Provider Notices

Risk Adjustment Chart Review

7/22/2013 2:33:52 PM
Dear Provider:
The Centers for Medicare & Medicaid Services, known as CMS, reimburses health plans based on the health risk of individual Medicare members. Using the requirements provided by CMS, PacificSource Medicare is conducting data validation for submission to CMS for a portion of risk-adjusted payment.
So we may perform a risk adjustment chart review, we are requesting your assistance in providing medical records.

Please click here to read the full announcement.