Charles Fox
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Recent activity by Charles Fox-
Risk Scores and HCC
Summary Risk Scores are calculated in accordance with specific and detailed parameters defined by CMS, which include factors such as patient diagnoses and demographics. The Risk Score number can be...
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DCE Claims Alignment, Risk Score, PMPM Updates
As the DCE program ramps up for its second performance year, we want to ensure that our clients understand how we derive our alignment estimates and the limitations of our methodology. Metr...
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What is Performance Score?
What is it? Performance Score is a Trella Health metric that you can use for a quick evaluation of a provider. We base the score on 4 other critical metrics. This score is a national comparison. Wh...
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Does the total patient cost Cover all E&M Codes for all physicians?
Yes, the Total Patient Cost chart includes all Evaluation & Management (E&M) codes for physicians. If you want to look at the codes, see https://www.aapc.com/codes/cpt-codes-range/99091-99499/ ...
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What are the different MSSP ACO Tracks?
Shared Upside Rate Performance Payment Limit of Benchmark Shared Loss Rate Loss Sharing Limit Minimum Savings Rate/Minimum Loss Rate # of 2021 ACOs Track 1* Up to 50% 10% 0% 0% 2% to 3.9% ...
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What is the difference between Voluntary and Claims-Based Alignment?
With voluntary alignment, the Medicare patient is able to self-elect their PCP. If that PCP is also on an MSSP participant list, then that patient will be aligned with that ACO. With claims-based ...
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What are the CPT codes used in Physician Total Patient Cost?
The triggering CPT events Trella Health uses for Physician Total Patient Cost metrics match the most recently published list from CMS regarding CPT codes that count towards MSSP Version-9 Attributi...
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Risk Score and Normalization
Risk Scores and Normalization Factor Normalization factor is based on the National Average FFS Risk Score and is not limited to just estimated DCE assigned lives. The Normalization factor is ...
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How does Trella Health identify Attribution?
Attribution Attribution is also called "claims based alignment" or "Claims Aligned Lives." Read on and you will find that all of these aliases point to the same purpose of the method; connecting p...
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Release Notes - June 24, 2020
Understand Leakage Information in Patient Paths Understand the percent of patients who receive care outside your network in Patient Paths. We have added summary leakage statistics at both the netwo...