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Monday 8am - 5pm Tuesday 8am - 5pm Wednesday 8am - 5pm Thursday 8am - 5pm Friday 8am - 5pm

CHESS Health Solutions

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United States
Winston-Salem, NC
CHESS Health Solutions

We are sustainably transforming the health care experience for the patient, provider, and care team.

CHESS empowers physicians and health systems to safely transition to value based care. CHESS collaborates with physicians and health systems, considering them value partners, and provides a better understanding of the needs of their patient population. Together, CHESS and its value partners transform care through innovative, team-based solutions, implementing care models that address the needs of the sickest patients while aligning clinical goals and financial goals. Together, CHESS and health care systems create more effective care methods and pathways to improve patient outcomes.

01/16/2026

When used correctly, G-codes help identify FQHC encounters, support accurate Medicaid payment, and strengthen reporting for care management and value-based initiatives.

They are not just a billing detail… they are a way to ensure services are recognized and valued.

Clear documentation, the right workflows, and team education can make G-codes easier to use and reduce claim issues.

01/14/2026

January is Cervical Cancer Screening Month, a timely reminder of how routine preventive care saves lives.

For many patients, a screening appointment is easy to delay or avoid. A quick conversation during a visit can make a real difference. Recommending a Pap test or HPV screening helps catch changes early, when treatment is most effective.

Small actions support better outcomes for patients and stronger quality performance for your practice.

01/13/2026

🚨 Medication Non-Adherence: A Silent Threat in Value-Based Care

Did you know that nearly 50% of patients don't take their medications as prescribed? This challenge impacts patient outcomes, drives up avoidable healthcare costs, and puts value-based care goals at risks.

Drive medication adherence by:
1. Considering as 1st reason patient's condition is uncontrolled
2. Asking patients about adherence
3. Creating trusting environment for discussion
4. Identifying barrier to adherence
5. Responding positively and thanking patient for sharing
6. Tailoring adherence solution
7. Involving patient in treatment plan
8. Setting the patient up for success

How does your team tackle medication non-adherence?

01/09/2026

Pharmacists play a crucial role in enhancing patient outcomes and reducing healthcare costs.

By collaborating closely with providers, pharmacists help with medication access, adherence, and optimization.

Learn more about the role of pharmacy in value-based care: https://www.chesshealthsolutions.com/2024/06/20/the-role-of-pharmacy-in-value-based-care/

01/08/2026

January is more than just the start of the New Year… it's also National Blood Donor Month!

Join us in celebrating and the power we have to make a difference in our communities.

01/07/2026

Myth: If a condition is stable, it doesn't need to be documented again.

Fact: Chronic conditions must be assessed, documented, and coded every year to accurately reflect patient complexity and support risk adjustment.

Even when nothing has changed clinically, documentation matters. Annual capture ensures care teams, payers, and quality programs see the full picture of the patient you are managing every day.

12/22/2025

The CY 2026 Physician Fee Schedule is finalized, and the changes will shape how we deliver care, document services, and plan for sustainability.

Here is what providers should watch:
• Updated reimbursement rates that may shift practice revenue
• New quality measure expectations that reward meaningful outcomes
• Continued focus on care coordination and whole person health
• More clarity around telehealth flexibilities and compliance

Now is the time to review workflows, strengthen documentation, and align your teams with the new requirements. Small adjustments today can protect performance in 2026.

If you need help interpreting the changes or building a strategy, CHESS is here to support you.

12/19/2025

🔐 HIPAA Changes Are Coming in 2026. Are You Ready?

Healthcare data is under more pressure than ever, and the 2026 HIPAA updates are designed to raise the bar on privacy and cybersecurity. These changes will impact how your team documents, protects, and responds to incidents involving patient information.

What’s changing:
• Stronger protections for sensitive health data
• Mandatory multi-factor authentication and stronger encryption
• More frequent risk assessments and tighter audits
• Faster incident reporting from business associates

How to prepare:
Start reviewing your policies, update your Notice of Privacy Practices, assess cybersecurity gaps, and train your staff early.

The countdown is on. Start preparing now.
https://www.chesshealthsolutions.com/2025/11/06/2026-hipaa-rule-updates-what-healthcare-providers-administrators-and-compliance-officers-need-to-know/

12/17/2025

Wishing everyone a joyful holiday season! 🎄✨

As the year comes to a close, it’s a great time to reflect on the moments, big and small, that made this year meaningful. To our colleagues, partners, and patients—thank you for your dedication, collaboration, and trust.

Here’s to rest, celebration, and a bright start to the new year. May your holidays be full of warmth, laughter, and everything that brings you joy!

12/15/2025

HCC coding is more than compliance. It ensures patients get the care they need and providers get reimbursed accurately.

Tips for success:
✅ Capture conditions during AWVs
✅ Use HER analytics to spot missed HCCs
✅ Train teams on specific, accurate coding
✅ Collaborate across care teams & audit regularly

Every documented condition counts.

https://www.chesshealthsolutions.com/2025/03/13/maximizing-hcc-recapture-a-guide-for-healthcare-providers/

12/12/2025

At CHESS, we partner with providers to create long-term sustainability through our Managed Medicaid CIN.

Our team supports yours with the tools, insights, and clinical expertise needed to thrive in value-based care.

Here's how we help:
✅ End-to-End Operational Support
✅ Audit Readiness and Compliance
✅ Real-Time Performance Insights
✅ Enhanced Clinical Support
✅ Financial and Clinical Value

Together, we make better care possible.

12/11/2025

Every visit counts for Medicaid patients.

Acute, chronic, and walk-in encounters create opportunities to close care gaps, update screenings, and strengthen quality performance.

Address

165 Kimel Park Drive, Suite B
Winston-Salem, NC
27103

Opening Hours

Monday	8am - 5pm
Tuesday	8am - 5pm
Wednesday	8am - 5pm
Thursday	8am - 5pm
Friday	8am - 5pm

Website

http://www.chesshealthsolutions.com/

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