IBC is offering an incentive to providers who have face-to-face encounters with
and submit medical documentation for Medicare Advantage HMO or PPO members who,
based on our information, may not have had an office visit with their primary
care physician (PCP) in the past year or who may have a chronic condition.
Eligible providers will receive a letter from IBC describing this incentive
opportunity along with a list of their IBC members who meet the criteria. By
submitting a SOAP (Subjective, Objective, Assessment, and Plan) Progress Note
for these members, per the instructions found in the letter you received or
will be receiving, providers can earn incentives for the initial submission, as
well as any subsequent face-to-face encounters and SOAP Progress Note
submissions. We have partnered with Inovalon, Inc., an independent company that
provides secure, clinical documentation services, to process member assessments.
The results from your face-to-face encounters can be entered electronically
through the NaviNet[
]?[] web portal. By going to the Eligibility and
Benefits Inquiry transaction and selecting the member?s Clinical Alert,
providers can access the ePASS[
]?[] system to enter in the
appropriate information from the encounter.
After completing each submission, please be sure to report the diagnoses codes
on claims submissions that reflect the information submitted in each SOAP
Progress Note. It is very important for this information to be aligned to
improve the accuracy of the risk adjustment used in IBC incentive programs,
such as the Quality Incentive Payment System (QIPS) program for eligible PCPs
and the Integrated Provider Performance Incentive Plan (IPPIP) for eligible
organizations.
If you have any questions regarding SOAP Progress Notes or ePASS, please
contact Inovalon at [
]1-877-448-8125[]. For
questions about this initiative, please contact Customer Service at [
]1-800-ASK-BLUE[].
Note: Incentive payments will be sent within 90 days of your submission of the
SOAP Progress Note.
[
NaviNet® is a registered trademark of
NaviNet, Inc., an independent company.
]