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RAPS CODING AND ANNUAL PCP ENCOUNTER VISITS FOR MEDICARE PATIENTS

May 22, 2013

Medicare Managed Care reimbursement from CMS depends on accurate and complete diagnostic (ICD-9) physician coding. Capturing the most accurate and specific diagnostic codes, on an annual basis, on each Medicare Advantage, ACO, and Medicare Fee For Service patient’s health care conditions is “mission critical” for health plans, for individual physicians practices, for IPA’s and for medical groups. Many are currently receiving radically lower premiums than those to which they are entitled. During 2013, Health First Network, Inc. is initiating a RAPS project to collaboratively work with our physicians to achieve 100% completion of a comprehensive annual exam on each Medicare beneficiary. Please read the attached letter from Dr. Whibbs.

Letter from Dr. Whibbs


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