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New information for Security Health Plan providers

Useful announcements and news related to Security Health Plan coverage and your practice are listed below, along with current and past issues of provider newsletters.

Provider newsletters

Security Administrative Services (SAS) Announcements

Get the latest updates for our SAS plans

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Risk Adjustment

Risk Adjustment and Hierarchical Condition Category (HCC) coding is a payment model mandated by the Centers for Medicare and Medicaid Services (CMS) in 1997.  Implemented in 2003, this model identifies individuals with serious or chronic illness and assigns a risk factor score to the person based upon a combination of the individual’s health conditions and demographic details.  The individual’s health conditions are identified via International Classification of Diseases – 10  (ICD –10) diagnoses that are submitted by providers on incoming claims.  There are more than 9000 ICD-10 codes that map to 79 HCC codes in the Risk Adjustment model.

Partnering with you to serve our members

Provider News features ways Security Health Plan partners with you to promote quality improvement and control costs. Also watch for information about changes in billing requirements, news about coverage requirements and information about clinical practice guidelines.



February 2017  

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Contact Information

Security Health Plan Provider Relations and Contracting Department
shpprd@securityhealth.org
715-221-9640 or
1-800-548-1224