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Managing New Participants Who Enter Your PACE Plan with a Current Risk Score

Cognisight presented "Managing New Participants Who Enter Your PACE Plan with a Current Risk Score" at the National PACE Association’s 2013 Annual Conference. From retrieving previous medical records, reviewing a CMS Model Output Report (MOR) and Monthly Membership Report (MMR) for current HCCs and risk scores, flagging appropriate diagnoses for providers for semi-annual and annual assessments, to managing potential drop offs with your finance department, the presentation is filled with valuable information. It also validates how following those steps results in appropriate care for the participant as well as appropriate reimbursement for the PACE plan.

Specific learning objectives included:
  • Flagging specific diagnoses for providers
  • Maintaining participant’s risk scores (where valid)
  • Preventing chronic HCCs from falling off an MOR 

To download the presentation slides, please click here.