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Optum
Patient Assessment Form (PAF) and Healthcare Quality Patient Assessment Form (HQPAF)
Take Advantage of Optum’s Provider Training Options

Now that you are well into your 2017 HQPAF/PAF Program, let’s not forget about all of the wonderful training opportunities that are still available through Optum. There are a few different training options that are offered to the provider community. These trainings include a monthly one hour Medicare Risk Adjustment 101 WebEx training as well as Documentation and Coding training that are followed by a one hour disease-specific training. These disease-specific trainings vary from month to month but can be attended each month directly through your desktop. See the attached calendar of trainings still available between now and the end of the year. We encourage you to take advantage of these training opportunities and reach out to your Healthcare Advocate with questions about these training or other coding and documentation tools that are available through Optum.

Click here to view the Optum 2017 WebEx coding calendar

Other trainings that are available to the provider community are in-person training presentations and can be customized to meet the individual needs of each provider office. These trainings are typically coordinated by your local Healthcare Advocate who will discuss which training decks would be the most appropriate for your office. These are hosted by Optum’s national training team and must be scheduled in advance to accommodate schedules. You can view the detailed description of each of the training opportunities available on Optum’s Coding Presentations for 2017 document. Should your office be interested in scheduling one of these customized training sessions with Optum’s national training team, please reach out to your local Healthcare Advocate to discuss next steps.

Now that you are midway through the HQPAF/PAF program year, you may be wondering how the program has helped your group achieve more complete and accurate reporting. Please
Did you know …

 Your Optum Healthcare Advocate or the Provider Support Center can provide access to a number of tools to assist you in tracking your participation in the program. Please contact your Healthcare Advocate or Optum’s Provider Support Center at 877‑751‑9207 or via email at providersupport@optum.com with any questions.

To minimize errors, or to correct previously rejected forms, please refer to the HQPAF Checklist and FAQ for Providers.

Remember …

PAF/HQPAF must be
submitted via:

• Traceable carrier (any commercial carrier with traceable delivery) to the following address:
Optum – Prospective Programs Processing
15458 North 28th Avenue
Phoenix, AZ 85053
• PAF Uploader: please visit optumupload.com
• Secure Fax:
1‑877‑889‑5747
contact your local Healthcare Advocate to review and discuss the “provider scorecard”. This scorecard is your group’s individual performance at an aggregate level. Items discussed on this scorecard can include:

  • Membership Year over Year
  • Risk Score for your practice
  • % of HCC Recaptured
  • Diagnosis Prevalence Percentages
A sample of a provider scorecard can be accessed here.

There are a number of new and updated tools to assist you in getting the most out of the HQPAF/PAF program. You can ask your Healthcare Advocate or contact the Optum Provider Support Center for assistance between 8:00 a.m. - 7:00 p.m. EST, Monday – Friday (excluding holidays) at 877-751-9207.

Thank you for your cooperation and participation!
If you have any questions about the PAF or HQPAF programs, please contact your local Optum Healthcare Advocate or the Optum Provider Support Center between 6:30 a.m. – 4:30 p.m. PST, Monday – Friday (excluding weekends and holidays), at 1‑877‑751‑9207 or email us here.

Thank you again for your participation in the Optum Patient Assessment Form (PAF) and the Healthcare Quality Patient Assessment Form (HQPAF) programs.

We no longer offer SFTP as an option to submit your Healthcare Quality Patient Assessment Forms/ Patient Assessment Forms (HQPAF/PAF). We encourage you to use our new HQPAF/PAF Uploader; an easier and faster submission method. The HQPAF/PAF Uploader requires less time and effort than preparing and submitting documentation via mail or fax.

The HQPAF/PAF Uploader was developed to provide an interface that allows multiple users to securely submit HQPAFs/PAFs without issue of failed delivery or suspended access. The HQPAF/PAF Uploader:
  • Does not require any user credentials
  • Complies with all HIPAA guidelines to protect your practice and your patient’s personal data
  • Allows anyone in your office to access the site and upload documentation
  • Securely transmits directly to Optum
To get started, please visit: optumupload.com.

For additional information as well as publications and products available for HEDIS®, please visit the National Committee for Quality Assurance (NCQA) website at ncqa.org.

For additional information about the Medicare Advantage Five‑Star Quality Rating System, please refer to: http://go.cms.gov/partcanddstarratings.
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