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DoctusTech Blog

CMS released its final Medicare Shared Savings Program rule, called “Pathways for Success” for ACOs. The new rule is designed to help establish a path toward risk. CMS = Centers for Medicare & Medicaid Services || MSSP = Medicare Shared Savings... Read more

ACOs Risk Adjustment Coding IN Medicare Shared Savings Program MSSP

Live with Dr. Kazi is a new video series from Value-Based Care expert, Farshid Kazi, MD - Co-founder of DoctusTech, and passionate advocate for HCC coding and the Quadruple Aim.  In our third episode, Dr. Kazi shares ways in which HCC coding is good for the country.
   

Watch the full intervi... Read more

We recently published a white paper on RADV audits and the importance of strict HCC compliance. A few weeks later, the Department of Justice announced a groundbreaking $90 million settlement with p... Read more

DOJ Sutter Health

Live with Dr. Kazi is a new video series from Value-Based Care expert, Farshid Kazi, MD - Co-founder of DoctusTech, and passionate advocate for HCC coding and the Quadruple Aim.  In our third episode, Dr. Kazi shares ways in which HCC coding is good for the country.
   

Watch the full intervi... Read more

Live with Dr. Kazi is a new video series from Value-Based Care expert, Farshid Kazi, MD - Co-founder of DoctusTech, and passionate advocate for HCC coding and the Quadruple Aim.  In our second episode, Dr. Kazi shares ways in which HCC coding is uniquely good for doctors.
   

Watch the full i... Read more

  One pillar of The Quadruple Aim is to Improve the clinician experience.    Even before the COVID crisis, Physician Burnout has been a growing concern. And after 18 months of increased workload and stress, the problem is getting worse, not better.   The Joint Commission Journal on Quality and Patient Safety recentl... Read more

Live with Dr. Kazi is a new video series from Value-Based Care expert, Farshid Kazi, MD - Co-founder of DoctusTech, and passionate advocate for HCC coding and the Quadruple Aim.  In our first episode, Dr. Kazi shares ways in which HCC coding is uniquely good for patients.
   

Watch the full i... Read more

Planning Ahead For Strict HCC Compliance Protocols

Key Findings From 400 RADV Audits, 2011-2021 

 

What is a RADV Audit?

The Medicare Risk Adjustment Validation Program (RADV) was created to identify and correct past improper payments to Medicare providers an... Read more

HCC Compliance RADV Audit

The AAFP is a great first-stop for information on Risk Adjustment and HCC Coding. And although this article is a few years old (2018), their take on HCC Coding and Risk Adjustment preparedness is both unique and extremely helpful. First, they lay out what Risk Adjustment is and how it works. Then they tie it in with IDC-10 codes and HCC coding, to paint—with a broad brush—the full picture o... Read more

Fee-for-service contracts continue to be a challenge for VBC. The pandemic led to a drastic reduction in volumes that impacted FFS contracts revenue ($15B loss due to volume dips).   During the pandemic, organizations with value-based contracts were able to pivot operations to maintain revenue even when the volumes dropp... Read more

Value-Based Care Contracting 101