Three of VNSNY Choice Medicare advantage plans will not be available in 2019. Check here for information about 2018 Medicare plans.
How to Avoid an Extended Medical Record Audit Process
SelectHealth is required to ensure participating Primary Care Providers’ medical records comply with health plan standards. To that end, each year VNS conducts audit of the records of randomly selected members.
Providing complete records in the timeframe requested will eliminate the need to make repeated requests or to even come on site for a physical audit.
CHOICE Quality Management uses 12 elements identified by the National Committee for Quality Assurance Guidelines as accepted standards for medical record documentation.
They are listed below.
The minimum acceptable score on overall performance is 80%. Any practice that fall shorts are required to submit a written explanation and a corrective action plan.
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