Monthly Archives: July 2011
The Dysfunctional Medical Practice – Part I of a Five-Part Series
Several years ago, we were engaged to transform a dysfunctional medical practice. No matter where we turned, there were issues, the largest of which was that the last patient appointment was set at 4:30 p.m. but the staff rarely left … Read Full Post
CCG Home Health Policy and Procedure Manuals
CCG has developed a set of policy and procedure manuals that are specifically written to satisfy the unique Florida statutes and rules regulating the operation of home health agencies, as well as Medicare Conditions of Participation. State-specific manuals for all … Read Full Post
Ask your Surveyor Q & A – Top Two Home Health Agency Citations
Q: What two items are found to be the most cited? A: The coordination of care and aides following the plan of care are two of the most challenging standards to meet without fail. Communication and coordination between all of … Read Full Post
Why is my Risk Score so low when my patients are so sick?
A risk score is a numeric representation of the health status of your patients based on factors developed by the Centers for Medicare and Medicaid Services (CMS). Each patient has a risk score and your practice has one too. The … Read Full Post
How does provider reimbursement work?
There are two common methods of reimbursing physicians: Fee-for- service (FFS) and capitation. There are also two major code categories in use by most primary care physicians: ICD-9-CM codes and CPT-4 & HCPCS codes. ICD-9-CM codes (soon to be replaced … Read Full Post
What is MRA?
MRA – Medicare Risk Adjustment – was established in 2003 and phased in over a five year period. Through this payment methodology, the MedicareAdvantage Plan’s (and the provider’s) capitation is adjusted based on the risk assumed for the patient’s care, … Read Full Post