PPS Provider Appeals - DY1 Q4

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PPS Provider Name: Advocate Community Providers Appeal 1 of 1

Conclusion:
PPS unsuccessfully appealed the Independent Assessor´s findings relative to Active Engagement of patients in Project 3.d.iii.

Advocate Community Providers PPS appealed the IA's determination on Active Engagement of patients in Project 3.d.iii. On appeal the PPS stated that they believed their "internal calculations indicate that ACP exceeded the 80% threshold for patient engagement volume." Upon review of the appeal the IA determined that although the PPS reported a number in excess of their patient engagement commitment, a review of the documentation submitted does not support this number. The number of patients actively engaged in this project which is supported by documentation does not meet 80% of its patient engagement commitment. The IA upheld its original determination.