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…
Indira Kanouka, MD
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 company Capstone Performance Systems and 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….
