Protecting Your MSSP Benchmark: Why Accurate Risk Capture Every 90 Days Matters

Protect Your MSSP Benchmark: The 90-Day Secret to Accurate Risk Capture

Your MSSP benchmark hinges on one critical rule: chronic conditions must be flagged, documented, and closed every 90 days. Missed diagnoses = an underweighted benchmark, leaving your ACO financially exposed.

Here’s the fix:

1. Flag suspected conditions quarterly (meds, labs, care gaps).

2. Document HCCs during visits—specificity is key.

3. Close the loop: confirm, rule out, or refer.

Skip the cycle? Risk scores regress, costs spike, and audits loom. Compliance isn’t year-end—it’s every 90 days.

Start today:

• Build a suspect condition registry.

• Train providers on HCC validation.

• Audit charts monthly, not annually.