Change Healthcare to begin chart reviews
The Centers for Medicare and Medicaid (CMS) require all organizations participating in the Medicare Advantage (MA) program to submit complete and accurate diagnostic data to CMS for all beneficiaries enrolled in an MA plan.The diagnostic data submitted is used to predict the relative health risk status of individuals during the next calendar year and must be supported by valid documentation within the patient's medical record.
Priority Health has partnered with Change Healthcare, formerly known as Altegra Health, to conduct the review of patient charts on our behalf.
On May 15, 2019, Priority Health sent a letter to our Medicare providers, informing them of the upcoming chart review. The letter also included the steps they need to take to submit medical records to Change Healthcare. Per the letter, a Change Healthcare representative will follow up with each Priority Health Medicare provider in the coming weeks about patient medical records.
Contact information for Change Healthcare
Providers can contact Change Healthcare directly with questions regarding the process at 855.767.2650.