Consistent data flow needed to sustain contracts

With our successful membership campaign concluded, our focus is now on establishing the consistent flow of data needed to sustain our contracts and prove the quality and value of care from EHP.  

Our technical team is tracking each EHP member practice’s data flow in four key areas: 

1. Data feed established; at least one claim received
2. Received at least 1 CPTII/HCPCS code in a claim
3. Received claims in May
4. Received CPTII/HCPCS codes in May 

To ensure that we are meeting our commitments to our contracts, we have set the following timetable for all EHP practices:

DATE ACTION June 1 At least one provider is a pilot for using CPTII/HCPCS codes and has tested on a claim July 1 At least one provider is routinely sending CPTII/HCPCS codes via claims Aug. 1 All providers have been trained on using CPTII/HCPCS codes Aug. 1 All providers have begun submitting CPTII/HCPCS codes on claims Aug. 1 Participating provider is regularly reviewing quality data in the Dimensional Insight (DI) dashboard, or administrative personnel are reviewing and notifying provider of necessary follow-up Dec. 31 Practices are meeting all benchmarks for initiatives We understand the addition of CPTII/HCPCS codes to your claims is something that may need to be integrated into your daily practice, and we’re here to offer whatever support you might need to make this happen. We’re able to provide technical assistance with setting up your feed, and cheat sheets with the most frequently used CPTII/HCPCS codes. If you need assistance, please contact Tiffanie Schaefer (425.899.2600 or tmschaefer@evergreenhealth.com) and we’ll get you the appropriate resources.  Practice managers receive invitations to our monthly meetings, where they can get questions answered. The next meeting is June 19, 7:30-8:30am, in room Tan 136 at EvergreenHealth Medical Center.