What You Can Do
Improving Your Scores
The physician’s responsibility is to re-determine each patient’s health status at least once a year. To successfully accomplish this, we highly recommend the following steps:
- Fully assess and evaluate every patient’s chronic conditions once a year, using the problem list as a tool (PDF)
- Thoroughly document ALL significant conditions evaluated in the progress notes
- All chart documentations must be concise, clear and legible
- The physician’s signature and credential must be on each chart entry as a condition of payment from CMS
- Code to the Highest Level of Specificity, using 4th and 5th digits as needed (please refer to our RA tool kit for further details)
- Code ALL significant diagnoses exactly as you would for Fee-For Service
- Current year version of ICD-9-CM 2012 must be used for accurate diagnostic coding
- Superbills must be updated, expanded and revised yearly
- Attend our Risk Adjustment Training by contacting (562) 602-1563 ext. 497 for more information