HPSM conducts an annual clinical record review in order to search for documented ICD-10 diagnoses that may not have been previously reported to the Centers for Medicare and Medicaid Services (CMS). The 2023 requests for medical records from providers will begin in August with the expectation that all records will be collected by December 31.
Because record retrieval can be a burden on providers, we will consolidate requests when possible. In many of those cases, providers grant us access to their electronic health record (EHR) for HPSM members so we can handle the record retrievals individually. If you are not already taking advantage of this opportunity to streamline your ongoing record collection process, and are interested in doing so, please speak with our contracted medical record collection vendor to provide access.
The following details will help you respond to upcoming requests:
- HPSM partners with Change Healthcare, which specializes in the record retrieval process, so you may get a record request from them rather than HPSM.
- Records requested will be from January 1, 2022 to the present.
- Since CMS is requesting these records as part of their risk and quality review, we appreciate your prompt response.
- If your office needs assistance complying with these requests, please email Ingrid Cornejo, Revenue Data Operation Project Specialist, at Ingrid.Cornejo@hpsm.org.