Based on a two-year analysis, we are updating the requirements for
submitting a SOAP (Subjective, Objective, Assessment, and Plan) Progress Note
through ePASS® for Medicare Advantage HMO and PPO members, as
well as certain commercial HMO, POS, and PPO members.
During the analysis, it was found that 98 percent of relevant medical
information was collected in two SOAP Progress Notes submissions per year.
Also, there was little evidence to show that care gaps were closed when visits
occurred within a short time frame.
As of January 1, 2015, changes to the incentive payment
include:
- limiting the amount of submissions to two per member, per calendar year;
- increasing the incentive payment for the second visit.
Note: The submission for the second
visit will be valid only if the second visit occurred more
than four months after the first visit for which you submitted the initial SOAP
Progress Note.
If you have any questions regarding SOAP Progress Notes or using
ePASS®, please contact Inovalon at
1-877-448-8125. For questions about this initiative, please
contact Customer Service at 1-800-ASK-BLUE.