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Risk Adjustment Advisor
June 2015: 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'. We are excited to introduce the newest members of the Capstone team: Margaret Collins is the new Administrative Services Coordinator at our central office, and Bethany Fehl CPC, Debra Byble CPC-A, Tiffany Brookshire RN, and Christy Wills CPC are the latest additions to the coding department. We have also had the excitement of welcoming five new programs to the 'Capstone family': PACE of Southwest Michigan, Senior Community Care of Michigan, Palm Beach PACE, PACE of the Triad, and StayWell Senior Care! We are so happy to have them onboard, and can't wait to help them grow to new heights!

Matt Zimmerman

RA Consultant

Risk Adjustment Today:
RA Attestation Due this month!
On June 1st CMS issued a memo titled "Payment Year 2014 Risk Adjustment Attestation." This memo reaffirms the plan requirement to complete an annual attestation of risk adjustment data. The attestation is for payment year 2014, so plans will be attesting to the accuracy of the data submitted with a 2013 date of service, which made up payment year 2014.  (continue reading)

Richard Schamp, MD


Progress Notes: Value Based Healthcare
For several years, but especially over the past year, we have heard increasing discussions and commentary about the evolution of American healthcare toward the concept of value.  Value is defined in several ways, but commonly is understood in terms of outcomes relative to costs.  Simply reducing costs without attention to outcomes is risky and may not produce desired results.  CMS has promoted the well-known "triple aim" with three value vectors of patient experience, improved population health and reduced costs.  (continue reading)

Angie Hlad, CRN-C

RA & Coding Dept Manager

Documentation Dispatch: Documenting COPD & Asthma 
COPD is a condition that is often times incorrectly documented.  COPD can be referred to as an irreversible airway obstruction associated with chronic bronchitis and/or emphysema. Asthma is defined as a reversible airway obstruction, which means it can be treated to remove the airway obstruction. (continue reading)

If you are planning on attending this weekend's NPA Summer Conference, Dr. Schamp and Dr. Brett are looking forward to seeing you there.  During all of this spring activity, it's hard to believe that we are already ramping up for this Fall's NPA Annual Conference. Capstone is proud to sponsor the launch of the new mobile application for the event. This free app has many features that will allow conference attendees to access the conference agenda, rate the events, and facilitate networking. We feel this is in line with our constant eye toward innovative ideas and new technology to serve PACE programs. Keep checking this Summer's newsletters for more details, including the link to the app, as the platform is developed.

Neta Kessler
Operations Manager
Capstone Performance Systems
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