New Medicare Incentives:
A Pennsylvania health insurance company has announced new provider incentivesavailable now and payable retroactively for services already rendered this year. Don’t miss out! Contact CTItoday for the inside scoop!*
Special offer for providers:
Enjoy 5% off bundled scanning when you partner with CTI for your medical conversion project.**
A Pennsylvania health insurance company has announced a new incentive program that will pay incentives for Medicare member visits when their Health Risk Assessment is completed. This program applies only to Medicare office visits, and it does not affect or replace their existing incentive program which is in place for their Medicaid line of business.
CTI is committed to helping insurance companies and providers achieve and report the highest quality of care for their members and patients. Identifying health conditions for at-risk populations in a timely manner – and providing appropriate interventions based on those conditions – is of utmost importance. A Health Risk Assessment, in combination with a timely office visit, has proven to be an invaluable tool in identifying opportunities for appropriate care.
- $350 for an office visit within 60 days of the member being assigned to their PCP + submission of Health Risk Assessment
- $150 for an office visit after 60 days of the member being assigned to their PCP + submission of Health Risk Assessment
[/checklist] In order to qualify for the new incentive payment, providers must complete and submit a Health Risk Assessment. All fields on the form must be completed in their entirety and the form must be submitted to the insurance company within 10 business days of the visit. Office visits completed without an HRA will not qualify providers for an incentive payment.
Excellent care given by providers who scheduled Medicare office visits in 2014 without knowing there would be an incentive related to the care is also being acknowledged. Previously conducted office visits are being honored if they were completed within 60 days of the member being assigned to their PCP. Additionally, opportunities are being offered to receive additional incentive payments for submitting Health Risk Assessments based on those recent visits.
- $250 for an office visit within 60 days of the member being assigned to their PCP (from January 1, 2014 to July 31, 2014) with a Health Risk Assessment
- $100 for an office visit within 60 days of the member being assigned to their PCP (from January 1, 2014 to July 31, 2014) without a Health Risk Assessment
[/checklist] These incentives are effective immediately, and will be paid on a quarterly basis. The first payment is scheduled for September 2014, covering dates of service from January 1, 2014 through July 31, 2014.
As you know, patient assessment forms can be lengthy, and this particular HRA is 11 pages long and must be completed thoroughly in its entirety. Since you can’t afford to lose patient-facing time to form completion, CTI can digitize the forms and pre-populate them with your patients’ historical data. Go to the Abstraction & Healthcare page to read more about how CTI can help with healthcare incentive programs and abstraction/EMR or contact CTI today to learn how we can help you uncover limitless additional revenue while saving you time.
*please note: CTI does not determine provider eligibility nor offer healthcare incentives, which is the sole responsibility of the insurance company. Providers should contact insurance companies for further information on healthcare laws and incentive programs. Incentive plans vary by insurance company, state, and type of care. Content posted by CTI is not on behalf of any insurance company and is for informational purposes only. CTI’s services complement participation in various incentive plans by facilitating ease of form completion and submission. CTI’s services are not endorsed by any insurance company offering incentive programs.
**Must mention this ad in the “How did you hear about us?” field of the free assessment form. Offer applicable to new business only. Discount applied to bundled scanning only with purchase of medical conversion services. Signed proposal or agreement for services to be rendered must be present in order for discount to be applied. Terms and conditions subject to change at the discretion of CTI. Offer expires 10/31/14.