Tag Archives: "Dr. Richard Schamp"

Clinical Documentation Improvement in PACE

Capstone LogoClinical Documentation Improvement in PACE

By: Dr. Richard Schamp, CEO

Clinical documentation is at the core of every healthcare encounter. Therefore it should be complete, precise, and reflect the diagnoses as well as the scope of care and services provided.  Assuring consistency in provider documentation that is accurate, specific, legible and timely represents a challenge for many organizations.

Providers (doctors, nurse practitioners, therapists and others) are trained in clinical documentation, but often…

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Neta Kessler hired as Project Specialist at Capstone Performance Systems

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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Documenting and Coding for Morbid Obesity – HCC 22

Documenting and Coding for Morbid Obesity- HCC 22

By: Dr. Richard Schamp, MD

Frequently we receive questions about documenting and coding for levels of obesity. This is because Morbid Obesity triggers an HCC and thus provides payment, which is appropriate, due to the extra costs involved in the care of the condition.  We would like to provide some clarification around this issue.

Morbid Obesity HCC 22

Several ICD-9 codes currently map to HCC 22 in the CMS-HCC v21 (as well as RxHCC 21). …

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Correcting Diagnosis Codes Submitted for Risk Adjustment (RAPS) -Part 2

Capstone LogoCorrecting Diagnosis Codes Submitted for Risk Adjustment (RAPS) -Part 2

By: Dr. Richard Schamp, MD

Our previous article described the importance of identifying and correcting errors in submitted data such as RAPS files.  Today, we review how to correct the errors.

The Risk Adjustment Processing System at CMS allows for the correction of risk adjustment data submitted to CMS. This correction process is based on the concept that the incorrect…

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Correcting Diagnosis Codes Submitted for Risk Adjustment (RAPS) – Part 1

Capstone LogoCorrecting Diagnosis Codes Submitted for Risk Adjustment (RAPS) -Part 1

By: Dr. Richard Schamp, MD

PACE Organizations (POs) face many compliance issues regarding their data submissions to regulatory agencies.  Risk Adjustment data is just one of the many areas where care is needed.  For example, POs are required to attest annually regarding risk adjustment data accuracy.

  • MA plans must certify that risk adjustment data is accurate, complete and truthful (based…

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Risk Adjustment Data Validation (RADV) Guidelines for Medical Record Documentation

Written by: Dr. Richard Schamp, CEO

The Centers for Medicare and Medicaid Services (CMS) perform risk adjustment data validation audits on patients’ medical records. Risk adjustment data validation (RADV) is the process of verifying diagnosis codes submitted for payment are supported by medical record documentation. The purpose is to ensure risk adjusted payment integrity and accuracy.  CMS has announced its intention to increase auditing activity consistent with an emphasis to reduce payment errors.

Signs your plan may be at risk for…

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Capstone Performance Systems selected to provide training for National PACE Association members

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…

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Capstone Performance Systems names Richard Schamp, M.D., as CEO

BOULDER, Colo. –August 27, 2012–David Reyes, principal of Altitude Edge and partner for Capstone Performance Systems, announced that Dr. Richard Schamp has been selected chief executive officer. Capstone Performance Systems works with Programs of All-inclusive Care for the Elderly (PACE) organizations to demystify Medicare Risk Adjustment and enhance performance, compliance and revenue. PACE organizations provide community-based, comprehensive care to frail seniors; they are sponsored by Medicare and Medicaid.

According to Reyes, “Dr. Schamp comes to this role with years of…

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Altitude Edge forms new business, Capstone Performance Systems, for dedicated Medicare risk adjustment

BOULDER, Colo. –August 15, 2012– Altitude Edge announces the creation of Capstone Performance Systems, a team devoted solely to the increasing need for accurate Medicare risk adjustment services.

Altitude Edge has been providing risk adjustment services for several years, to Programs of All-inclusive Care for the Elderly (PACE) and similar health care organizations. PACE and similar organizations provide critical care services to seniors so they may remain safely at home.

Altitude Edge created Capstone Performance Systems to devote a complete team…

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