Cognisight, LLC may contact your office from August through December to retrieve and review the medical records of patients who have ConnectiCare commercial plans.
The Centers for Medicare & Medicaid Services (CMS) conducts the annual audit to verify accuracy of diagnosis data that health plans submit to the Department of Health and Human Services (HHS). We are required to submit supporting medical records on a limited population covered by the audit. Cognisight will call your offices to coordinate a convenient chart retrieval method and set the date when records are needed.
Please respond to Cognisight’s request for records promptly. Notice of the need for these reviews and your required compliance are included in your contract with ConnectiCare.
As our partner and “business associate,” as defined by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), Cognisight is fully HIPAA-compliant and is required to protect, preserve and maintain the confidentiality of any protected health information (PHI) obtained from clinical records provided by medical practices.
We appreciate your help. If you have questions, please call our provider services department at 1-800-828-3407.