On December 17th CMS released the memo titled “Payment Year (PY) 2013 Overpayment Recovery”. In the memo CMS reaffirms the overpayment regulations contained in 42 CFR §422.326, where all Medicare Advantage (MA) organizations are required to return overpayments. This memo pertains to risk adjustment data submitted with dates of service in calendar year 2012. This data was used to generate…
Category Archives: "Newsletter"
Risk Adjustment Advisor #11
Heating Up for ICD-10!
With ICD-10 only a couple months away, Capstone understands the pressure that PACE programs are under. We have been working diligently to create training and technological strategies to ensure our clients are fully supported. (more…)
Risk Adjustment Advisor #10
Spring is Blooming!
Even though the first day of summer is a few weeks away, we have been enjoying an eventful and thrilling spring! Not only have we been busy sponsoring the the NPA Spring Policy Forum, the North Carolina PACE Association Conference, and the American Academy of Home Care Medicine Conference, we have also gone through another exciting ‘growth spurt’. (more…)
‘Risk Adjustment Advisor’
‘Risk Adjustment Advisor, #8 February 2015
‘Risk Adjustment Advisor’, #7 January 2015
‘Risk Adjustment Advisor’, #6 December 2014
‘Risk Adjustment Advisor’, #5 November 2014: Correction Notice
‘Risk Adjustment Advisor, #5, November 2014
‘Risk Adjustment Advisor’, #4, October 2014
‘Risk Adjustment Advisor’, #3, September 2014
‘Risk Adjustment Advisor’, #2, August 2014
‘Risk Adjustment Advisor’, #1, July 2014