Altegra Health Selected for Medical Record Retrieval

Feb. 07, 2018

Blue Cross and Blue Shield of Montana (BCBSMT)is requesting your cooperation by providing access to specific member medical records to facilitate a risk adjustment chart review.

As you may know, risk adjustment is the payment methodology used by the Centers for Medicare and Medicaid Services (CMS) and the Department of Health and Human Services (HHS) for our Medicare Advantage and individual policy members. The purpose of these chart reviews is to verify that information reported to BCBSMT and ultimately to HHS and CMS in claims or encounter data includes all pertinent diagnosis codes at the accurate levels of specificity.

BCBSMT engaged Altegra Health to retrieve medical records selected as part of this chart review. BCBSMT has executed a Business Associate Agreement with Altegra Health and any information shared during this review will be kept in the strictest of confidence, in accordance with all applicable state and federal laws regarding the confidentiality of patient records, including current HIPAA requirements. We would appreciate your cooperation with this medical record review and will work with you to minimize disruptions in patient care activities.

You will have the option to submit medical records via secure email, fax, FedEx, remote electronic medical record (EMR) download or onsite scanning performed by an Altegra Health medical record technician. If your office prefers to establish VPN EMR access with BCBSMT to enable secure, ongoing EMR data transmission for this and/or future medical record requests, please communicate this preference to Altegra Health upon receipt of this request letter.

Should you have any questions regarding this process, please feel free to call the Altegra Health Support Center at 1-855-767-2650, Monday through Friday, 8 a.m. to 5 p.m., MT. Thank you in advance for your cooperation and for the care and services you provide to our members.