Our EHR Model of Continuum of care is a concept involving an integrated system of care that
guides and tracks patient over time through a comprehensive array of health services spanning all
levels of intensity of care.
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Our EHR Model of Continuum of care is a concept involving an integrated system of care that
guides and tracks patient over time through a comprehensive array of health services spanning all
levels of intensity of care.
Read More
Scenario 1- Represents what would actually be coded and reported to the plan by many providers (MD,DO,NP,PA).
| Condition | ICD 9/Custom Code | CMS Risk Score | Demographic Score | Total RAF Score | Total Payment $800 (illustrative purposes) x Raf Score |
|---|---|---|---|---|---|
| Diabetes Mellitus | 250.OO | 0.162 | 0.44 | 0.602 | $481.60 |
| UTI | 599.0 | 0.0 |
Scenario 2- Represents what can be coded and reported to the plan by the providers if they have the appropriate tools and education of proper utilizing their assessments and coding it correctly.
By using our Modern Medics, we can assure you that every provider will be trained to fully optimize the appropriate diagnosis that are risk adjusted.
| Condition | ICD 9/Custom Code | CMS Risk Score | Demographic Score | Total RAF Score | Total Payment $800 (illustrative purposes) x Raf Score |
|---|---|---|---|---|---|
| Diabetes Mellitus w/ Renal manifestations | 250.40 | 0.508 | 0.44 | 3.094 | $2,475.20 |
| UTI | 599.0 | 0.0 | |||
| CKD Stage 3 | 585.3 | 0.368 | |||
| Mild Degree Malnutrition | 263.10 | 0.856 | |||
| Old MI | 412 | 0.244 | |||
| BKA | V49.75 | 0.678 |