Medicare Advantage Incentive Opportunity

Medicare Advantage Incentive Opportunity

August 2nd, 2018 | Clinical Connections

Excellus BlueCross BlueShield has contracted with Vatica Health to provide a web-based tool that increases the accuracy and completeness in coding of HCCs for Medicare Advantage (MA) members. AHP is encouraging primary care practices with significant MA attribution to consider implementing the Vatica program, since more accurate HCC coding may position AHP for additional gain-sharing under its Excellus MA contract.

The Vatica tool is cloud-based and interacts with both claims and the provider’s EHR in order to close gaps during the Annual Wellness Visit. Participation in the program has significant financial benefits for practices: for each patient for whom all gaps are closed using the Vatica tool, Excellus will pay the provider $150. Together with the reimbursement for billing the annual physical and annual wellness visit, total reimbursement averages around $350 per visit.

Interested in scheduling a Vatica demo? Contact Renée Sutton.