MyPriority individual plan beginning risk adjustment chart review through Altegra Health
What does this mean?
We continue to conduct routine medical record chart reviews for MyPriority® individual product members. We have retained the services of Altegra Health to assist us in this effort, which will take place through March 2018.
The Department of Health and Human Services (HHS) governs the regulations for risk adjustment payments for all qualified health plans under the Affordable Care Act (ACA).
We conduct chart reviews in accordance with the HHS to ensure we are adequately managing health risk and providing appropriate care management programs for our members.
You may be contacted by Altegra
This chart audit will be beginning in January and will conclude in March 2018.
A representative from Altegra Health may contact you to arrange for electronic or fax submissions of records, or an in-person chart review.
Thank you in advance for your assistance and meeting the timeline for providing requests to Altegra Health.