Tag Archives: specialty consultation note

Risk Adjustment & the Specialty Provider – Part 3

Welcome back to our last installment of this three-part series on specialty providers and risk adjusted payments.  Part 2 of this blog series focused on the substance of consultation notes, while today, we  evaluate our topic from the perspective of staff … Read Full Post

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Risk Adjustment & the Specialty Provider – Part 2

In Part 1 of this blog, we reviewed the role of specialty providers in risk adjusted payments and their diagnoses of conditions that may fall under the CMS-HCC model.  In this installment, we’ll evaluate the substance of those consultation notes. … Read Full Post

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Risk Adjustment & the Specialty Provider – Part 1

Without a doubt, risk adjusted payments are geared to primary care providers (PCPs) and form the basis of Medicare Advantage plan payments and usually those of PCPs, whether directly (as in funding) or via surpluses or bonus payments.  The same … Read Full Post

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