By RaeAnn Grossman
If you only touch one thing in March, review and refresh your analytics for Medicare Advantage before you run your retrospective chart suspect list or list for members with gaps in care. So much has changed, the codes, the coding patterns, the regulations, the demands towards EDS.
Make certain you have revised your analytics to be ICD-10 ready, date of service specific, filter for the highest credibility of provider types, the highest credibility of compliant charts and coding specificity.
March had Pi day and St. Patrick’s Day, but March should really be focused on revising your MA analytics to support the best value. As ROIs move from $245 to $285 to over $400, make sure you know where to look for the most compliant impact — that means the best coding provider, best dates of service, best HCCs for the member’s care plan, etc.
March is really analytics month.
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