Matrix Medical Network and Mission Medical Group are physician practices developed to provide high-quality cost- effective care to patients in the long-term care setting.

Revenue Management Support
Effective January 1, 2007 payments to Medicare Advantage plans are risk-adjusted. The risk-adjusted payments are based on the clinical conditions of the member as reported through ICD-9 codes. A major source of ICD-9 codes is physicians.

Matrix physicians and nurse practitioners complete comprehensive health risk assessments (HRAs) of high-risk members. These HRAs include a face-to-face visit at the bed-side and can be used to support a plan’s risk-adjusted payments.

Results of the HRAs can also be used to improve care. The assessments help to identify candidates for follow-on disease and case management interventions, and are also shared with the member’s primary care physician to address any required follow-up.

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To learn more about how Matrix can help you manage your high-risk members, please contact us.