PACE Technical Assistance Center
Capstone provides expert Medicare risk adjustment services to ensure compliance and optimize revenue.
Healthcare organizations provide critical services that should be reimbursed accurately. Our 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 Risk Adjustment Services provides a variety of customized services to help your organization stay compliant and optimize revenue. 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.
“Capstone has helped us achieve accurate and specific documentation through excellent on-the-ground training, provider coaching, chart reviews, condition-specific guidance-and the list could go on. They are a valued partner of ours." - Drew Crenshaw Senior Vice President, Population Health (Oakstreet Health)Senior Vice President
“Capstone helps us capture the revenue for the work we are truly doing.” - Daniel Andrews, MD Medical Director, PACE@Home Medical Director
“As a new PACE provider, Medical Director Training provided knowledge and skills to efficiently step into my new leadership role. It was so helpful that I used the PCP orientation portion with all new providers thereafter. At Senior CommUnity Care of Michigan, both Medical Director and Provider Orientation training have decreased the learning curve for new PACE providers!” - Elizabeth Hengstebeck, D.O. FACOFP, Senior CommUnity Care of Michigan Medical Director
As one of the largest and fastest-growing PACE programs in the country, we select our consultants and contractors very carefully. That’s why we work with Capstone. Jan Deyber is our best friend at Capstone. She is always willing to jump on a Skype/Zoom call to help us troubleshoot. She really has the best interest of PACE Southeast Michigan at heart. It’s apparent that she cares deeply. Additionally, Capstone has increased our Risk Score and Medicare Revenue, helping us better serve our participants while aiding in our growth. - Jeff Burmeister, CAO/CFO, PACE Southeast Michigan CAO/CFO
"Total Life Healthcare (TLH) has partnered with Capstone Performance Systems for several years and has benefitted greatly from this enduring relationship. Not only have we seen a rise in our Medicare risk scores which correlates to better Medicare revenue, but can rest easy knowing that these risk scores are not inflated. Capstone recognizes the important balance between score maximization and score optimization, and works with us to establish a true picture of our member’s risk." - Terry Combs, Total Life Healthcare Manager, Finance & Medicare Part D
"The Capstone Team is extremely knowledgeable and always provided exceptional service and training. They are quick to respond and provide us with all the information and details that we need when we need it." - Sandi Lewis, PACE of Southwest Michigan Director of Quality and Compliance
"The Capstone and CareVention team has been absolutely essential to the development, launch, and growth of our PACE program. The team is a powerhouse of expertise about every aspect of PACE that provides critical education and guidance to help our program flourish. We simply would not be the robust PACE program we are without them!" - Sam Black, TRU PACEExecutive Director
"Capstone has been a partner with Brandman Centers for Senior Care PACE for over 6 years. They have provided assistance with Risk Adjustment support, coding, and record auditing. Additionally, they have supported us with Provider and PACE Staff education and consistent provision of data reports. They were invaluable with the collaboration regarding Service Area Expansion and Application submission. CareVention has really become a part of the Brandman Centers for Senior Care family as we utilize CareKinesis, PEAK, and their other excellent services." - Susie Fishenfield, Brandman Executive Director
"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