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So far CentraState Health has created 6 blog entries.

HCC Coding Tips: Documentation is Key

The premium that Centers for Medicare & Medicaid Services (CMS) compensates Medicare Advantage Plans is based on underlying health conditions of Medicare Advantage enrollees. These conditions are determined by a risk adjustment factor which is calculated using the enrollee’s age, sex, disability, Medicaid, and diagnosis codes. The conditions are identified through ICD-10 codes submitted [...]

By |2020-02-27T10:23:26-04:00February 18th, 2020|Providers|

Radiology Ordering Professionals: Know the AUC Program Requirements

The Protecting Access to Medicare Act (PAMA) requires the Centers for Medicare & Medicaid Services (CMS) to establish a program that promotes Appropriate Use Criteria (AUC) for advanced diagnostic imaging. AUC are evidence-based criteria that assist professionals who order and furnish certain imaging services to make the most appropriate treatment decisions for a specific [...]

By |2020-02-25T11:55:11-04:00November 12th, 2019|Providers|

Developing Best Practices for Episodes of Care

The trend across payers is to develop episodes of care for certain disease states, particularly when identifying high cost/high gaps in care among a patient population. This is part of what population health is all about. Stedman’s Dictionary defines an episode of care as “all services provided to a patient with a medical problem [...]

By |2020-02-25T11:55:03-04:00November 12th, 2019|Quality|

New Research in Diabetes Treatment

An overriding goal in medicine is to decrease variability in the way chronic disease is treated. Clinical research can have important implications in defining the latest standards of care, so we make every effort to keep our clinicians up to date on the most current research findings. One recent study shows promising results for [...]

By |2020-02-25T11:54:41-04:00July 11th, 2019|Population Health|

How Family Practice of CentraState Benefits from CPC+

Family Practice of CentraState is now in its third year of Comprehensive Primary Care Plus (CPC+), which is a CMS Advanced Payment Model that aims to strengthen primary care through payment reform and care delivery transformation. This model provides additional financial resources and flexibility to help make investments, improve quality and access of care, and [...]

By |2020-02-25T11:54:30-04:00March 13th, 2019|Providers|

Improving Outcomes with Population Health Strategies

Through the Practice Unite app, a preferred method of communication for PHO members, PHO physicians can quickly and easily link their patients to population health programs available at CentraState’s Star and Barry Tobias Health Awareness Center. These evidence-based programs feature registered nurse health coaches who serve as a virtual arm of the physician practice [...]

By |2018-12-19T15:09:52-04:00December 18th, 2018|Population Health|