The Provider’s Role in Risk Adjustment Coding
Physicians must code diagnoses properly to succeed under Medicare & other value-based contracts Each year, CMS sets cost benchmarks for every Medicare member, based on the patients’ diagnoses during the prior year. But what if the physician hasn’t reported their patients’ health information accurately or fully? The result is often benchmarks that are set too […]
Understanding the Value of Value Based Care: Infrastructure
In this webinar, Understanding the Value of Value Based Care, Dan Fabius, DO, Consensus Health’s Chief Medical Informatics Officer, discusses the infrastructure recommended to support Value Based Care in your organization. At Consensus Health improving the health of populations while meeting the growing demand for value-based care is a top priority. Physicians are at the […]
Understanding the Value of Value Based Care: Cost of Care
In this webinar, Understanding the Value of Value Based Care, Dan Fabius, DO, Consensus Health’s Chief Medical Informatics Officer, discusses the importance of managing the cost of care. At Consensus Health improving the health of populations while meeting the growing demand for value-based care is a top priority. Physicians are at the forefront of improving […]
Interview with Beth Greenwood, MD: Regional Medical Director
This month, Consensus Health’s Chief Operating Officer, Michael Lovett, sat down with Beth Greenwood, MD, to talk about her roles as Regional Medical Director for Partners In Care and Consensus Health, as well as her role as Consensus Health’s VP of Medical Affairs. Learn more about Beth and the PIC leadership team at www.piccorp.com/boardofdirectors. #medicalaffairs […]
Understanding the Value of Value Based Care
In a recent webinar, Dan Fabius, DO, Consensus Health’s Chief Medical Informatics Officer, dove into the basics behind Value Based Care — a form of reimbursement that ties payments for care delivery to the quality of care provided and rewards providers for both efficiency and effectiveness. Value-based care models center on patient outcomes and how […]
Creating a Trusting Partnership with Your Physician
The pandemic has created a new era in healthcare for both patients and physicians alike. Many of you have discovered abundant value in having your own personal physician and their office staff working diligently to maintain a trusted relationship to improving your health care. Realizing that your primary care physician is your first line in […]
Doctors in the Media: Abiding by HIPAA
In today’s digital age, it’s important to stay apprised of the rules and regulations surrounding providers and patients. A recent case in Connecticut serves as a good reminder of the rules set forth in the Health Insurance and Portability Act (HIPAA), which prohibits health care providers from disclosing a patient’s protected health information to media […]
Building Direct-to-Employer Programs
The cost of healthcare has become a burden on employers. As a result, employers are looking for ways to: Increase the quality and efficiency of medical services Eliminate the healthcare middlemen or payers These two goals have led employers to establish direct relationships with providers via a combination of care coordination services, bundled payment […]
Data Exchange Standards: Fast Healthcare Interoperability Resources (FHIR) & Blockchain
The Centers for Medicare and Medicaid Services (CMS) now supports improved health care interoperability efforts through applications that enable a data exchange between two disparate computer systems. One type of application programming interface (API) or data exchange standard that is being used more frequently by EHR vendors is Fast Healthcare Interoperability Resources (FHIR). Developed by […]
Health System-Owned Physician Practices Operating at a Loss
Some recent U.S. Department of Justice (DOJ) enforcement cases and settlements suggest that owning physician practices that are losing money may be a significant regulatory concern. The DOJ has suggested in the last few years that practice losses may be an indicator that physician compensation is not at fair market value (FMV) or commercially reasonable. […]
