by Continuum Health | Aug 2, 2018 | Blog, Care Coordination, Claims Data, Clinical Integration, CMS, Cost of Care, Medicare Advantage
Medicare adopted transitional care management (TCM) payment codes in 2013 to encourage clinicians to provide TCM services after beneficiaries were discharged to the community from medical facilities. As a result, Medicare spending on TCM services increased over 200...
by Continuum Health | Jul 9, 2018 | Blog, Medicare Advantage, Risk Adjustment, Risk-Adjusted Coding, Value-Based Care
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...
by Michael Renzi, DO, FACP | May 22, 2018 | Blog, CMS, Medicare Advantage, Patient Experience, Payer Contracts, Quality Care
CMS created the Star Ratings system in 2008 to help seniors compare quality and performance among Medicare Advantage (MA) Part C plans and Part D prescription drug plans (PDPs). Insurance companies also benefit, as a plan’s star rating influences patients and directly...
