Welcome to our blog

Latest posts

Why HCC Recapture is Not Enough

HCC code recapture of previously documented, or "known", conditions is a starting point - not a complete strategy - for assessing risk. Recapture updates a patient's risk profile based on codes submitted to payers in the previous calendar year, which does not factor in many common scenarios.

Latest posts

Provider Education in HCC Risk Adjustment

Hierarchical Condition Category (HCC) risk adjustment depends on accurate documentation at the point of care. All conditions, including manifestations, complications and comorbidities, must be documented to the highest level of specificity to paint an accurate picture of a patient’s complexity. Subtle nuances involved in coding and documentation have a significant impact on risk adjustment factor (RAF) score accuracy, which in turn affects reimbursement and ultimately appropriateness of care for patients.‍

Latest posts

Chart Reviews - Prospective Vs. Retrospective

Historically, Medicare Advantage Organizations (MAO’s) have relied on retrospective chart review as the primary method of discovering conditions that may not have been coded during the patient encounter. But with the shift to value-based care, emphasis on early intervention and growing regulatory pressure to get coding and documentation right on initial claims, risk-based payer and provider organizations are increasingly incorporating prospective reviews into their workflows.

Latest posts

Webinar: How To Improve Your HCC Scoring

Join us tomorrow, Aug 20th, for a fireside chat about how to improve your organizations HCC scoring. Jeff Lehrich from MDPortals and Healthmonix President and CEO Lauren Patrick will be discussing how HCC scoring impacts MIPS, Medicare Advantage and other programs, as well as best practices for improving HCC scoring, and more.

Latest posts

Video: How MDPortals Helps Doctors Deliver Better Care

Learn how MDPortals is helping one of the nation’s largest healthcare companies care for patients across the country.

Latest posts

MDPORTALS ANNOUNCES SPONSORSHIP OF THE 2020 AAHCM VIRTUAL ANNUAL MEETING

MD Portals will sponsor the 2020 American Academy of Home Care Medicine (AAHCM) Annual Conference. The conference was developed by pioneers in the field to leverage the power of home care medicine.

Latest posts

MDPortals Appoints David B. Agus, MD, to Chair Medical Advisory Board

MDPortals’ plug-and-play solution enables providers to thrive in the world of value-based care by providing a risk-adjusted, longitudinal health record for their patients. MDPortals’ proprietary knowledge platform collects patient data from multiple electronic health records (EHR), health information exchanges (HIE), diagnostic laboratories, and pharmacies.

Latest posts

The Role of New and Suspected Conditions in Risk Adjustment Clinical Workflows

Successful risk-based arrangements incorporate the full picture of risk - including new and suspected diagnoses as well as previously documented conditions - into pre-encounter and point-of-care workflows.

Latest posts

The Crucial Role Of The Medicare Annual Wellness Visit In Proactive Care Management

The Medicare Annual Wellness Visit (AWV) is a powerful tool for delivering proactive care in the value-based care environment. Created in 2011 by the Centers for Medicare & Medicaid Services (CMS), the service is a free benefit for Medicare beneficiaries that can go a long way towards putting patients on the best possible path to wellness each year.

Latest posts

The Underestimated Benefits of Risk-Based Arrangements

The benefits of a prospective risk adjustment workflow expand well beyond just revenue cycle management. The shift to proactive workflows that risk adjustment programs require has a significant impact on an organization's day-to-day operations.

Latest posts

Why Specificity Matters When Documenting and Coding HCC’s

Under the HCC risk adjustment model, specificity in documentation and coding is key to providing a complete picture of patient health, establishing accurate benchmarks and ensuring appropriate compensation. HCC codes are used to calculate a patient’s risk adjustment factor (RAF) score, so that predicted cost of care will be more in line with the patient’s health status.

Latest posts

MDPortals Partners with AAHCM to Improve Clinical Care

‍MDPortals, a healthcare technology company that retrieves and consolidates a patient’s complete healthcare history for national medical practices with 5,000 or more patients, is proud to announce its partnership with the American Academy of Home Care Medicine (AAHCM). As part of AAHCM’s Industry Relations Council (IRC), MDPortals offers services to provide AAHCM member physicians with easy access to all the information they need to care for their patients, even in the home.

shade

popular posts

shade