Risk Adjustment
These are the number of discharge diagnosis codes that can be submitted on a 5010 Professional and 5010 Institutional claim, respectively. The RA Management Member whose preferred flavor of soda is Dt. Mt Dew.
What are 12 and 25? Who is Ben?
This new initiative we rolled out in Spring 2016 with a select group of providers? What current RA management team member has had another RA team member living with them as a roommate.
What is the Provider Scorecard Program? Who is Beth?
This day of the month is No Meeting Day? Name the RA management team members who have at least 4 children.
What is the First Thursday? Who is Patty and Steve?
This is the team responsible for bringing in over $100M in additional revenue in 2017 for Excellus. The RA management member that has been caught running in the halls of Excellus on multiple occasions.
What is The Risk Adjustment Team? Who is Patty?
The Excellus senior leader that started their career as a sales rep in the Elmira office. The RA management member that states "Legally Blonde" is their favorite movie.
Who is Jim Reed? Who is Meagan?
In which year did NYS transition from MEDS to APD? This RA management team member is afraid of birds, specifically large flocks of them.
What is 2015? Who is Meagan?
In 2017, HHS added which additional category of factors to the HHS-HCC model? This RA Management member has the longest tenure within the Risk Adjustment department.
What are Enrollment Duration Factors? Who are Steve or Evan?
Which new Division was created in Fall 2016 reporting to Chris Booth? Who on the RA management team has a dog taking anti-depressants?
What is Strategic Business Programs? Who is Beth?
This is the health insurance term that is often abbreviated by ACQA. The RA management member that has car seats in their car for their dogs.
What is Accountable Cost & Quality Arrangement? Who is Evan?
The Excellus VP that was a self-proclaimed carny. The RA management member that drove to Albany to deliver a state file submission on time after missing the courier cut off time.
Who is Melissa Gardner? Who is Patty?
The lines of businesses performing IHAs for 2018 are? For which event was the Risk Adjustment “food table” created?
What is Commercial, Medicaid, Medicare? What is the summer party at Nicole's?
2016 Payment Year's RAPS to EDPS blend was 90:10, 2017 Payment year's is 75:25. This is the blend for Payment year 2018. How many Risk Adjustment management team members have significant others who also work at Excellus? (25 bonus points for naming them all)
What is 85:15? What are three (Meg, Nicole and Evan)?
Which two new behaviors were added to the Lifetime Way last year? Name one of the two in-use "celebrity couple" nicknames that exist in the Risk Adjustment department.
What is Innovation and Diversity? Who is Shemily (Shelly/Emily) or Mevan (Meagan/Evan)?
The program that is previously known as the Rotation Program at Excellus. The RA management member that is a landlord and has 4 tenants.
What is the Actuarial Development Program? Who is Evan?
The Excellus senior leader that played professional indoor lacrosse. The RA management member that skipped a grade in school.
Who is Barry Thorton? Who is Ben?
What does CRG stand for? These are the only two NY risk adjusted lines of business of the five submitted to the NYS All Payer Database.
What are Clinical Risk Groups? What are Medicaid and Essential Plans?
Which of the following vendors never did retrospective chart retrieval and coding for us: Verisk, PopHealth, Vatica, Inovalon, ArroHealth, or Altegra ? The names of each of the Risk Adjustment SVP/VPs that RA has reported to from 2014 until today.
Who is Vatica? Who are Bob, Jim, Kent, and Paul?
Our 7 block strategy consists of Grow Profitability, Execute, Improve Quality, Improve member & Community health, reduce costs, motivate our workforce and "this missing 7th one". What RA Management Team member has owned bees to make their own honey?
What is Prepare for the Future? Who is Steve?
April 16, 2018 was the 11th anniversary of this important day designated to educate the public and providers about the importance of advance care planning. The RA management member that was once a bartender.
What is National Healthcare Decision Day? Who is Meagan?
The Excellus SVP that was almost taken by sled to deliver their baby during a snow storm. The RA management member that owned their own craft business.
Who is Katie Rubin? Who is Nicole?
In 2017, CMS split the Medicare Community HCC model into six separate models – name all six. The RA management member that is scared of balloons.
What are Aged non-dual, Aged partial dual, Aged full dual, Disabled non-dual, Disabled partial dual, Disabled full dual? Who is Nicole?
The original name of our Medicare In Home Assessment Vendor prior to our current one, PopHealthCare. The RA management member that has a sandwich named after them. (50 bonus points for the name of the sandwich)
What is Inspiris? (A pat on the back for Optum, but wrong) Who is Steve?
Which LOB segment had the highest operating margin in 2017? What is the highest number of simultaneous Mini Cooper owners that have worked in RA at the same time? (25 bonus points for naming them all)
What is experience rated? What is 3; Bob, Ben and Rhea?
The name of the movie where the main character, Reuben Feffer, is a risk assessment expert who performs the job of an underwriter. The RA management member that road a rollercoaster with Tim Allen.
What is "Along came Polly"? Who is Steve?
The Excellus Finance VP that once lived in Singapore. The RA management member that didn't have their first sip of alcohol until they were 25.
Who is Teresa Anderson? Who is Nicole?