Charles Fox
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Recent activity by Charles Fox-
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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Where can I find the metric definitions in Explore?
On the Explore page there are two places where you can find definitions for metrics. Table Header In any table in Strategy, in any table, the button in the column header is a button you can cli...
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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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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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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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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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Why don't the parts add up to the whole?
Overview There are many places in Strategy where, at a glance, it seems that the metrics in some columns should add up to the metric in another column, but they don't. In this article, we will prov...
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How do we Calculate PMPM?
OverviewPMPM - Per Member Per Month - is a significant metric for evaluating your network or comparing two networks. To create these metrics we need to consider costs, patient attribution and eligi...
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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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How do I find provider and/or ACO information?
How do I find basic information about a medical provider or ACO of interest? There are two places where you can find basic information for a medical provider, on the Explore page and on the Anal...