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
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 […]
Shared Services Model – An Option for Small Physician Practices to Transition to Value-Based Care
Shared service providers help small physician practices transition to a value-based care environment. These organizations [i.e. Clinically Integrated Networks (CINs), Independent Practice Associations (IPAs), payers and/or private health care firms] also allow physicians the option to remain independent. Small practices can form groups or “pods” that contract with shared service organizations to share and manage […]
The Benefits of Clinically Integrated Networks for Physicians
There is a trend in the local and national health care markets towards value-based contracting. This requires a focus on improving a practice’s quality score and reducing the cost of care. Clinically integrated networks (CINs) are integrated systems of physicians, hospitals, and other medical facilities that collaborate to improve quality, patient satisfaction and efficiency of […]
