Tag: Care Coordination

Value-Based Care Fundamentals

Top 10 Essential Value-Based Care Fundamentals for Medical Practices

Key Takeaways: V28’s code eliminations and coefficient reductions have significantly lowered RAF (Risk Adjustment Factor) scores, making insufficient documentation a costly oversight and compelling practices to meticulously “code to the truth” every year to stave off artificially suppressed benchmarks. ADT (Admission-Discharge-Transfer) feeds are transformative, enabling near-instant transition workflows. This supports timely post-discharge outreach within two […]
HCPCS codes G9037 and G9038

New MCP Model HCPCS Codes G9037 & G9038

Clinicians participating in the Making Care Primary (MCP) model now have access to two new HCPCS Level II codes, HCPCS Codes G9037 and G9038, introduced in fiscal year (FY) 2024. These codes expand the scope of interprofessional consultation services, allowing primary care providers (PCPs) to bill for time spent collaborating with specialists. The MCP Model: […]