Monthly record retrieval for the 2025 DBM program
Beginning soon, our Risk Adjustment team will start monthly email outreach to our Disease Burden Management (DBM) Program providers to collect medical records for targeted DBM members who’ve completed a visit with a provider.
Why are we requesting medical records monthly?
We understand the end of the year is a busy time for provider offices. By collecting DBM member records throughout the year—rather than all at once—we hope to lessen the burden of end-of-year chart pulls for you and your staff.
Why are we reviewing records?
We’re reviewing medical records for coding and documentation accuracy. Following our review, we’ll share our findings with you and your office and offer valuable feedback and tips that can help increase your performance in our DBM program’s HCC Recapture Rate and Coding Accuracy Incentives.
Save time by submitting records digitally
To reduce the time and costs associated with medical record retrieval and help improve efficiency, we encourage providers to submit medical records to us digitally.
Digital submission methods include: Remote EMR access, secure email or setting up a secure SharePoint site with us. Email our team at RA@priorityhealth.com for more information.
- Authorizations
- Billing & payment
- Procedures & services
- Reviews & appeals
- Drugs
- Medical policies
- Provider forms
- Seeing Cigna members
- Requirements & responsibilities
- Clinical resources
- News
- Fraud, waste & abuse policy
- Join our networks
- Check patient eligibility
- Data exchange
- Set up electronic claims
- Set up electronic funds transfer (EFT)
- Check claim status