How do I calculate patient encounters for Medicaid?...
How do I calculate patient encounters for Medicaid and total patient volume to fulfill Medicaid EHR Meaningful Use criteria?
Practice Fusion expert answer:
The Medicaid patient volume methodology will be designated by your State Medicaid Agency and approved by CMS. In determining patient volume thresholds, EPs should include individuals enrolled in Medicaid managed care organizations, prepaid inpatient health plans, prepaid ambulatory health plans, and Medicaid medical home programs or Primary Care Case Management.Please contact your State Medicaid Agency for more information on how your state is calculating patient volume by clicking the link below. You will most likely have to gather information from your billing software to calculate what percentage of your patient encounters include Medicaid patients.
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State Medicaid Programs