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…
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…
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, 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…
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