The Fidelis Care Blog

Beginning with the mid-year risk score run in PY2027, CMS will exclude DOS 2026 diagnosis submissions on unlinked Chart Review Records (CRRs) from Medicare Advantage risk score calculations. Diagnoses not linked to an eligible encounter may no longer be reflected in member risk scores.

Mental health concerns are increasingly being addressed in primary care settings, making it more important than ever for providers to have access to practical tools, expert guidance, and continuing education. That's where Project TEACH can help.

Practical support to improve quality performance, documentation accuracy, and care gap closure.

Fidelis Care will host three Provider Office Hours in October 2026. During the webinars, Fidelis Care staff will be available to share information, provide an overview of provider resources, and answer your questions.

To support accurate and timely claims processing, providers are reminded not to submit a corrected claim until the original claim has completed processing and reached a finalized status.