Depression is a growing issue in the United States. As of 2019, the National Institute of Mental Health (NIMH) estimated 17.3 million adults as having at least one major depressive episode*. The National PACE Association (NPA) also lists major depressive disorder as one of the top five chronic conditions among PACE participants**. As is the case with other diagnoses, accurately and specifically documenting depression is vital to the patient, the provider, and the coder.
Detailed provider documentation is the foundation…
MOORESTOWN, N.J., November 24, 2020 — Tabula Rasa HealthCare, Inc. (“TRHC”) (NASDAQ: TRHC), a healthcare technology company advancing the field of medication safety, today announced a partnership between TRHC’s Capstone Performance Systems service line and the American Academy of Home Care Medicine (AAHCM). As part of the partnership agreement, AAHCM will offer the newest program product from Capstone, Clinical Documentation Excellence (CDE) Online Education, to AAHCM members at a discounted rate, and Capstone will participate in AAHCM’s…
Moorestown, NJ, June 29, 2020 — Tabula Rasa HealthCare ®(TRHC) (NASDAQ:TRHC), a healthcare technology company advancing the field of medication safety, has launched the “Clinical Documentation Excellence” (CDE) Online Education series for Medicare risk adjustment. The program is designed for physicians, physician assistants, nurse practitioners, and other clinicians who offer services in value-based care settings, including Programs of All-inclusive Care for the Elderly (PACE), Medicare Advantage, managed Medicaid, and Accountable Care Organizations.
“Optimizing risk adjustment is complex, and most healthcare…
CareVention Consulting | Technical Assistance Center’s team of advisors support for- and not-for-profit organizations in exploring PACE and developing new programs. The team also partners with existing PACE programs to provide ongoing operations support in many areas. With years of experience in the PACE model of care and using a highly collaborative approach, the CVC team is committed to your program’s success.
The CareVention Consulting team is led by Senior PACE Consultants Dorothy Ginsberg and Sharon Hilton, both highly-experienced in…
Capstone Performance Systems is now accepting nominations for the 2019 Richard O. Schamp, MD, Award. The Award is presented annually to a PACE Medical Director who espouses the many principles Dr. Schamp championed. David Wenzel, DO, of Midland Care was the inaugural 2018 recipient.
This year, nomination for the award is open to any PACE Medical Director whose organization is a client of a CareVention HealthCare company (Capstone, CareKinesis, Cognify, Mediture, and PeakTPA/eClusive). The criteria to be used in selecting…
Moorestown, NJ (August 16, 2019) – Capstone Performance Systems, a subsidiary of Tabula Rasa HealthCare (NASDAQ:TRHC), announced that its Senior PACE Consultant Dorothy Ginsberg, RN, received the Philadelphia Inquirer’s 2019 Influencers of Healthcare award on Thursday, August 15, in Philadelphia. The Award honors “Philadelphia’s leading healthcare professionals who go above and beyond to improve the collective health of our City and strive to make a difference in their patients’ lives.” Ginsberg was recognized in the Nurses of the Year…
Is your PACE plan receiving accurate payments for the services you provide? Capstone’s Medicare Revenue Cycle Report can help ensure it does.
Each month, PACE plans receive a monthly Medicare Member Report (MMR) from CMS. Accessing the report is time-consuming and the volume of data can be overwhelming. However, this information is critical to your organization’s bottom line.
If your plan is not consistently monitoring this important report each month, you might not be…
On April 1, the Centers for Medicare & Medicaid Services (CMS) released the Final Announcement outlining changes to the HCC Payment model for Medicare Advantage Plans and PACE Programs for Payment Year 2020. The HCC model used to calculate risk scores for PACE will change from the version used since 2012 (Version 21) to the 2017 model known as Version 22.
While providers and coders work together in the health-care field, there are notable differences between the clinical and the coding worlds. Providers are not always aware of every coding guideline, and this can sometimes result in documentation that is not as specific as needed for coding purposes. This lack of specificity can cause confusion at times. An example of this is documenting current and historical conditions in the medical record. It is a longstanding practice for providers to use…
MOORESTOWN, N.J., December 19, 2018 – Capstone Performance Systems, a subsidiary of Tabula Rasa HealthCare, Inc. (“TRHC”) (NASDAQ: TRHC), recognized David D. Wensel, DO, Chief Medical Officer of Midland Care in Topeka, Kansas, with the inaugural Richard O. Schamp, MD, Award. The Award is named in honor of Dr. Schamp, the founding CEO and visionary of Capstone Performance Systems, which provides expert Medicare risk adjustment, health plan management, and PACE operational consulting services to Programs of All-inclusive Care for…
Those who know me well realize how much a certain part of me would rather be anywhere else now, doing almost anything else. Yet, another part of me realizes that what we celebrate tonight is larger than my or Dr. Wensel’s accomplishments. Indeed, we celebrate the callings and service by hundreds of PACE medical professionals, executives and other leaders. These work tirelessly to deliver and improve care to vulnerable and complex patients and caregivers. Dr. Wensel is the proverbial…
Moorestown, NJ and St. Louis, MO (March 26, 2019) – Capstone Performance Systems, a St. Louis company offering comprehensive consulting and services to Programs of All-inclusive Care for the Elderly (PACE) and other at-risk healthcare organizations, today announced a new Precluded Providers report to be offered by its Peak Health Plan Management service line. PACE is a federal program benefiting individuals 55 and older who are nursing home eligible. PACE includes 240 centers in 31 states serving a growing…
Indira Kanouka, MD, has joined Capstone Performance Systems’ consulting team. A private practice physician in New Jersey, Dr. Kanouka had previously served as medical director of Beacon of Life, a PACE (Program of All-inclusive Care for the Elderly) organization, and of Specialty Hospital of Central Jersey.
Dr. Kanouka has extensive experience working with the geriatric population,…
Kim Browning, CHC, PMP, has joined Tabula Rasa HealthCare (TRHC) as Executive Vice President (EVP) responsible for subsidiary companyCapstone Performance Systemsand its new division, Peak Health Plan Management, which resulted from Capstone’s recent acquisition of Peak PACE Solutions, an Altitude Edge company.
Kim Browning
Most recently, Ms. Browning was EVP of Cognisight, LLC, in…
After more than 30 years in the field of geriatric care, including more than 15 years focusing on PACE (Programs for All-inclusive Care for the Elderly), Capstone Performance Systems founding CEO Richard Schamp, MD, has announced he is turning over the reigns of the company to colleague Kim Browning. After a short break, Dr. Schamp will provide broader leadership support through Tabula Rasa HealthCare (TRHC), Capstone’s parent company.
In the past year, Capstone’s leadership team has taken steps to prepare for…
On May 1, Tabula Rasa HealthCare (TRHC), parent company of Capstone Performance Systems, acquired Peak PACE Solutions from Altitude Edge (AE), following the news of AE founders’ David Reyes and Ronda Hackbart retirements. Peak PACE Solutions is now Peak Health Plan Management Services and will operate as a service of Capstone.
“Capstone’s mission is to help our client organizations succeed fiscally in a compliant manner,” said Capstone CEO Richard Schamp, MD. “Having worked collaboratively for years with Peak, we look…
By Matt Zimmerman
Director of Client Success/Part D Consultant
It’s that time of year again! We have been advised that CMS is in the process of notifying PACE plans of their selection for the next round of 1/3 Part D Financial Audits. Selected plans will receive a notice from the CPA contracted to conduct this year’s audits shortly. If your plan is selected for this round of Part D financial audits, the audit team will be focusing on Payment Year 2017….
Tabula Rasa HealthCare subsidiary to offer expanded PACE Technical Assistance Center
St. Louis, MO, and Moorestown, NJ, (June 7, 2018) – Capstone Performance Systems, a Tabula Rasa HealthCare (NASDAQ:TRHC) subsidiary based in St. Louis, today announced Dorothy Ginsberg, RN, a senior PACE consultant, and Mandy Hurley, a marketing and enrollment consultant, have joined the company’s consulting division. Capstone Performance Systems provides Medicare risk adjustment and health plan management services to Programs of All-Inclusive Care for the Elderly (PACE) and similar…
Acquisition will expand TRHC’s presence in PACE market
St. Louis, MO, and Moorestown, NJ, May 3, 2018 – Tabula Rasa HealthCare (NASDAQ:TRHC), a healthcare technology company offering comprehensive data-driven software solutions and services for healthcare organizations, today announced it has acquired Peak PACE Solutions, the leading health plan management solutions and services provider in the PACE (Program of All-inclusive Care for the Elderly) market. Peak PACE Solutions will become Peak Health Plan Management Services, and operate as a…
George “Mike” Brett, MD Senior Vice President of Consulting and Chief Medical Officer
St. Louis, MO, and Moorestown, NJ, (April 4, 2018) – Capstone Performance Systems, a subsidiary of Tabula Rasa HealthCare, Inc. (“TRHC”) (NASDAQ:TRHC), today announced that George “Mike” Brett, MD, has been named Senior Vice President of Consulting. Dr. Brett, who retains his title of Chief Medical Officer for…
John C. Stolze has joined Capstone Performance Systems as Senior Vice President of Business Success. Stolze brings to Capstone an in-depth understanding of the operations side of PACE, accountable care organizations (ACOs) and physician groups with a strong suit in value-based care. He most recently served as director of operations and population health for St. Anthony’s Physician Organization in…
On Target recognizes a client who is showing process improvement from putting Capstone’s processes and advice into action.
Pain points
ICD-10 was the tipping point. CMS’s implementation of the new edition of the coding system was the point of no return for Senior Total Life Care (STLC), a PACE organization serving 175 participants in a rural area less than 20 miles outside of Charlotte, North Carolina. (more…)
David Wilner, MD, FACP, AGSF, has joined Capstone Performance Systems as senior medical consultant. A clinical professor at University of Massachusetts Medical School, Dr. Wilner previously served as medical director and vice president of Summit ElderCare and Fallon Health and as coordinator of geriatric medicine training at St. Vincent’s Hospital in Worcester, Mass. He is a past member of the National Pace Association (NPA) board of directors and former chairman of the NPA’s…
St. Louis, MO, November 7, 2014 – Capstone Performance Systems CEO Richard Schamp, M.D., C.M.D., C.H.C.Q.M, named George W. Brett, M.D., as Capstone Performance Systems’ Chief Medical Officer. Capstone provides expert Medicare risk adjustment services to Programs of All Inclusive Care for the Elderly (PACE) and similar healthcare organizations to ensure proper reimbursement and optimal utilization of services and funds.
Neta Kessler hired as Project Specialist at Capstone Performance Systems
BOULDER, Colo.–November 21, 2013– Dr. Richard Schamp, CEO of Capstone Performance Systems, announced that Neta Kessler has been hired as Project Specialist. Capstone Performance Systems works with Programs of All-inclusive Care for the Elderly (PACE) and similar organizations to demystify Medicare risk adjustment methodologies and to enhance performance, compliance and revenue. PACE organizations provide community-based, comprehensive care to frail seniors; they…
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