Accurate RAF Scores Could Mean Billions in Savings for Medicare

Posted in GeBBS Healthcare Solutions, Medicaid, Medicare

A recent study published by the Kaiser Family Foundation sheds light on a complex issue – how to determine the real or predicted cost of care for Medicare Advantage plan members when establishing RAF scores is based on the inexact science of provider documentation. The study released this spring indicated that those who were enrolled …

Continue Reading »

With Telehealth on the Rise, Policy & Payers Are Catching Up

Posted in Accountable Care Organizations (ACOs), Medicare, Telehealth

Telehealth is a key element of our country’s health care transformation – and health care providers, payers and patients are getting on board today more quickly than ever. After all, getting timely and convenient medical diagnosis and treatment using your computer, phone or tablet – anywhere, anytime, is of incredible value in our busy, technology-driven lives.

Continue reading With Telehealth on the Rise, Policy & Payers Are Catching Up

Shedding Light on Alternate Payment Models

Posted in Accountable Care Organizations (ACOs), CMS, Coding Accuracy, Medicaid, Medicare

The shift to value in healthcare is no easy feat. While the Centers for Medicare and Medicaid Services (CMS), accountable care organizations (ACOs) and healthcare systems are all working towards it, true success requires a commitment to collaboration, communication and transparency.

Continue reading Shedding Light on Alternate Payment Models