Annual Wellness Visits
Invent Health’s MAP platform enhances annual wellness visit programs, with collaboration between health plans & providers for better patient outcomes.
Effective HCC recapture is a reconfirmation process, somewhere between a census and an audit. It establishes that patients are still covered, and their conditions are still managed year over year. HCC recapture is also subject to constant attrition even when performed perfectly; patients move to other areas, obtain other methods of covering the costs of their care, or they pass away.
It is imperative for the managed care and risk-bearing organizations’ leadership to understand the status of their HCC recapture rate and AWV rate of completion monthly. Well-managed data reconciliation workflow and HCC recapture tracking system will help:
- Conduct a comprehensive health assessment for each member.
- Determine each member’s health risk status and appropriate care plan.
- Promote members’ involvement in their own care.
- Assist in proper documentation for healthcare effectiveness data information set (HEDIS), star ratings, and hierarchical condition categories (HCC).
- Maintain compliance with value-based care programs
Providers and provider groups play a critical role in ensuring the integrity of the data used in calculating the overall health risk of members. As healthcare moves from volume- to value-based delivery models, the AWV addresses gaps in care and improves patient outcomes.
Benefits of AWV Module
- Simple tracking of patients due for AWV and recommend actions
- Increase annual HCC capture rates by 10%.
- Increased provider engagement and compliance through incentive payment programs
- Customizable AWE forms and workflows for Medicare, medicaid and commercial lines of business.
- Maximize health risk assessments to identify care interventions and goals.
- Increase compliance across HCC capture rates, HEDIS and STAR quality metrics.
- Easy accessibility for all clinical documentation for audit purposes.
Key Features of AWV Module
Invent Health’s MAP platform supports a workflow-enabled AWE module that helps health plans and providers work collaboratively to manage annual wellness visit programs. The AWE module supports the review and captures accurate documentation from practitioners, primary care providers, and provider groups—in turn, it helps patients stay healthier.
- Track the annual health condition status for each member using the pre-built AWE FORM templates
- Reconcile HCC conditions and medical record documentation sufficient to support HCC conditions for every member
- Track and review documentation, and request/upload additional clinical documents to the highest level of specificity
- Track member-level AWE status through the customizable workflow and implement a collaborative workflow process to approve, review, and hold completed AWE forms
- Enable incentive programs and payment reporting at the member and provider level for completing annual wellness Visits
- Automate checklists for provider outreach,allowing coding teams to review the submitted and incomplete AWE forms.
- Risk adjustment departments can ensure encounter data submissions are timely, accurate, and robust (i.e. reflecting the level of diagnostic specificity found in the medical chart)
- Automated OCR processes to extract data from AWE forms and perform analytics and recommendations for provider outreach and HCC coding review teams.
- Integrate HEDIS and star rating quality data collection utilizing the AWE workflow process.
- Risk analytics and reporting capabilities enable key performance metrics, monthly performance report cards, and actionable stratified data for providers to close gaps.
