{"id":2039,"date":"2017-07-28T07:00:42","date_gmt":"2017-07-28T13:00:42","guid":{"rendered":"https:\/\/dsiohn098w.mpqhf.org\/blog\/?p=2039"},"modified":"2017-07-26T07:36:03","modified_gmt":"2017-07-26T13:36:03","slug":"identify-high-cost-specialists-create-care-coordination-agreement","status":"publish","type":"post","link":"https:\/\/dsiohn098w.mpqhf.org\/blog\/identify-high-cost-specialists-create-care-coordination-agreement\/","title":{"rendered":"How to identify high cost specialists and how to create a care coordination agreement"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/dsiohn098w.mpqhf.org\/blog\/wp-content\/uploads\/2017\/07\/7.28.2017-Coordinating-with-Specialists.png\" alt=\"\" width=\"1200\" height=\"300\" class=\"alignnone size-full wp-image-2040\" srcset=\"https:\/\/dsiohn098w.mpqhf.org\/blog\/wp-content\/uploads\/2017\/07\/7.28.2017-Coordinating-with-Specialists.png 1200w, https:\/\/dsiohn098w.mpqhf.org\/blog\/wp-content\/uploads\/2017\/07\/7.28.2017-Coordinating-with-Specialists-300x75.png 300w, https:\/\/dsiohn098w.mpqhf.org\/blog\/wp-content\/uploads\/2017\/07\/7.28.2017-Coordinating-with-Specialists-768x192.png 768w, https:\/\/dsiohn098w.mpqhf.org\/blog\/wp-content\/uploads\/2017\/07\/7.28.2017-Coordinating-with-Specialists-1024x256.png 1024w\" sizes=\"(max-width: 1200px) 100vw, 1200px\" \/><\/p>\n<h1>How to identify high cost specialists and how to create a care coordination agreement <\/h1>\n<h5>July 28, 2017<\/h5>\n<h6>Written by Kristen Schuster, Practice Facilitator<\/h6>\n<p>The utilization reports are broken down in to several categories for your practice to reference.  One of the areas is identifying high cost specialists.  Your practice can use this information to create collaboration agreements. <\/p>\n<p><strong>What applies to the specialist in a care coordination agreement?<\/strong><\/p>\n<ul>\n<li>Specialist agrees to refer patient back to primary care physician (PCP) if additional diagnosis arise<\/li>\n<li>Secondary referrals are communicated back to the PCP<\/li>\n<li>Notify PCP of no-shows and cancellations<\/li>\n<li>If a patient self-refers the specialist agrees to notify the PCP<\/li>\n<li>Identify a timeline to receive specialist reports<\/li>\n<\/ul>\n<p><strong>What applies to the PCP in a care coordination agreement?<\/strong><\/p>\n<ul>\n<li>PCP will prepare patient for the reason of the referral <\/li>\n<li>Provide adequate and timely medical records to the specialist<\/li>\n<li>Indicate urgency of the referral<\/li>\n<li>Provide direct contact information for the referring provider<\/li>\n<li>Follow-up with patients that no-show or cancel<\/li>\n<\/ul>\n<p>CPC+ does expect care coordination with a specialist.  The utilization report makes it easy to identify the specialist providers that are seeing your patients the most.  Aligning the care coordination agreements with the utilization reports will aid in reducing patient costs to the health care system.  Please refer to CPC+ for examples of a <a href=\"https:\/\/app.innovation.cms.gov\/CPCPlusConnect\/069t0000000BefG?retUrl=%2FCPCPlusConnect%2F_ui%2Fsearch%2Fui%2FUnifiedSearchResults%3Fstr%3Dspecialist%2Bagreement%26sen%3D068%26sen%3Da2t%26sen%3D0F9%26sen%3D005%26sen%3D0TO%26sen%3Dka\" target=\"_blank\">care coordination agreement<\/a>.<\/p>\n<p>If you have any questions, or run into issues with any of the CPC+ objectives and would like help please use the \u201cLeave a Reply\u201d section below, or email <a href=\"mailto:kschuster@mpqhf.org?subject=CPC+%20Assistance\" target=\"_blank\">Kristen Schuster<\/a> directly with your questions or comments.<\/p>\n<p><strong>Other Resource Links<\/strong><br \/>\nCatch up on the national learning webinars with Mountain-Pacific Quality Health\u2019s <a href=\"https:\/\/dsiohn098w.mpqhf.org\/blog\/wp-content\/uploads\/2017\/07\/Fact-Sheet-3.pdf\" target=\"_blank\">quick FAQ sheet<\/a>.<br \/>\n<a href=\"https:\/\/www.youtube.com\/watch?v=V-BdMs7moEY&#038;feature=youtu.be\">Recorded CMS Feedback Report Webinar<\/a><br \/>\n<a href=\"https:\/\/dsiohn098w.mpqhf.org\/blog\/wp-content\/uploads\/2017\/03\/CPC-Change-Package.pdf\" target=\"_blank\">CMS Change Package<\/a><br \/>\n<a href=\"https:\/\/dsiohn098w.mpqhf.org\/blog\/comprehensive-primary-care-plus-cpc-blog\/\">See all CPC+ Blog Posts<\/a><\/p>\n<hr \/>\n<p>&nbsp;<\/p>\n<p><strong>Subscribe to the HTS CPC+ Blog<\/strong><br \/>\n<a href=\"http:\/\/eepurl.com\/cH6b4n\" class=\"su-button su-button-style-flat\" style=\"color:#ffffff;background-color:#385173;border-color:#2d415c;border-radius:5px\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"color:#ffffff;padding:0px 30px;font-size:22px;line-height:44px;border-color:#74869d;border-radius:5px;text-shadow:0px 0px 0px #f4f4f4\"> Subscribe<\/span><\/a>\n<p>&nbsp;<\/p>\n<hr \/>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/www.mpqhf.org\/corporate\/wp-content\/uploads\/2017\/02\/Untitled-3-300x95.png\" alt=\"\" width=\"300\" height=\"95\" class=\"alignnone size-medium wp-image-3035\" \/><\/p>\n<div id=\"boxzero\">\n<section id=\"boxone\">\n<p id=\"boxparagraph\"><strong>See a list of upcoming webinars<\/strong><\/p>\n<p><a href=\"http:\/\/www.mpqhf.org\/corporate\/health-and-technology-services\/webinars-and-events\/upcoming-webinars\/\"><span class=\"link-spanner\">See a list of upcoming webinars<\/span><\/a><\/p>\n<\/section>\n<section id=\"boxtwo\">\n<p id=\"boxparagraph\"><strong>Check out any webinars you missed<\/strong><\/p>\n<p><a href=\"http:\/\/www.mpqhf.org\/corporate\/health-and-technology-services\/webinars-and-events\/webinar-materials\/\"><span class=\"link-spanner\">Check out any webinars you missed<\/span><\/a><\/p>\n<\/section>\n<aside id=\"boxthree\">\n<p id=\"boxparagraph\"><strong>See our CPC+ resources<\/strong><\/p>\n<p><a href=\"http:\/\/www.mpqhf.org\/corporate\/health-and-technology-services\/resources\/cpc-resources\/\"><span class=\"link-spanner\">See our CPC+ resources<\/span><\/a><\/p>\n<\/aside>\n<\/div>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>How to identify high cost specialists and how to create a care coordination agreement July 28, 2017 Written by Kristen Schuster, Practice Facilitator The utilization reports are broken down in to several categories for your practice to reference. 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Your practice can use this information to create [&hellip;]<\/p>\n","protected":false},"author":13,"featured_media":1738,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"categories":[135],"tags":[],"class_list":{"0":"post-2039","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-cpc","8":"entry"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>How to identify high cost specialists and how to create a care coordination agreement - Mountain Pacific Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/dsiohn098w.mpqhf.org\/blog\/identify-high-cost-specialists-create-care-coordination-agreement\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"How to identify high cost specialists and how to create a care coordination agreement - Mountain Pacific Blog\" \/>\n<meta property=\"og:description\" content=\"How to identify high cost specialists and how to create a care coordination agreement July 28, 2017 Written by Kristen Schuster, Practice Facilitator The utilization reports are broken down in to several categories for your practice to reference. 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