Fact Based List:
Gorman Health Group: 10 Questions re performance of your 2012 Medicare risk adjustment program
This List Sponsored by HealthcareWebSummiton Tue, 12/13/2011
The HealthcareWebSummit webinar: "The Impact of Risk Adjustment on Quality of Care: Next Steps in Better Case Management" will be held Wednesday, February 22nd, at 1PM Eastern
- Did you hit your volume target for member evaluations for 2011?
- Did you hit your revenue target for chart review and member evaluations for 2011?
- Are you planning for a 2012 Quarter 1 launch for member evaluations?
- Do you have best in class analytics with a constant 5 to 1 ROI or higher for member evaluations?
- Are you reducing your dependence on chart review?
- Are you scrubbing your claims based HCCs for validation & confidence levels?
- What is your percentage of zero HCCs found in your member evaluation program?
- What is your percentage of zero HCCs found in charts?
- Do two different coders agree on your findings?
- Are any of your vendors on corrective action plans with you?
Source: Gorman Health Group Blog by RaeAnn Grossman: Risk Adjustment: Are you driving a Pacer or an Audi R8?
Source URL: http://blog.gormanhealthgroup.com/2011/12/06/risk-adjustment...
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