Risk and Relax: Taking Charge of Reporting and Reimbursement 

Understanding Risk In addition to everything else, today’s practice managers and practitioners need to have a basic understanding of risk adjustment; a statistical process that takes into account the underlying health status and health spending of the enrollee in an insurance plan when looking at their health care outcomes or care costs. A risk adjustment … Click to continue reading

Developing the shared care model in LTPAC

My last post discussed the successful demonstration of three-way LTC ePrescribing using standard NCPDP messages. That occurred at the AHIMA LTPAC HIT Summit. However, that demonstration was simply a fortuitous occurrence; my reason for attending the conference was to deliver a presentation on LTC physicians using EHRs in nursing homes. I was deeply appreciative that … Click to continue reading

ACOs and the LTPAC physician

One of my recent blog posts discussed the differences between Place of Service 31 (SNF) and 32 (NF).  Since nothing in Medicare payment policy is simple, let’s add some complexity – Accountable Care Organizations (ACO). Previously I’ve blogged on CMS’s inappropriate EHR Meaningful Use rules as they apply to the long-term care physician. The rules … Click to continue reading