CMS Health Outcomes Survey (HOS) is live: Help improve patient health
The CMS Health Outcomes Survey (HOS) is now live until November. This important survey helps evaluate each member's overall health and quality of life. As a provider, you can support HOS performance and patient health by addressing important health topics, like balance or walking concerns, ways to stay active, bladder control issues, and mental health awareness.
Learn more about HOS and other improvement programs.
Review the 3 Star measures to prevent readmissions
Preventing hospital readmissions and ensuring follow-up care are critical for patient outcomes and our Star ratings. Focus on these three measures and the guides to learn more:
Plan All-Cause Readmissions (PCR):
For patients 18+ who had an acute inpatient or observation stay, followed by an unplanned readmission within 30 days.
We’ve partnered with HOPCo Specialty Care Network (HSCN) to provide high-quality musculoskeletal (MSK) care for our Arizona members. This service allows patients to receive expert orthopedic care at home through HSCN’s digital clinic.
You can refer Devoted Health patients with back, shoulder, or knee pain to the HOPCo Specialty Care Network for assessment and care management. Your patients will receive personalized, evidence-based care from expert MSK clinicians. After the initial assessment, they will follow treatment in the digital clinic or, if needed, be referred to MSK specialists within the hSCN and Devoted Health network. You'll receive updates throughout their care journey.
Fax referrals for Devoted Health patients to (833) 972-1640.
News and updates
Required: Review the SNP model of care training
All providers who serve special needs plan (SNP) members must review the CMS-required Model of Care training annually. This training ensures that providers are equipped to deliver the highest level of care to these vulnerable populations.
Review your National Provider Identifier (NPI) data in the National Plan & Provider Enumeration System (NPPES) as soon as possible to make sure it’s accurate.
You're invited
Join our webinar series to discover the tools, resources, and processes designed to make your job easier. Sign up now >
Review the risk adjustment documentation: Cancer, morbid obesity, diabetes
Accurate documentation is crucial for risk adjustment.
Forcancer, document as active for known presence of malignancy or active treatment, and transition to historical status once excised or eradicated. Document and code remission status for leukemia, lymphoma, and multiple myeloma.
For morbid obesity, link comorbidities to the weight diagnosis and ensure BMI codes are paired with the relevant weight diagnosis.
For diabetes, specify complications and link them to diabetes in the documentation, including a clear treatment plan for both.
Access our updated Tips Sheets for detailed documentation guidance. Go to theProvider Portal >
Contact RAF@devoted.com for clinical documentation feedback or with any questions.
Questions?
Call us at 1-877-762-3515 (TTY 711) 8am to 5pm, Monday to Friday local time. We’re here to help.
CONFIDENTIAL - For provider use only. Not to be shared with Medicare beneficiaries.
Enrollment may be limited to specific times of the year, unless you qualify for a Special Election Period. Benefits, premiums, and cost sharing may vary by plan.
Devoted Health, Inc., PO Box 211037, Eagan, MN 55121
