Fact Based List:

Gorman Health Group: 10 Questions re performance of your 2012 Medicare risk adjustment program

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

  1. Did you hit your volume target for member evaluations for 2011?
  2. Did you hit your revenue target for chart review and member evaluations for 2011?
  3. Are you planning for a 2012 Quarter 1 launch for member evaluations?
  4. Do you have best in class analytics with a constant 5 to 1 ROI or higher for member evaluations?
  5. Are you reducing your dependence on chart review?
  6. Are you scrubbing your claims based HCCs for validation & confidence levels?
  7. What is your percentage of zero HCCs found in your member evaluation program?
  8. What is your percentage of zero HCCs found in charts?
  9. Do two different coders agree on your findings?
  10. 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...