Understanding the Impacts of PDPM – 2019 CareTeam PDPM Whitepaper

The Patient Driven Payment Model (PDPM) goes into effect on October 1st, and many providers still aren’t fully prepared. At the same time, many practitioners working in skilled nursing facility (SNF) settings don’t have it on their radar. Download the whitepaper to learn about this significant change in how facilities are paid for care and services, as well as how … Click to continue reading

MIPS Quality Measures for LTPAC

The GPM annual overview of CMS-approved MIPS Clinical Quality Measures (CQM) for use by medical groups practicing in Nursing Facilities, Homecare, Assisted Living, and related places of service is now available. It includes an exhaustive list of all measures based on CPT® codes – which are the only link to build a crosswalk to long-term/post-acute … Click to continue reading

Total Per Capita Cost (TPCC) methodology proposed for the CY 2019 Physicians Fee Schedule

CMS continues punishing Geriatric, LTPAC, and Palliative Medicine for serving the frail elderly nearing the end of life. This blog explores the systematic problems with existing methods for correctly predicting expenditures; as individuals approach the end of their lives. It’s based on comments we submitted to CMS on the draft 2019 Physician Fee Schedule. America … Click to continue reading

Impressions from the 2018 LTPAC HIT Summit

ONC & CMS are mandating Interoperability – as soon as they have a definition… This year’s Summit was refreshing – more protein, less cotton candy. Drs. Kate Goodrich[i] (CMS) and Don Rucker[ii] (ONC) delivered the mornings’ keynote addresses. Each painted a more solid vision for the future that anyone from those two DHHS arms has … Click to continue reading

A MIPS Success Story: How We Did It!

Barnes Healthcare Management, LLC, may not love MIPS; but they were “excited” about reporting their 2017 data. And why not? They’ve got their documentation, tracking, and reporting functioning like a well-oiled machine; and they achieved a nearly perfect score for the year. Tracking and reporting on quality measures wasn’t new to them. They had previously … Click to continue reading