Capstone Performance Systems provides expert Medicare risk adjustment services to ensure optimal reimbursement and compliance.
Healthcare organizations provide critical services that should be reimbursed accurately. Our insightful training and support helps organizations optimize the processes that impact Medicare’s risk adjustment payment methods. We are proud to say our clients consistently populate the top tier of average risk scores nationally.
Capstone Performance Systems provides a variety of customized services to help your organization. Our experts help leadership and staff understand the complexities of Medicare risk adjustment, including: data collection and submission, progress measurement, financial and compliance analytics , documentation, and diagnosis coding. Capstone specializes in assisting organizations with adjusting processes and systems to capture timely, complete, and accurate data. We also assist programs in adapting to industry changes that impact internal processes, including encounter data reporting and ICD-10 updates.
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Latest News
- 13JUL 0
CODING NOTES: Tips for coding Degenerative Disc Disease (DDD) in ICD-10
By Debbie Ploschnitznig, CRN-C
Degenerative disc disease (DDD) describes the symptoms of pain and possibly radiating weakness or numbness stemming from a degenerated disc in the spine. Simply…
- 13JUL 0
PROGRESS NOTES: CMS Final Reconciliation Delayed
By Richard Schamp, MD, CEO
PACE organizations are accustomed to receiving final reconciliation of the prior year’s Part C and Part D payments in July. This reconciliation is reflected…
- 11MAY 0
RAPS Data Integrity Audit
By Richard Schamp, MDChief Executive Officer, Capstone Performance SystemsWe have been describing multiple aspects of risk adjustment compliance in our newsletters, along with helpful tips on documentation…
Testimonials
"Capstone has managed to thoroughly integrate an awareness of RAPS, and the sill needed for accurate diagnostic coding of HCCs, for our providers. We were struggling with dropped codes and low RAPS scores until Capstone educated us on a systemic approach to capturing accurate diagnostic information. Our experience with Capstone has been absolutely critical to our success.” - D. Funk, Medical DirectorMedical Director
“Capstone has provided excellent training to our providers and financial staff since 2013, when Piedmont’s risk score was “below average” for a variety of reasons. We have since realized a huge improvement and thus significant financial benefit.” (more…)Piedmont Health SeniorCare
“We have utilized Capstone for numerous projects over our most formative years of operations. I have always found them to be respectful, knowledgeable and insightful. From the presentation of information to the analyses of our data as it compares to other PACE programs nationally. Capstone offers such relevant data reports, analyses and offers valuable correlations that our staff could not have put together ourselves due to limited time, knowledge base, skill set and/or resources. (more…)PACE Org of Rhode Island
“I wanted to send a quick email to say Thank You! I truly enjoy working with your staff and, in turn, have learned a great deal. (more…)St. Francis LIFE
"I wanted to send a quick email to say Thank You! I truly enjoy working with your staff and, in turn, have learned a great deal. (more…)Immanuel Communities