What do the RAPS Monthly Plan Activity Report and Cumulative Plan Activity Report summarize?

The RAPS Monthly Plan Activity Report and Cumulative Plan Activity Report primarily summarize all diagnoses stored over a specific time period. These reports are essential for health plans participating in Medicare Advantage, as they provide insights into the diagnoses that have been submitted for beneficiaries. Accurate and comprehensive diagnosis coding is vital for risk adjustment purposes, as it affects the reimbursement levels for Medicare plans based on the health status of their beneficiaries. By summarizing the diagnoses, these reports help plans ensure they are capturing the full spectrum of patients' health conditions, facilitating appropriate care management and financial planning.

The other options do not accurately reflect the scope of these reports. They are not focused on data from external providers or new policies of the plan, nor do they project future costs. Instead, their key function is centered around documenting and summarizing health status through diagnoses, which plays a crucial role in risk adjustment.