Using Elation to Succeed in HMSA Payment Transformation
We are invested in helping Elation providers succeed in quality programs through use of Elation, including HMSA’s Payment Transformation (PT) program. Through use of Elation’s built-in Visit Note Templates and Structured Data Entry fields, you will successfully meet quality measure requirements in your normal charting workflow. This help center article is intended to demonstrate what actions in Elation can be taken to close HMSA Payment Transformation measures. The HMSA Payment Transformation program is a reimbursement model established by the Hawai’i Medical Service Association (HMSA), a nonprofit health insurance company in Hawai’i. Physician organizations (POs) and their primary care providers (PCPs) in Hawai’i are reimbursed in a per-member-per-month (PMPM) payment model, rather than in the typical fee-for-service (FFS) payment model, and based on quality performance. For more information, please refer to the HMSA Payment Transformation website: https://hmsa.com/portal/provider/zav_pel.aa.PAY.100.htm.Visit Note Templates
The following measures require specific procedure codes and/or diagnoses to be billed in order to satisfy the measure. Elation has developed visit note templates on your behalf to help your practice meet measure requirements using a more streamlined workflow.- Access your Visit Note Templates by clicking on the ‘Visit Note Templates’ button in the top left hand corner of the visit note.
- Select the visit note template(s) you want to apply to your visit note by clicking the checkbox next to the visit note template name.
- Click ‘Export All Selected to Note’ to import the templates to your visit note.
- The contents of each visit note template are now present in the visit note.
Elation Billing Section
If you are trying to satisfy a measure using only claims data, the appropriate diagnosis and/or procedure codes must be included on claims submitted to HMSA. If Elation is integrated with a PMS system that handles billing and sends out claims data to HMSA for your practice, diagnosis and/or procedure codes should be included in the Billing Information section of the Visit Note.
Please refer to the Billing help article for more information on how add codes to the billing section in Elation.
If a provider would like their staff to be able to edit the billing section on their behalf, the provider must add the staff member as a billing delegate in their settings page. For more information on how to add a staff member as a billing delegate, please view the Staff Permissions / Staff Delegates help article.
Elation-Coreo Integration
The Elation-Coreo integration is a partnership between Navvis and Elation developed to support providers in demonstrating high quality in HMSA’s Payment Transformation program by minimizing double documentation in Elation and Coreo. Benefits of the integration:- Beat the claim lag! With the Elation-Coreo integration, procedure and diagnosis codes entered into the billing section of signed visit notes will appear in Coreo within 4 business days. You won’t have to wait for claims to be processed to get credit for measures, giving you a more accurate picture of your current performance and allowing you to prioritize patient outreach.
- Reduce supplemental data entry by allowing Coreo to leverage data entered in the patient’s chart that may live outside the visit note billing section. Some measures can be satisfied by clinical data* including:
- Immunizations in the Clinical Profile
- Lab results entered in the Point-of-Care lab result form or received from integrated labs, such as DLS or CLH
- Blood pressure values entered in structured visit note fields
- Elation Coreo Workflow Guide: an in-depth workflow guide with screenshots that goes through the steps needed to get credit for each measure in the HMSA Payment Transformation program in Elation.
- Elation Coreo Cheat Sheets: cheat sheets on what actions to take and codes to enter to get credit for measures in Coreo