Why PCPs Should Focus on Coding and Documentation in Value-Based Care Programs

Medical Economics May 12, 2021
Hassan Rifaat, MD

Many PCPs remain in the dark when it comes to effective documentation, coding, and risk adjustment for their Medicare Advantage patients.

Each year, a growing number of providers are entering value-based care arrangements, including primary care providers (PCPs). Given their holistic view of patients, PCPs are the best types of clinicians to drive value-based care. Medicare’s Primary Care Transformation programs and many payer-developed value-based care contracts are proof of the move for PCPs to be at the center of this transformation and ultimately at the center of the care experience — right where they belong.

While the shift may be underway, many PCPs are not well prepared to operate successfully in these new arrangements. Currently, 67% of Humana’s Medicare Advantage...

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