Tag Archives: CMS-HCC

Pitfalls in Chart Reviews: It’s not only about the Bottom Line

In this last blog in our four-part series on pitfalls, we thought we’d discuss the culture of your MRA department and how it guides the work.  Our almost-20 years in this field have brought us into contact with practices and … Read Full Post

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Pitfalls in Chart Reviews: Specialist Notes

In this four-part series, we’ve explored so far, the use of suspect reports and issues related to prior medical records.  In this installment, we’ll look at what can make specialist notes a little challenging to the chart reviewer. Although the … Read Full Post

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Pitfalls in Chart Reviews: Prior PCP Records

In Part 2 of this series on the challenges encountered in chart reviewing for risk adjusted conditions, we’ll discuss the prior PCP.  Every single primary care practice has a mechanism for requesting and obtaining records from the patient’s prior primary … Read Full Post

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Pitfalls in Chart Reviews: Suspect Reports

Our company began working with risk adjusted payments in 2004, shortly after the CMS-HCC model was implemented, and as you can imagine, we’ve reviewed thousands of medical charts.  Over the years, as providers from all specialties have become more versed … Read Full Post

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