Independent Care Health Plan’s Annual Diagnoses Collection and Confirmation Project
As part of Independent Care Health Plan ’s contract with The Centers for Medicare & Medicaid Services (CMS), it is required to compile and report diagnostic profiles annually. This information must be obtained via a medical record review of individual member diagnoses that were treated or impacted within a claim (calendar) year.
Independent Care Health Plan has partnered with Cognisight to perform the annual collection of data and confirmation project. Cognisight’s goal is to obtain a “complete diagnostic member profile,” while attempting to minimize disruptions to your office workflow and staff.
CMS will only accept submission of diagnoses when they are listed on an encounter note rather than on an active problem list, signed lab result or consult. This does not imply that a provider’s documentation for the purposes of patient care is not sufficient, only that CMS has specific requirements to recognize existing diagnoses for a patient.
This information is time-sensitive and a response is needed as soon as possible.
If you have additional questions, please contact Mark Clausen, Cognisight Account Manager at 585-662-4290 or Amanda Harcus, iCare Director of Financial Data Analytics at aharcus@iCareHealthPlan.org.