08 May 0
BOULDER, Colo.–May 8th, 2013–The National PACE Association (NPA), which represents Programs of All-inclusive Care for the Elderly (PACE) nationwide, has made an agreement with Capstone Performance Systems (Capstone) to provide assistance to NPA members. Specifically, Capstone will provide training and resources for documentation and coding procedures that will be integral to the full implementation of CMS Encounter Data Reporting System (EDRS) for PACE organizations in 2014.
Regulated by Centers for Medicare and Medicaid Services and state Medicaid agencies, PACE organizations deliver a community-based and comprehensive model of care for frail seniors who desire to live at home. Capstone works with PACE organizations to support Medicare risk adjustment and enhance performance, compliance and revenue. The training offered by Capstone for NPA members will include discipline-specific webinars to support the PACE interdisciplinary team members that utilize existing procedure codes. Additionally, Capstone will develop a set of resources to support the NPA members’ use of procedure coding and enhanced model Superbills that will be available on the NPA website. EDRS requires procedure codes to quantify the services provided to PACE participants and has been partially implemented in 2013 for standard health care claims. Compliance with the full EDRS implementation requires reporting procedures for all encounters provided in the PACE centers or by PACE staff.
“Capstone is pleased to work alongside our colleagues in the PACE community to develop resources that will assist with compliance and implementation of the challenging encounter data reporting requirements,” commented Richard Schamp, M.D., CEO of Capstone Performance Systems.