2021-11-18 Risk Adjustment Use Case Meeting

The 29^th HL7 FHIR Connectathon, Jan 10 – 12, 2022  (virtual event): https://www.hl7.org/events/fhir/connectathon/2022/01/

• Early bird ends Dec 4, 2021
• Online registration ends Dec 13, 2021

January 2022 Ballot Cycle:

• 11/8 through 12/8 Ballot sign up

Review IG: https://build.fhir.org/ig/HL7/davinci-ra/index.html

Updated the Clinical Data Collection Deadline to account for collecting lagged claims data to assign an end date for run-out. 

Explanation of run-out: 

StructureDefinition-ra-clinicalDataCollectionDeadline.xml file. First, it needs to clarify whether the deadline is a to date or a through date. I assume that it is a through date. Also, from the text I think there may be a conceptual error here. This seems to be referring to the runout period, which is the last date the payer will accept evidence from the practitioner (not the provider!) that closes a gap pertaining to the clinical evaluation period. It does NOT extend the clinical evaluation period. For example: the payer wants evidence that the patient and the provider had a face-to-face encounter sometime from Jan 1 2021 through Dec 31 2021. The payer will accept a claim for that encounter until (let’s say) March 31, 2022. That doesn’t in any way change or extend the clinical evaluation period, which remains 1/1/21 to 12/31/21. This is commonly known as the runout period.

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