OCM Performance-Based Payment Pricing Model: What You Need to Know Date: Wednesday, August 10th Time: 1 p.m. - 2 p.m. EST
Description: In OCM, practices will receive performance-based payments when target prices exceed actual costs. Every patient is priced through a complex regression-based formula that uses data from fee-for-service claims. The codes that you use, particularly diagnosis codes, can have an impact of thousands of dollars on your bottom line in ways that they didn’t under fee-for-service billing. In this webinar, we will discuss the method that CMMI uses to set target prices and we’ll discuss details about how your coding will impact your performance-based payments. We will discuss the HCC model and its implications, how being in a clinical trial impacts your target prices, and how diagnosis coding contributes to these factors.
Presenter: Ed Bassin, PhD, Chief of Analytics, Archway Health