course material

1. The Centers for Medicare & Medicaid Services (CMS), have updated
The Centers for Medicare & Medicaid Services (CMS), have updated their compensation
rules. This has put increased pressure on long-term/postacute care providers (LTPAC) to
adopt value-based care models. These pressures and the COVID-19 pandemic challenges
have increased the need for geriatric practices to adapt their business practices and
technology in order to facilitate collaboration and coordination between payers, healthcare
systems, and care facilities.Two successful geriatric practices presented their strategies for
building and maintaining a value-based infrastructure in LTPAC settings. Genevieve is a
geriatric care management and medical practice based in Minnesota. Amanda Tufano MHA,
FACHE. CMPE is the chief executive officer. Multiple value-based payer contracts are held by
the organization for dual-eligible patients.Michelle Coffey ACNS-BC RN, MSN is the chief
clinical officer of Austin Geriatric Specialists. It is central Texas’ largest geriatric-focused
medical office. This organization cares for thousands of patients and follows them
throughout the continuum from hospitalization to skilled nursing facilities to assisted living
facilities to a successful transition home.The presentation was focused on three areas of
focus:Value-based care models are encouragedA company culture that discourages
burnoutCapitated payment models can be supported with the right technology.Value-based
care models are encouragedGenevive sought better alignment with payers, provider
partners and providers on financial and clinical goals. Genevive aimed to build closer
partnerships with payers and providers, as Tufano pointed out that facilities require more
than just “guests” in their buildings. Two new Institutional Special Needs Plans were
developed (I-SNPs). These plans are designed to strengthen ties with facilities and create
the infrastructure for financial and clinical incentives. Evaluation of existing networks.
Explored ways to offer innovative care and encourage more facilities and people to join
GeneviveFacilities share metrics and goalsDiversified ownership allows for the creation of
additional value-driven contracts. Austin Geriatrics introduced value-based care in 2018
and Coffey says it is the largest area for continued growth. Participated in capitated models
and risk sharing pools to encourage growth in assisted living, homecare and hospital-based
settings.Austin Geriatrics’ care goals include deprescribing and reducing invasive testing,
holistic health care, family involvement, advanced care planning, and family involvement.
To support financial diversification for the practice, and to provide better care for patients,
continue building relationships with value-based partners.Medcare MSO Medical Billing
Data Solutions can assist you in medical billing services for geriatrics for your practice. Our
Geriatrics billers and coders will submit your claims accurately and assist you in receiving

2. accurate insurance reimbursements. To know more about our Geriatrics billing and coding
services, contact us at [email protected]/ +1 800 640 6409Prevention of burnout and
company cultureGenevive’s Tufano said that the requirement for providers to see a certain
number of patients per day can make providers view their profession negatively. Instead of
helping patients, they feel pressured to meet quotas in return for their money. Genevive’s
model can be customized to suit the preferences of providers in order to keep incentives
and values aligned.Providers are paid based on how many patients they can manage on a
given panel size. If the practice is performing well, owners and the entire practice share in a
performance incentive pool. Genevive believes that capitation should be treated with
greater ethics and the model places emphasis upon quality of care. Austin Geriatrics is
proactive in reducing burnout and staff turnover. It also focuses on hiring providers who
share its mission.Employees are provided with extensive training, which includes practice
to their highest licensure level. To ease the pressure on team members and to reduce time
constraints, create a dedicated team for after-hours on-call. Providers can receive free
counseling and are encouraged to explore ways to increase flexibility in scheduling to
improve work/life harmony.Technology and process strategyGenevive moved to mobile
technology in 2019, after major disruptions to client services caused by a winter
snowstorm. These upgrades helped Genevive to be ready for the COVID-19
pandemic.Installed a new phone system compatible with iPad Wi Fi callsChanged to
GEHRIMED. An electronic health record (EHR), designed to work with iOS and iPads, was
created specifically for mobile practitionersGenevive was able to quickly bill and provide
services for telehealth, virtual care, and other related services when CMS issued new rules
for practitioners in 2020.Austin Geriatrics added third-party solutions to its EHR to reduce
the amount of documentation time. Coffey said that managing multiple vendors was
inefficient.Austin Geriatrics has switched to GEHRIMED because of the features and
processes that support how geriatricians work.Clinicians are supported by built-in
functionality, including standardized reports, advanced searches function, and CPT code
protectionDashboards that send out alert notifications about quality measures are a
support for value-based care models.Integrity features allow practitioners to stay in touch
with office support services and on-call services.Value-based care models and risk-sharing
payments agreements will continue to be more common. CMS will continue making changes
to its compensation rules. LTPAC providers must look ahead to ensure financial stability
and adapt to new technology and processes. This will result in stronger collaboration with
other providers, enhanced quality of care and financial stability. You can watch the entire
webinar here.