What is a huddle?
Your practice is new to Aledade and still isn't integrated. This is the mnemonic used to keep important diagnoses top of mind for clinicians at the point of care.
What are the "6 Ds"?
Depression
Diabetes
Drugs/Alcohol
Dyspnea
Diet
Dementia
Your practice is converting to concierge model and has patients attributed that they no longer see. This is the effect on Redoc.
What is "decrease"?
This is the industry standard year-end percentage goal for Redoc.
What is 80%
Your physician sees patients every 7 min, thanks to a well-developed patient care team. They feel they cannot possibly look at the huddle and update the problem list. This is a workflow that would utilize this team.
What is "add the codes to the note for physician review"?
You have 2 practices, practice A is very large and Redoc is average, practice B is very small and Redoc is low. This is the practice that will impact the ACO shared savings most.
What is "practice A"?
Your practice has eCW and traditionally has not used the app or the daily huddle. This is a way to embed the codes electronically into their EHR.
What is the VIM overlay?
A patient changes from traditional Medicare to an Aledade Medicare Advantage contract. This is what a clinician do with huddle suggestions.
What is "document accurately for risk adjustment in the Medicare Advantage contract"?
A patient has a coding suggestion of morbid obesity. Since last year, they have lost significant weight and developed hypertension; now BMI is 35. This is the correct diagnosis.
What is "morbid obesity"?
Your practice has completely full schedules and a very small office. This is a way to recapture attribution and document diagnoses without taking too much time and space.
What is Telehealth or CCM?
(recall that telephone codes do not capture codes, but do help with attribution)
This is the maximum increase in risk for a Medicare Advantage contract.
What is "no maximum"?
Your new practice does many telehealth visits on Doximity. This is Aledade's free telehealth solution that allows dismissal of inaccurate diagnoses from the same window.
What is UpDox?
Your practice sees Medicare Advantage patients on the Redoc list that are not in the EHR. This is the reason.
What is "the patient has been assigned to the practice"?
A primary care NP notes their patient has already been seen by the endocrinologist for diabetes. This is what the NP should do for the Aledade Redoc metric.
What is "document diabetes to acknowledge the total care of the patient"?
A new practice regrets not adopting the huddle until Q4. This is something they can do about all those visits earlier in the year.
What is "correcting claims" or "retro-coding"?
This is the largest increase in risk an MSSP ACO can have over a contract term.
What is 3%?
These are 5 examples of primary care redoc conditions.
What is Depression, Diabetes with complications, vascular disease, CHF, COPD, afib, morbid obesity, and CKD 3?
A high performing practice notes no patients on their AWV worklist and a very high DxR, but a mysteriously low Redoc. This is something to check in the app.
What are "hidden patients"?
Your practice sees a diagnosis suggestion of breast cancer. This is the correct documentation for a patient who has completed treatment and is cancer-free.
What is "history of breast cancer"?
A large PY1 practice has many clinicians that you have never met. This is one strategy for this huge opportunity.
What is:
Attend their internal PCP meeting
Ask their leadership for an internal incentive plan
Hire an LMD within the practice
You pull your practice's Dropped Dx Dashboard and notice that the dropped code is always in the 5th location on the claim. This is the name for this billing issue.
What is "truncation"?
These are two "forever conditions"
What are:
Transplant status
Amputation status
Artificial openings
HIV/AIDS
Your practice is low in Redoc and not doing anything to improve. The Q2 CMS report comes in and the Redoc suddenly improves. This is the explanation for the improvement.
What is "the practice has lost significant attribution"?
Your practice has both a low DxR and Redoc, and would like have the most impact in 10 patient appointments. This tableau resource points to the largest return on effort.
What is "unresolved diagnosis patient list"?
Your practice has an excellent DxR, but a very low Redoc. This is the reason for this discrepancy.
What is "patients are being coded outside of the practice"?
What is "Chronic Condition Redoc Dashboard patient-level detail"?