have trouble  uploading a large file or your connection times out  then you should use command line FTP  As stated       Front End Risk Adjustment System User Guide 14    Centers for Medicare  amp  Medicaid Services 2 16 2010       before the file upload time is dependent on your connection speed  low connection speed   long upload  time with possible time outs     Upload File Storage on Our System    Your file is kept on our system for approximately 17 days  How many files are kept depends on how many  files are uploaded within a 17 day window  after 17 days an uploaded file will be removed from our system  permanently  The file is not stored in your directory when uploaded  The file is kept in the system queue  directory for approximately 3 days then it is moved to the archive directory where it is kept for  approximately 14 days     Follow the steps on the next few pages to select your file on your system and upload it to the FERAS   1  Click the Browse button to select a file to transfer     Risk Adjustment Submission   Upload File      Get Help On This Section    If you experience problems transmitting a file using this web site  please try to transmit your file  using command line FTP  Instructions are found in the FERAS User Guide     TIP FOR LARGE FILES  We recommend that large files be
19. amp  Medicaid Services 02 16 10       Frequently Asked Questions Page    The FAQs menu option will take you to the window in the Figure 34  From this page you can access the  frequently asked questions pertaining to the FERAS     Frequently Asked Questions    Please Choose a FAQ Section    General FAQs   File Transfer FAQs   Direct Data Entry FAQs  General RAPS Related FAQs    For more detailed information please check out the User Guide   HTML   MS Word       Figure 34 Frequently Asked Questions Page       Front End Risk Adjustment System User Guide 38    Centers for Medicare  amp  Medicaid Services 02 16 10       Documentation Page    The Documentation menu option will take you to the window shown in Figure 35  This page is for  documents pertaining to the FERAS such as an user guide  There will be updates to this page from time to  time and will be documented on the News  amp  Updates page     Documentation    RAPS AND FERAS DOCUMENTATION   Click HTML next to the document to view it in HTML format  Some documents are also available in Microsoft  Word and PDF formats  If you do not have Microsoft Word and or a PDF viewer available you can download the  free ones below     FREE VIEWERS       Microsoft Word Reader  3 9 Mb  Adobe PDF Reader  1 2 Mb     RAPS and FERAS Reports and Documents    Report   Document Available Format  FERAS User Guide HTML   MS Word   1 1 Mb   FERAS Response Reports HTML    FERAS Response Copybook Layout HTML    RAPS Record Layout HTML   RAPS Error Co
20. ascading style sheets for visual layout   This site uses only relative font sizes  compatible with the user specified  text size  option in visual  browsers    3  If your browser or browsing device does not support stylesheets at all  the content of each page is  still readable     Navigation aids    1  All pages on this site include a consistent set of global navigation links   2  All pages on this site include a search box  access key 4      Links    1  Many links have title attributes which describe the link in greater detail  unless the text of the link  already fully describes the target    2  Wherever possible  links are written to make sense out of context  Many browsers  such as JAWS   Home Page Reader  Lynx  and Opera  can extract the list of links on a page and allow the user to  browse the list  separately from the page    3  Link text is never duplicated  two links with the same link text always point to the same address   There are no  javascript    pseudo links  All links can be followed in any browser  even if  scripting is turned off    5  There are no links that open new windows without warning     Images    1  All content images used on this site include descriptive ALT attributes  Purely decorative graphics  include empty ALT attributes     For more information please check out the User Guide   HTML   MS Word    Figure 36  Accessibility Statement        Front End Risk Adjustment System User Guide 40    Centers for Medicare  amp  Medicaid Services    2 16 20
21. ation is complete  The return to the ftp   prompt does not mean that all files were  successfully transferred  Please verify the    226 File transfer complete    message for each file  downloaded     Logging Off the FTP Server    To log off and exit the FTP software  type the following command at the ftp   prompt and press    ENTER       ftp   bye       Front End Risk Adjustment System User Guide 46    Centers for Medicare  amp  Medicaid Services 02 16 10       File Transfer Using Other FTP Software    If you will be using FTP software other than Microsoft FTP for Windows 95  you will need to follow these  basic steps  Consult your FTP software documentation for detailed instructions for completing each step     l   25    3   4   5     Refer to your MDCN dial in instructions    Log On to the FTP server  32 77 242 3  on port 2021 using your FERAS Submitter Id  User Id  and  password as assigned to you by the CSSC    Upload your claims    Download your claims from the 32 77 242 3 outbound  directory    Log Off the FTP server     NOTE  The upload and download directories are specific to your FERAS Submitter Id  User Id   Each    Submitter has a specific upload and download location on the server     Helpful Hints    Zip your upload files in a PK ZIP 2 0 compatible format  This can diminish your upload time by as  much as 90     With Risk Adjustment data files  do not use the same filename  This may cause problems with  uploading as you may potentially overwrite files that may be
22. aus luvv E  46  DOWNLOADING  MULTIPLE EILES ee root tertie eie teet ieve nete lys see irse etit a eaan EES 46  LOGGING OFF THE FTP SERVER       cc0cvensseccosnscecsbensnestesnssessrenvnectnerscucubensscceseduvsrendnsctesrscecubersseccssrsdevarenss 46  FILE TRANSFER USING OTHER FTP SOFTWARE                     ee eee ee ee ee sss en nose ense eee te sese eaae teen oenn 47  IBI                                   iaes 47  Vulg                                                      48       Front End Risk Adjustment System User Guide iii    Centers for Medicare  amp  Medicaid Services 02 16 10       Trademark Information    PK ZIP   Software version 2 04G is a licensed product of PKWARE  Inc  This user manual references  material from the PK Zip Read Me File     Microsoft Internet Explorer is a licensed product of Microsoft Corporation   Netscape Communicator   Navigator 9 is a licensed product of Netscape Communication Corporation     Any other software referenced within this manual or any other publication of Palmetto GBA  LLC is  licensed or copyrighted by their respective companies and is for informational purposes only        Front End Risk Adjustment System User Guide 1    Centers for Medicare  amp  Medicaid Services 2 16 2010       Introduction    Web services such as file transfers and file building are the main functions of the Front End Risk  Adjustment System  FERAS   Using a browser  registered users may browse the FERAS site for Risk  Adjustment related documentation an
23. box    To view files in your FERAS mailbox  follow these instructions   1  Selectup to 5 files from the list of available files    2  Click the left mouse button once to select the file  use the CTRL and SHIFT keys to select multiple  files    3  Click the View button     NOTE  Large files will take a short while to display     Viewing The Selected Files    The page in Figure 11 lists the files you chose to view  To view a file  click on the View File link next to  the filename  Once the file is retrieved for viewing you will receive the page shown in Figure 12    Also note that the size of the file is displayed next to filename and large files will take a long time to  display     View Files      Get Help On This Section    Notes     The latest set of files downloaded will be removed from the system at midnight     How to view the file s      Left click on the file name     File Name Downloaded On Size in Bytes  RSPO  2201 RSP FERAS RESP July 29  2008 820  RSPO2199 RSP FERAS RESP July 29  2008 820  RSP02198 RSP FERAS RESP July 29  2008 820    You can return to this list by clicking the Latest Views link on the mailbox directory page     If you have problems with the viewing the file  please contact the CSSC     Figure 11  Mailbox View File List        Front End Risk Adjustment System User Guide 13    Centers for Medicare  amp  Medicaid Services 2 16 2010       Viewing a File  This page will display the contents of the file selected  Click the back button to go back to your f
24. cords under the current BBB record  All edits  apply to each CCC record  The Sequence Number will be incremented by the system for each new CCC  record  Please see the section titled Creating the CCC Record s  for details     Adding Additional BBB Record s     The Next BBB button allows you to add additional BBB records under the current AAA record  AII edits  apply to each BBB record  The Sequence Number will be incremented by the system for each new BBB   Please see the section titled Creating the BBB Record s  for details     The YYY Record s     A YYY Record will be created by the system for every BBB record that you create  You do not need to  create the YYY Record s  when building your file via the FERAS web site        Front End Risk Adjustment System User Guide 22    Centers for Medicare  amp  Medicaid Services 2 16 2010       The ZZZ Record    A ZZZ Record will be created by the system and added to your file when you have completed the file  building process  You do not need to create the ZZZ Record when building your file via the FERAS web  site     Building the File    The Build File button allows you to build your file with the data that you have entered  see the section  titled Edit Review Page   The Edit Review Page in Figure 20 will allow you to edit the data you have  entered  view your file  as it will be submitted to the FERAS  and review each record you have created        Front End Risk Adjustment System User Guide 23    Centers for Medicare  amp  Medicaid
25. d other useful information  The file transfer and building functions  allow registered users to transfer and build electronic data using any type of platform  i e  Windows 95   UNIX  Macintosh  etc    Using a web browser or FTP Client software  you can connect to the FERAS   upload files  build files and download reports     FERAS Overview    The FERAS contains the following menu options     s Home  Returns you to the FERAS Home Page   e Mailbox    Allows registered users to download view delete Risk Adjustment data files  reports and responses  from their outbound mailbox   e Upload File  Allows registered users to upload Risk Adjustment data files for processing   e DDE  Allows registered users to create a RAPS formatted file on line and submit it for processing   e Error Codes  Allows the user to look up descriptions for Error Codes   s Help  Lists the help available on line for the FERAS   e News  amp  Updates  Displays a list of the latest news and updates for RAPS and the FERAS     Who to Call and Hours of Operation    If you have questions regarding the FERAS or the submission of Risk Adjustment data  you may access the  Help menu option from the FERAS web site or call the CSSC Help Line at  877  534 2772  534 CSSC    This information is also available by accessing the Contact Information from the FERAS web site     FERAS Availability    The FERAS is available for use 24 hours a day 7 days a week  The CSSC Help Line is unavailable on the  following holidays     New Yea
26. data that will appear in your file s AAA  record  Follow the steps below to create your AAA record     Risk Adjustment Submission   Record AAA Information      Get Help On This Section    Instructions     New File     Enter a new File ID     Suspended File   File Recovery  Files created on or after January 21st  2003      You can continue a file that was suspend or recover from a system crash       Enter the File ID for the file you wish to continue or recover       Check your DDE File List       The continuation point will be the next record in the file  after the last saved record     AAA Record Information                   Record ID AAA  Submitter Number SH9999  PENI 0000000001  Transfer Date 20080730  PROD TEST Indicator TEST v                  Sure AAA    cancel    Reset    Figure 17 AAA Record Page    Creating the AAA Record  1  Enter a File ID  This can be up to 11 characters in length     2  Choose either TEST or PROD  This will determine how your file is processed  as either a test file or a  production file     3  Click one of the following buttons  depending on what you would like to do    e Store AAA   Submit the AAA record data and proceed to the BBB Record     e  Suspend Cancel   Suspend or Cancel the building of this file  you will be asked to confirm this as  shown in Figure 25     e Reset   Resets the AAA record to blanks  except for the system generated fields      NOTE  The Submitter Number is your log in submitter ID  the Record ID and Transfer Date are g
27. de Listing PDF  RAPS FERAS Error Code Lookup Search Page  Risk Adjustment System Reports HTML    RAPS FERAS Naming Conventions HTML    Figure 35 Documents Page        Front End Risk Adjustment System User Guide 39    Centers for Medicare  amp  Medicaid Services 2 16 2010       Site Accessibility Information    The Accessibility Statement menu option will take you to the window shown in Figure 36  From here you  can access information on how this site conforms to Section 508 Accessibility Guidelines     Accessibility Statement    If you have any questions or comments about the accessibility of this site  feel free to contact the Customer    Service and Support Center  CSSC      Access keys  Most browsers support jumping to specific links by typing keys defined on the web site  On Windows  you can  press ALT   an access key  on Macintosh  you can press Control   an access key     The home page and all other pages define the following access keys     Access key 0   Accessibility statement  Access key 1 or H   Home page   Access key 2   Skip to page content   Access key 3   Site Map page   Access key 4   Search box   Access key 9   Contact Us page   Access key F   Frequently Asked Questions  FAQ  page  Access key L   Login and Logout pages  Access key M   Mailbox page   Access key U   File Upload page   Access key D   Direct Data Entry  DDE  page  Access key E   Error Code Lookup page  Access key N   News page   Access key Y   Documentation    Visual design    1  This site uses c
28. e  and to which BBB record sequence number they belong  By clicking the Edit Review button  below the Edit Review CCC record section you will be able to change any piece of information that you  previously entered using the page in Figure 23 below    Risk Adjustment Submission   Record CCC Information     Get Help On This Section    CCC Record Information    Record ID ccc CCC Seq No 0000001 BBB Seq No 0000001    Patient Information                         Patient Control Number 99999999999999999999999999999999  HIC Number 999999999999999999  DOB 19501210  05   YYYYMMDD              Diagnosis Cluster Information                                                                                                                                                                                                                                                                   Cluster Provider From Date Thru Date Delete Diagnosis  Number Type  YYYYMMDD   YYYYMMDD  Ind Code  1  10 20080721   73  20080723 5  v 12345  2 Es  Es  d  3 Es  Es  k  4 Es  Eg  K  5 Es  Es  K  6 E  E x  7 Es  Es  M  8 Es  E  x  9 Es  Es  bs  10 Es  Es  x                                                 Figure 23 Edit Review CCC Record Page       Front End Risk Adjustment System User Guide 27    Centers for Medicare  amp  Medicaid Services 2 16 2010       How to Edit   Review the CCC Record s     To edit the CCC Record s   make any changes to the fields that you entered and press the Update CCC  button  If you do not 
29. e button  If the file is correct press the Upload File button to transmit the file  The window  shown in Figure 15 will appear after a successful upload  If the upload is not successful  you will  receive a window which will display a short reason for the error  and some information on why the  error may have occurred        Front End Risk Adjustment System User Guide 16    Centers for Medicare  amp  Medicaid Services 2 16 2010       Risk Adjustment Submission   File Upload Complete       Get Help On This Section    File ferastransactions txt transmission completed     Bytes transferred  14356    Time to transfer  00 00 01    Your response file will be available shortly     You can check for your response in your Mailbox     If you do not receive a response within an hour from your completed transmission  please  contact the CSSC     Figure 15  Successful File Transfer       Front End Risk Adjustment System User Guide 17    Centers for Medicare  amp  Medicaid Services 02 16 10       Creating a RAPS File  Direct Data Entry     Clicking the DDE menu item on the main menu or from the bottom of any page where the menu appears  will display the page shown in Figure 16     Welcome Page  Click the Start button to begin creating your file or click the Cancel button to return to the main menu     Follow the steps below to create your file and upload it to the FERAS     Suspened Files   File Recovery From Welcome Page    To display you list of completed suspended files  click the list 
30. e reso etti ee tete eoe o reete en ee edet seve 14  UPEOAD TIPS    52r etre E A ete ee etes e etit ta eset eee dote e ne tete e eee eed 14  UPLOAD FILE STORAGE ON OUR SYSTEM  15       Front End Risk Adjustment System User Guide i    Centers for Medicare  amp  Medicaid Services Table of Contents       CREATING A RAPS FILE  DIRECT DATA ENTRY                       eee ee ee eee ee essen setas etse setas ette seen aea 18  WELCOME PAGE  n manam eue EH n Aris Ha en Aaa Rv Hawa en evn aii  18  Suspened Files   File Recovery From Welcome Page                 seen eene 18  AAA RECORD PAGE nate RARE on aun an on e E ER rdi n idi 19  Creating the AAA Record    x aep eie dede pad i e p e De RI estere 19  BBB  RECORD  PAGE  rentre etre e eA re Du rev eve iei e idee noter mete dee aate deed 20  Creating the  BBBRecord s      s eec petet et pe e ea bel dee ce espe eue rie eens dt 20  CEE RECORD PAGE  ete recette eee ee dte e e tueri b eem C iie deve e de attended 21  Creating  the C     C Record s    o e Up ree t pe e peces beer tesdce e e as ds 22  ADDING ADDITIONAL CCC RECORD S         ccsssscesesssecessescecessnececsnsaecececcecessaeeecsesaececseseeseesaeeecseaueeecseaaeeess 22  ADDING ADDITIONAL BBB RECORDS  22  THEY Y YARECORDY S   4 iieeectesi tee eetetete b EE e RE be cies ance RE PEE YU EE ote Reais ee ee beeen wae esis 22  THEZZZRECORD    i eccecettettecrtte pe re an end ei exe xs cut ere de ier Ade tti re tete de eed 23  B  IEDING THE FILE        crece ict eee etr A HL he a E He r
31. enerated       Front End Risk Adjustment System User Guide 19    Centers for Medicare  amp  Medicaid Services 2 16 2010       by the system  You can click the Help button at the top of the page for help at any time     BBB Record Page    The BBB Record Page  shown in Figure 18  is where you enter the data that will appear in your file s BBB  record  Follow the steps below to create your BBB record     Risk Adjustment Submission   Record BBB Information      Get Help On This Section    Instructions        Enter the plan number associated with this BBB record     BBB Record Information  Record ID BBB    BBB Sequence Number 0000001    Plan Number H9999       Figure 18 BBB Record Page     Creating the BBB Record s   1  Enter a Plan Number  This field is 5 characters in length  example  H9999      2  Click one of the following buttons  depending on what you would like to do    e Store BBB   Submit the BBB record data and proceed to the CCC Record     e  Suspend Cancel   Suspend or Cancel the building of this file  you will be asked to confirm this as  shown in Figure 25     e Reset   Resets the BBB record to blanks  except for the system generated fields      NOTE  The Record ID and Sequence Number are generated by the system  You can click the Help  button at the top of the page for help at any time        Front End Risk Adjustment System User Guide 20    Centers for Medicare  amp  Medicaid Services 02 16 10       CCC Record Page    The CCC Record Page  shown in Figure 19  is whe
32. formation that pertains to the FERAS     News tt Updates    Please look here periodically for important information regarding submission of Front End Risk Adjustment  System data  Notification of changes in requirements will be detailed here as the information becomes available     07 23 08 The site has gone through an extensive update  some of the updates are highlighted below  For  more information and instructions please check out the updated User Guide     Figure 5  News and Updates page        Front End Risk Adjustment System User Guide 8    Centers for Medicare  amp  Medicaid Services 02 16 10       Mailbox    Clicking the Mailbox menu button from the main menu will display the page shown in Figure 6  The files  available are those contained in your mailbox directory on our system  The Size is the size of the file in  bytes  the Date is the date the file was placed in your mailbox     Mailbox Listing      Get Help On This Section    Your mailbox contains responses and reports for files you have submitted to the FERAS  You can download the  files to your machine  view the files on line and delete files that you no longer need     Latest Downloads   retrieves the last list of files you downloaded    Latest Views   retrieves the last list of files you viewed    Filter Directory List    By Date  All v By File Type All v Apply Filter    Mailbox Directory List     Select multiple files by holding the Ctrl key while selecting      Select a range by holding the Shift key while 
33. ile list          Back To Mailbox  o Back To Viewed Files    Contents of file  RSP02201 RSP FERAS RESP    REPORT  FERAS RESP FRONT END RISK ADJUSTMENT SYSTEM  RUN DATE  20080729 FERAS RESPONSE REPORT       SUBMITTER ID  SH9999    FILE ID  RAPSCONNOI REJECTED TEST  RECORD SEQ ERROR  TYPE NO CODE ERROR DESCRIPTION    AAA 0000001 113 DUPLICATE FILE ID ACCEPTED WITHIN 12 MONTHS  END OF REPORT    Top    Figure 12  Viewing a File     Returning to the Latest List of Files Viewed    You can return to the latest list of files you chose to view by clicking the Latest Views link from the My  Mailbox page  This will display the page in Figure 11 just as it appeared when you first chose this set of  files to view     Upload File    Clicking the Upload File menu item from the main menu  by clicking ALT   U then ENTER  or from the  bottom of any page will display the page shown in Figure 13     Upload Restrictions    e The file size limit is 75 megabytes via the web site  it is unlimited via command line FTP  This is  considered a very large file and all files transmitted via the web site should be zipped  If you have  problems transmitting the file try using the command line method    e You can only upload one physical file at a time     Upload Tips    e  tis recommended that you compress  zip  all files prior to uploading via the web site    e Large files can take a long time to upload and this time is dependent on your connection speed    e Although the site can handle files up to 75 meg
34. low the Edit Review AAA record section you will be able to change  any piece of information that you previously entered using the page in Figure 21 below     Risk Adjustment Submission   Record AAA Information      Get Help On This Section    Instructions     New File     Enter a new File ID     Suspended File   File Recovery  Files created on or after January 21st  2003      You can continue a file that was suspend or recover from a system crash       Enter the File ID for the file you wish to continue or recover       Check your DDE File List       The continuation point will be the next record in the file  after the last saved record     444 Record Information                   Record ID AAA  Submitter Number SH9999  File ID hoooooo001  Transfer Date 20080730  PROD TEST Indicator TEST v             Figure 21 Edit Review AAA Record Page    How to Edit   Review the AAA Record    To edit the AAA Record  make any changes to the fields that you entered and press the Update AAA  button  If you do not wish to make any changes  or are simply reviewing this record  just click the Back  button and you will be returned to the Edit Review page     NOTE  Changes cannot be undone once they are submitted  you will have to edit the record again to make  further changes        Front End Risk Adjustment System User Guide 25    Centers for Medicare  amp  Medicaid Services 02 16 10       Editing   Reviewing the BBB Record s     To edit the BBB record s   you must know the sequence number for 
35. lp  BBB Record Help  CCC Record Help  Edit Review Hel    Download Upload Help    Seaching for an Error Code Description  Exiting the FERAS    General Web Site Related FAQs  FAQs for Transferring Files  FAQs for Direct Data Entry  General RAPS Related FAQs       Figure 38 Site Map Page       Front End Risk Adjustment System User Guide    42    Centers for Medicare  amp  Medicaid Services 02 16 10       Searching The FERAS Site    The Search page allows you to search the FERAS using keywords     Performing a Search    To search the FERAS  type a keyword s  in the search box  as shown in Figure 39  and press the Search  button  If the search is successful  a page will be returned with links to the pages that contain the  keyword s  you typed in  as shown in Figure 40  Otherwise a page will be returned informing you that no  pages were found matching your search criteria     te  search  a    Figure 39 Searching the Site          Search Results    This is the window that will appear for a successful search  click on the link to go to any of the pages that  match your search criteria     Search Results      Get Help On This Section    10 page s  found using keywords  ftp    1  FTP Appendix A  Appendix 4 for help on FTP    2  FTP Using MS Explorer  Performing file transactions using Microsoft Internet Explorer    3  FTP Using MS Explorer  Performing file transactions using Microsoft Internet Explorer    4  FTP Helpful Hints  Helpful hints for performing file transactions    5  Micro
36. mand successful    message  which indicates that your current directory has  changed    To display all files available for download  type the following command press   ENTER     ftp   Is       Front End Risk Adjustment System User Guide 45    Centers for Medicare  amp  Medicaid Services 02 16 10       Downloading a Single File    1  Type the following command and press   ENTER     ftp   get FILENAME   2  The FILENAME you wish to receive must match the file name in the outbound directory exactly  wild  cards     will be accepted only if  glob  is on   If you do not delete the files after successfully  downloading them  they will remain in the outbound directory for 14 days  at which time they will be  automatically purged     Downloading Multiple Files    1  To download all of your remote files type mget   at the ftp   prompt and pres   ENTER    see Figure  42     ftp   cd outbound   250 CWD command successful   ftp  ls   200 PORT command successful   150 Opening data connection for  filel    filezZ   226 File transfer complete    ftp   mget     100 PORT command successful    150 Opening BINARY mode data connection for  226 File transfer complete       Figure 42 Downloading Multiple Files     2  Once you press   ENTER    the FTP software will transfer the file s     3  A transfer is complete  message will appear indicating successful transfer of each file  You will be  asked to confirm each file by pressing   ENTER    You will return to the ftp   prompt when the  transfer oper
37. n submitted and can be continued at the next  CCC record under the last BBB record you submitted     Risk Adjustment Submission      Get Help On This Section    The File ID 9999999999 has been used before     Status  In Progress             Figure 28 Continuing a File        Front End Risk Adjustment System User Guide 32    Centers for Medicare  amp  Medicaid Services 2 16 2010       File Status is Complete    A status of  Complete  indicates that the file was already submitted to the FERAS  In this case you will  have to start a new file with a different File ID  Figure 29 shows the page you will receive in this situation     Risk Adjustment Submission     Get Help On This Section    The File ID 0000000001 has been used before     Status  Complete    Figure 29 File Status Complete        Front End Risk Adjustment System User Guide 33    Centers for Medicare  amp  Medicaid Services 2 16 2010       Choosing From Your List of Files  By clicking the list of files link from either the Welcome or AAA Record Page you will receive the page  shown in Figure 30  This page lists all of the files you have created since January 21  2003    Risk Adjustment Submission   File Listing      Get Help On This Section  Below is a listing of files you entered using the Direct Data Entry process     v   indicates an available feature  Click the check mark to use the feature         indicates an unavailable feature     File ID Trans Date  Prod Test Status Continue View Download Delete  ooooo000001 
38. ndar to choose the date or enter it using the required date format     2  Enter the Diagnosis Cluster information     e Provider Type  the two character provider type    e From Date  must be in the format Y YYYMMDD  You can use the calendar to choose the date or  enter it using the required date format    e Thru Date  must be in the format YYYYMMDD and cannot be prior to the From Date  You can  use the calendar to choose the date or enter it using the required date format    e Delete Indicator  choose this from the drop down box  either blank or  D     e Diagnosis Code  this can be up to 5 characters in length   Omit the decimal     NOTE  The first Diagnosis Cluster is required  if clusters 2 through 10 are used they must contain  valid data     3  Click the one of the following buttons  depending on what you would like to do    e Store CCC   Submit the CCC record data and proceed to the next CCC Record  e  Suspend Cancel   Suspend or Cancel the building of this file  you will be asked to confirm this as  shown in Figure 25   e Reset   Resets the CCC record to blanks  except for the system generated fields      NOTE  The Build File and Next BBB buttons will be enabled once you have created one CCC record     4  Once the Build File and Next BBB buttons are enabled you may choose to add another BBB record   build the file  or add additional CCC records  These actions are covered next     Adding Additional CCC Record s     The Store CCC button allows you to add additional CCC re
39. o cancel the building of a  file  Canceling a file will permanently delete all records that relate to that file and will make the File ID  available for reuse  Use the Back button to return to the previous page     Risk Adjustment Submission   Suspend   Cancel Confirmation      Get Help On This Section    To suspend the building of this file press the Suspend button    Note  Please make note of your File ID 0000000001 to continue this suspend     To permanently delete the file you are building press the Cancel button     Note  All records related to the File ID 0000000001 will be deleted  You can then reuse this File ID     To return and continue building this file press the Back button     Note  You will continue at the next record after the last stored record     Figure 25 Suspend Cancel Page     Suspending a File    By choosing the Suspend button from the Suspend Cancel Page shown in Figure 25  you will be returned  to the Welcome page and your file will be available for continuation  Please note that when you continue  your file it will start at the next record after the last saved record  If you have no BBB records  then you  will start at BBB record 1  if you have BBB records  then you will start with the next CCC record under the  last BBB record saved     Cancelling a File    By choosing the Cancel button from the Suspend Cancel page shown in Figure 25  you will be returned to  the Welcome page and your file will be permanently deleted from the system  You can then re
40. of files link under the Suspended Files   File  Recovery section of the Welcome page  See the section entitled Continuing a File for more information     Risk Adjustment Submission   Welcome      Get Help On This Section    Welcome to the Risk Adjustment DDE Page     The next few pages will walk you through the data entry  downloading and uploading of your file  Each session  consists of building one file from creation to submission     Suspended Files   File Recovery    You can continue a file you suspended or recover from a system crash by entering the File ID on the AAA  Record page or by checking your list of DDE Files     DDE File List    You wil  be stepped through the following process     AAA Page   enter data for the AAA record    BBB Page   enter data for the BBB record s     CCC Page   enter data for the CCC record s     Edit Review View Build Page   edit  review  view and perform the final build of your file   Download Upload Page   download your file to your computer and upload your file to the FERAS     Er e Is    Click the Help link at the top of each page to access the help section     Click the Start button to begin building your file  or the Cancel button to go back to the main menu     If you have any problems contact the CSSC         Figure 16 DDE Welcome Page       Front End Risk Adjustment System User Guide 18    Centers for Medicare  amp  Medicaid Services 02 16 10       AAA Record Page    The AAA Record Page  shown in Figure 17  is where you enter the 
41. or Code search enter the Error Code into the text box then click the search button     Error Code Search      Get Help On This Section    Error Code Search  Code 100      Figure 31 Error Code Search Page       Front End Risk Adjustment System User Guide 35    Centers for Medicare  amp  Medicaid Services 02 16 10       Search Results    When a successful search is performed  the window shown in Figure 32 will appear  showing a table with  the code you searched on and the description that was found     Error Code Search Results      Get Help On This Section          Code 100   Description Invalid AAA record type    Suggestions 4  files must begin with an AAA Record  The 100 Series  errors indicates file level errors on the AAA or ZZZ  records     Figure 32 Successful Error Code Search       Front End Risk Adjustment System User Guide 36    Centers for Medicare  amp  Medicaid Services 2 16 2010       Help Page    The Help menu option will take you to the window shown in Figure 33  From here you can access various  help topics for the FERAS     Help    Please Choose a Help Topic   Overview of the FERAS   Requirements for Using the FERAS   O Connecting to the FERAS   Testing   Production Cycles   O Transferring Files   D  Direct Data Entry   O Seaching for an Error Code Description  Exiting the FERAS    For more detailed information please check out the User Guide   HTML   MS Word    Figure 33 Help Page       Front End Risk Adjustment System User Guide 37    Centers for Medicare  
42. r PE e ene RAD tere Let e qe tede 23  BDIT  REVIEW  PAGE ttt meer E re ge tuii dee uere e Re Ete ree eb de dn 24  Editing   Reviewing the AAA Record    e t ra te Peeters 29  Editing   Reviewing the BBB Record s               eese esee eene nennen ener tenente 26  Editing   Reviewing the CCC Record s              eese entente eene trennen trennt nnne 27  EDITING FILES FROM THE VIEW FILE PAGE    sees eee 28  SUSPENDINGNCANCELING A FILE    5  atero Bonet anta ain d EE 29  Suspending a  File    stesura e P b dea e aeq dec thes 29  Cancelling a File  aae dn aco qac e PP deo ug 29  DOWNLOAD  SUBMIT PAGE  DDBD         5    3 rotae nai eoe Ane en ao b cit ite dig 30  Downloading the File           e e s aec b erre e eerte tree dg 31  Submitting the File           aac aar te DR e E n re re RR re repe dede ai oai 31  CONTINUING A SUSPENDED FILE AND FILE RECOVERY sese eee 32  Why Would I Need to Continue a File                   essent nennen nennen eene eene enne 32   At What Point Does the Continuation Process Start in the File     32  Pile  Status is In Progress  ee doeet UR testet qe e ib RR EUE Re ener EO E ERR EISE 32  File Status As Complete    ui e lads ee e geste eU REO Ue RR Ies ir ERR REDDE 33  Choosing From Your List of Files                 esee ener nest nenne ener nete enne 34  ERROR CODE LOOKUP PAQGE          eoo roots et oo cus esse o oa aoo ene phos erae en a eee oe oeeo enso 35  PERFORMING A SEARCH 2  ectetuer e eere i e nter e ete die ce t idee titer ne deste oed 35 
43. r s Day   Martin Luther King Day   Memorial Day   Independence Day   Labor Day   Thanksgiving Day and the day after  Christmas Eve Day and Christmas Day       Front End Risk Adjustment System User Guide 2    Centers for Medicare  amp  Medicaid Services 2 16 2010       Requirements for Using the FERAS    File transfers and file building are two main components of the FERAS  To access the FERAS menu  options such as File Submissions or Help  users must have a browser  Netscape Navigator version 3 0 or  higher and Internet Explorer version 3 02 or higher are recommended and supported  Other browsers may  be used  however  the FERAS technicians do not currently support browsers other than Netscape Navigator  and Internet Explorer     File transfers and file building via the FERAS can be performed by use of a browser  You can also use  other FTP software to upload your files  Before you can perform file transfers on the FERAS  you must  have one of the following components available on your system     e Browser  Netscape Navigator version 3 0  or Internet Explorer 3 02   Other browsers may work  but will not be  supported by the FERAS technicians at this time     e FTP Client Software  Windows 95  includes Microsoft FTP software  If you are using FTP software other than Microsoft   you must refer to your FTP software documentation for correct FTP procedures  See the section titled     Using Other FTP Software        NOTE  Although the FERAS is designed to be multi platform  the FE
44. re you enter the data that will appear in your file s CCC  record s   Follow the steps below to create your CCC record s      Risk Adjustment Submission   Record CCC Information      Get Help On This Section    CCC Record Information    Record ID ccc CCC Seq No 0000001 BBB Seq No 0000001    Patient Information                         Patient Control Number 99999999999999999999999999999999  HIC Number 999999999999999999  DOB 19501210  0   YYYYMMDD              Diagnosis Cluster Information                                                                                                                                                                                                                                              Cluster Provider From Date Thru Date Delete Diagnosis  Number Type  YYYYMMDD   YYYYMMDD  Ind Code  D 10 20080721      20080723      v 12345   2 Es  Es  X  3 Eg  Eg x  4 Es  Fs  b  5 E Eg  Mi  6 E  E  x  7 Es  Eg Mi  8 Eg  Eg  Mi  9 Es  Eg  x  10  Es  Es M                                                 Figure 19 CCC Record Page       Front End Risk Adjustment System User Guide 21    Centers for Medicare  amp  Medicaid Services 2 16 2010       Creating the CCC Record s     1  Enter the following data    e Patient Control Number  this can be up to 40 characters in length  The PCN is optional   e HIC Number  this can be up to 25 characters in length   e Patient Date of Birth  DOB  is optional  if submitted must be in the format Y Y Y YMMDD  You  can use the cale
45. ror Codes   Help      Copyright 2008 CMS  amp  Palmetto GBA  LLC    L Contact   Site Map   Accessibility Statement    S aa GBA    Site Footer Area       Figure 2 Site Layout       Front End Risk Adjustment System User Guide 5    Centers for Medicare  amp  Medicaid Services 2 16 2010       Login Page  Once you establish an IP connection  you will see the Login Page for the FERAS  shown in Figure 3  This  will server as your Home page if you are not logged into the system     Welcome to the Front End Risk Adjustment System  FERAS  web site     You must be a registered user to use this site     If you require access to this site  please contact the Customer Service and Support Center  CSSC      Registered Users Please Log In    User Name               Password       Forgot your password  Contact the CSSC     As a registered user you can        B  Retrieve reports from your mailbox      Upload RAPS files for processing    B Create RAPS files on line via the Direct Data Entry  DDE  function  Search the Error Code database    B Retrieve FERAS and RAPS related information    Figure 3 Login Page    Logging into the FERAS    To access most of the pages on the FERAS you must log in using the user name and password assigned to  you  You will be prompted for your User Name and Password as shown in Figure 3  This is the Submitter  ID and password assigned to you when you enrolled for electronic claims submission with the CSSC        Front End Risk Adjustment System User Guide 6    Centers
46. selecting                                      RSP02189 RSP REJECTED ID            Size  22 116 Dated  Jul 28 12 31     RSP02191 RSP FERAS RESP             E i4 820 Dated  Jul 29 02 19  gt    RSP02192 RSP FERAS RESP             Bize       820 Dated  Jul 29 02 29  RSP02195 RSP FERAS RESP             SIZE  sede ket 820 Dated  Jul 29 02 42      RSP02196 RSP FERAS RESP             E 21563 820 Dated  Jul 29 02 42    RSP02202 RSP FERAS RESP             Size  nia ee 820 Dated  Jul 29 02 43    RSP02198 RSP FERAS RESP             SIZE  21 54 820 Dated  Jul 29 02 43  RSP02201 RSP FERAS RESP             Size  nena bas 820 Dated  Jul 29 02 43  RSP02199 RSP FERAS RESP             Size          820 Dated  Jul 29 02 43  RSP02204 RSP FERAS RESP             Size  2  820 Dated  Jul 29 02 44 wv             Figure 6  Mailbox Page     The files in your directory list ordered by the date from oldest to newest with the oldest files being on top  of the list     Filtering Your Mailbox Listing    You can filter your directory list by choosing either the Date  File Type or both using the Filter Directory  List function on the Mailbox page  In the example below  shown in Figure 7  a filter was applied to show  only the FERAS Response Files dated July 29         Front End Risk Adjustment System User Guide 9    Centers for Medicare  amp  Medicaid Services 2 16 2010       Filter Directory List    By Date  Jul 29 v By File Type FERAS RESP v Apply Filter                      Mailbox Directory List     Selec
47. soft FTP  Performing file transactions using Microsoft FTP    6  FTP Using Netscape Navigator  Performing file transactions using Netscape Mavigator    7  Other FTP Software  Performing file transactions using other types of FTP software    8  File Transfer FAQs    File Transfer Frequently Asked Questions    9  File Transfer Help  File Transfer Help    10  File Upload Page  FERAS file upload page  requires login     Figure 40 Search Found Page       Front End Risk Adjustment System User Guide 43    Centers for Medicare  amp  Medicaid Services 02 16 10       File Transfer Using Microsoft FTP Software    The following instructions apply to the FTP client software available in Windows 95 and Windows NT   Refer to Appendix A for a sample script to automate file transfers using Microsoft FTP software     Passwords    The CSSC assigns you a Submitter ID and an original password  If you forget your original  CSSC  assigned  password or if your password becomes compromised  you must call the CSSC Help Line at  877   534 CSSC     NOTE  If you change your password and then forget your new password  there will be a delay while  the CSSC resets or reassigns your password     Logging On to the FTP Server    To connect to the FERAS using Microsoft FTP  follow these instructions  see Figure 41    1  Refer to your MDCN dial in instructions    2  At the DOS prompt  you need to launch the FTP software  Type  lt FTP gt  at the DOS prompt and press    ENTER    If you want to turn off Interactive
48. t multiple files by holding the Ctrl key while selecting      Select a range by holding the Shift key while selecting           RSP02191 RSP FERAS RESP             Size  i224 820 Dated  Jul 29 02 19    RSP02192 RSP FERAS RESP             Size          820 Dated  Jul 29 02 29     RSP02196 RSP FERAS RESP             Size          820 Dated  Jul 29 02 42  RSP02195 RSP FERAS RESP             Size  cies cee 820 Dated  Jul 29 02 42    TT AAA TOT PENIS nen mc  n T i 1 T 1 ana n  4     Figure 7  Applying a Mailbox Filter     In the example below  shown in Figure 8  the mailbox listing was reset to show all of the files by setting  both the Date and File Type drop down lists to    All    and clicking the Apply Filter button     Filter Directory List       By Date  All v By File Type All v Apply Filter  FERAS RESP  REJECTED ID                All  Mailbox Directory List       Select multiple files by holding the Ctrl key while selecting      Select a range by holding the Shift key while selecting           RSPU2189 RSP REJECTED ID            Size  cosia 116 Dated  Jul 28 12 3la  RSP02191 RSP FERAS RESP             Siz8       820 Dated  Jul 29 02 19     RSP02192 RSP FER  S RESP             Size          820 Dated  Jul 29 02 29  RSP02195 RSP FERAS RESP             Size          820 Dated  Jul 29 02 42    RSPU2196 RSP FER  S RESP             Siz  oa sier 820 Dated  Jul 29 02 42  RSPN 2N  RSP FERAS RESP Size    R2f Dated  Tul 29 n2 43    Figure 8  Removing the Mailbox Filter     Downloading
49. the Risk Adjustment data processing entities  If you are not connected to the  MDCN  please contact AT amp T at 1 800 905 2069     All submitters with IP network access have been authorized to connect to the FERAS     In order to submit claims to the FERAS via the MDCN  you must be enrolled with the CSSC  If you are not  enrolled  please contact the CSSC Help Line at  877  534 CSSC  Once enrolled with the CSSC to submit  and retrieve data electronically  you will receive a Submitter ID and a password     NOTE  This password is case sensitive  You must enter your original password exactly as it was  assigned to you by the CSSC  See the Changing Passwords section for information on how to  change your password     Connecting to the MDCN           Refer to your MDCN instructions for dialing into the MDCN    2  Once you have dialed in to the MDCN  start your browser  At the Uniform Resource Locator  URL  or  address field  type  http   32 77 242 4  as shown in Figure 1  and press ENTER  See the figure below  for locating the FERAS site using Netscape Navigator     Locating the FERAS    Enter the address of the FERAS into the browsers location or address bar and press the Enter key     File Edit view Favorites Tools Hel    Q Back    x  a    2 se     Address      http  32 77 242 4              Figure 1 Entering the FERAS IP Address       Front End Risk Adjustment System User Guide 4    Centers for Medicare  amp  Medicaid Services 02 16 10       Site Layout    The FERAS site is cons
50. the record you wish to edit  you can  find this out by viewing the file to see which BBB record sequence numbers are available  By clicking the  Edit Review button below the Edit Review BBB record section you will be able to change any piece of  information that you previously entered using the page in Figure 22 below     Risk Adjustment Submission   Record BBB Information    Get Help On This Section    Instructions        Enter the plan number associated with this BBB record     BBB Record Information  Record ID BBB    BBB Sequence Number 0000001    Plan Number H9999    Note  Please use the  Back  button provided instead of the browser s back button     Figure 22 Edit Review BBB Record Page    How to Edit   Review the BBB Record s     To edit the BBB Record s   make any changes to the fields that you entered and press the Update BBB  button  If you do not wish to make any changes  or are simply reviewing this record  just click the Back  button and you will be returned to the Edit Review page     NOTE  Changes cannot be undone once they are submitted  you will have to edit the record again to make  further changes        Front End Risk Adjustment System User Guide 26    Centers for Medicare  amp  Medicaid Services 02 16 10       Editing   Reviewing the CCC Record s     To edit the CCC record s   you must know both the CCC and BBB sequence numbers for the record you  wish to edit  you can find this out by viewing the file to see which CCC record sequence numbers are  availabl
51. tructed so that there is a common Site Header  Site Menu  Left Sidebar and Footer  shared by each page of the site  The Login Page shown in Figure 2 shows the entire site with the header   menu  left column and footer  the remaining screen shots will not include these common items  please refer  back to this section for information on the shared portions of the FERAS site     Site Header    The site Header contains the site logo  search and links to the contact  site map and accessibility sections of  the site     Site Menu    The site Menu contains links to all of the major sections for the FERAS     Left Sidebar    The left Sidebar contains your welcome message along with a link to log in or out of the FERAS  Also  contained within this section is the Get Assistance menu where you can find help  documentation  contact  information  etc  that will assist you has you use the FERAS     Site Footer    The site Footer contains the same links as the Site Header and Site Menu along with logos for CMS and  Palmetto GBA     Site Header and Site Menu Area    Contact   Site Map   Accessibility Statement   Seareh  Ouen    Mailbox Upload File DDE Error Codes Help News  amp  Updates      Logout      Get Assistance    Site User Guide   On line Help   FAQs   Documentation   File Crosswalks   Page Content Area  Accessibility Statement  Contact Us   Sidebar Area   Latest News  amp  Updates    Qul 23  2008  Site wide update    read more  gt  gt          Home   Mailbox   Upload File   DDE   Er
52. use that  same File ID to create another file        Front End Risk Adjustment System User Guide 29    Centers for Medicare  amp  Medicaid Services 2 16 2010       Download   Submit Page  DDE     By clicking the Create File button on the Edit   Review Page show in Figure 20 you will receive the page  shown in Figure 26  This allows you to download the file you created to your computer  and then upload   the file to the FERAS  If you wish to cancel the build process at this point  click the Cancel button  You   will be prompted to confirm the cancellation process  You can also choose to continue building the file if  you have more information to add  The build process will continue at the next CCC record under the last  BBB record you entered     Risk Adjustment Submission   Submit DDE File      Get Help On This Section    To upload your file to the FERAS system    1  Click the Download File button to download your file to your computer     2  After the download completes  press the Upload File button to upload your file to the FERAS        You will receive an upload confirmation and file statistics page     To continue editing your file    Click the Back button to return to the Edit Review page     To continue building your file    Click the Continue button to start at the next record in your file     To cancel building your file    Click the Cancel button to cancel suspend this DDE session     Figure 26 Download   Submit File Page        Front End Risk Adjustment System User
53. wish to make any changes  or are simply reviewing this record  just click the Back  button and you will be returned to the Edit Review page     NOTE  Changes cannot be undone once they are submitted  you will have to edit the record again to make  further changes     Editing Files From the View File Page    You can edit your records from the View File Page  shown in Figure 24  by clicking the Edit links next to  the AAA  BBB and CCC records  You cannot edit the Y Y Y and ZZZ records  these records are generated  by the system using the information you entered for the AAA  BBB and CCC records     Once you have edited your records  see sections entitled Edit Reviewing AAA Records  Edit Reviewing    BBB Records  and Edit Reviewing CCC Records for more detail  You will be returned to this page to  check that your updates were successfully applied       Back       Contents of DDE File  0000000001    Edit   AAASH9999000000000120080730TEST   Edit   BBBOO00001H9599   Edit   CCCOOO00001 99999999999999999999999999999999 999999999999999999 19501210    YYY0000001H99990000001   ZZZSH999900000000010000001    E       Figure 24 Editing From the View File Page        Front End Risk Adjustment System User Guide 28    Centers for Medicare  amp  Medicaid Services 2 16 2010       Suspending   Canceling a File    Choosing the Suspend Cancel button when available will return the page shown in Figure 25  You can  choose to suspend the building of a file for continuation at a later time or date  or t
    
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