A POPULATION HEALTH MANAGEMENT COMPANY

How are beneficiaries attributed to me or my TIN?

There is a 2-step attribution process.

Step 1: Beneficiaries are assigned to the group who had a plurality of primary care services (as measured by allowed charges) rendered by primary care physicians, NPs, PAs, or CNSs in the group. If a beneficiary is non-assigned under Step 1, proceed to Step 2.

Step 2: Beneficiaries are assigned to the group practice whose affiliated non-primary care physicians provided the plurality of primary care services (as measured by allowed charges).

Posted in: Value Based Payment Modifier