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  1. FHIR Specification Feedback
  2. FHIR-34778

Figure 1-2 Workflow for Medicare Advantage Population, Phase One misses the preceding step where provider sends initial diagnostic/condition codes before risk coding report is generated.

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    • Icon: Change Request Change Request
    • Resolution: Persuasive
    • Icon: Highest Highest
    • US Da Vinci Risk Adjustment (FHIR)
    • 0.1.0 [deprecated]
    • Clinical Quality Information
    • Da Vinci Risk Adjustment Implementation Guide Home Page
    • Figure 1-2 Workflow for Medicare Advantage Population
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      Will add language to section 1.4 to note that there is a preceding step that clinician encounter diagnostic/condition codes are submitted to payer. 

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      Will add language to section 1.4 to note that there is a preceding step that clinician encounter diagnostic/condition codes are submitted to payer. 
    • Floyd Eisenberg/ Anne Smith: 18-0-0
    • Clarification
    • Non-substantive

    Description

      In Figure 1-2 Workflow for Medicare Advantage Population, Phase One misses the preceding step where provider sends initial diagnostic/condition codes before risk coding report is generated. 

      1. Patient - clinician encounter diagnostic/condition codes are submitted to payer.
      2. Payer - generates risk coding report.
      3. Clinician provider may respond with clarification or other action as appropriate.

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            lmichaelsen Linda Michaelsen
            peter.muir Peter Muir
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            Dates

              Created:
              Updated:
              Resolved: