It's about the Goals
It is the percentage of patients with an approved Attest to reach our goal.
What is 86.7%?
It is the "Active over Active" attribution methodology and the way that the Attest Completion Rate is calculated.
What is the number of active members with at least one approved Attest on a PCP's panel divided by the active number of members on the PCP's panel?
It is one of the Polychronic Management Reporting resources that can be leveraged to see all rejected or not addressed codes for all members that have an approved Attest for the primary purpose of identifying and tracking outstanding codes.
What is the Attest Quality Progress Report?
It is how the Not Addressed Rate is calculated.
What is the total number of pre-populated, prompted codes the clinician marked as Not Addressed divided by the total number of pre-populated, prompted codes.
The intention of our Polychronic Management Program in CareAllies.
What is a comprehensive program that focuses on access to care for the most frail patients within the population. The program focuses on ensuring patients are seen, all conditions are comprehensively assessed, documented, and managed, and associated care gaps are closed?
Of the 86.7% overall volume goal, it is the different glide path percentages for the end of Q1, Q2, Q3, and Q4/Runout.
What are 30%, 60%, 90%, and 100%?
When there is an approved provider Attest/form and a member changes providers or terms, it is what happens to the approved Attest/form.
What is the Attest/form follows the member and the original completing provider no longer gets credit for it but the newly assigned provider adds it to their number of completed approved Attest.
It is the definition of Outstanding Code.
What is a code that was rejected or not addressed on a previously approved Attest and has not been subsequently closed through another data source or form?
It is how the codes that were rejected or not addressed by the original completing provider affect that new provider's Rejection or Not Addressed Rates if they are not a part of the same TIN.
What is the previously rejected or not addressed codes will not adversely affect the new providers Rejection or Not Addressed Rates?
The three pillars of the CareAllies Polychronic Management Program.
What are Access to Care, Condition Assessment and Management, Care Gaps Addressed?
It is the two monitored metrics and the percentages associated with Attest quality.
What is Rejection Rate of <7.5% and Not Addressed Rate of <3%?
It is the date at which the active membership of a provider/IPA is frozen or anchored and the "Active over Active" methodology will be calculated for that year.
What is December 1st?
It is the primary reason that a 1:1 match cannot be achieved for rejected or not addressed codes from the Attest Goal Tracker spreadsheet to the Attest Quality Progress Report, Audit Export Spreadsheet, or the Approved Attest Dashboard.
What is the Attest Goal Tracker spreadsheet uses the "Active over Active" methodology and other Polychronic Management reports do not?
The process to positively impact Rejected and Not Addressed rates throughout the year.
What is leverage Attest for first time and subsequent visits to document conditions, including adding additional conditions where appropriate, ensuring all documentation is in place and conditions are assessed? This increases the denominator without also negatively increasing the numerator.
One of the Polychronic Management Reporting resources that shows all Arcadia forms in all status (except Not Started) for all members over a two-year historical period.
What is the Audit Export Report?
It is our Overall CareAllies Star Rating Goal and the Overall Star Rating that no IPA should be lower than.
What are 4.20 for Overall CareAllies Star Rating and a 4.00 Overall Star Rating?
It is how the Rejection Rate is calculated.
What is the total number of clinician confirmed but auditor rejected codes for one of the four primary reasons divided by the total number of clinician confirmed codes?
The recently distributed weekly spreadsheet that tracks Stars performance from an IPA perspective towards Part C, Part D, and Overall Star goals and variances of those goals.
What is the 2025 Stars Goal Tracker?
HMO, PPO, or both: It is the membership that is included in the Attest Polychronic Goals calculations and the Polychronic Stars calculations.
What is only HMO members for the Attest Polychronic Goals and both HMO + PPO for the Polychronic Stars Calculations?
The Arcadia report that combines condition and quality data for the primary purpose of outreach stratification and prioritization of the patients for intervention.
What is the Polychronic Management Roster?
As part of our Polychronic Management Goals, it is our desire for these two calculations of risk to match.
What is Total and Closed Risk?
These are the four primary rejection reasons considered in the Rejection Rate calculation.
What are Not Documented in Note, Unsupported/ No MEAT, Conflicting Condition, and Requires Underlying Condition?
Is one of the Polychronic Management Reporting resources that tracks various overall Attest metrics for all members that have an approved Attest such as completions, codes status, and lifecycle. However, does not limit rejection reasons and considers multiple Attests per member.
What is the Approved Attest Dashboard?
Beer, Schnitzel, Pretzels, Pumpkin Soup, and Apple Strudel
What Brian had a lot of while on his trip in Germany?
The definition of Outreach Score in the Polychronic Management Roster in Arcadia.
What is the combination of unaddressed HCCs and quality measure gaps?