HCC Must be Across Care Settings.

• Maximize patient visits and close care gaps for upcoming visits
  • Annual Wellness Visits (AWV) for all members
  • Prepare visit to close care gaps
• Ensure all diagnosed codes and conditions are properly captured by appropriate documentation in patient chart
  • Educate physicians on risk adjustment and documentation requirements
  • Share best practices related to risk adjustment activities
• Develop ongoing chart review process to ensure continued high standards in documentation and coding
  • Develop a checklist and monitor inter-reviewer reliability
  • Sustain improvement using analytics engine
• Monitor overall improvement and performance in risk adjustment metrics
  • Develop success metrics and track performance metrics