CHESS Health Solutions

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.

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

Wishing everyone a joyful holiday season! 🎄✨As the year comes to a close, it’s a great time to reflect on the moments, b...
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!

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

Every visit counts for Medicaid patients. Acute, chronic, and walk-in encounters create opportunities to close care gaps...
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.

Do you know the difference? These terms may sound similar, but they meet very different patient needs.Both keep patients...
12/10/2025

Do you know the difference? These terms may sound similar, but they meet very different patient needs.

Both keep patients connected between visits. CCM looks at the full picture. PCM zooms in where it matters most.

Using each at the right time improves engagement and helps patients stay on track.

HCC revalidation is one of the simplest ways to strengthen both patient care and year-end performance. When we take a mo...
12/08/2025

HCC revalidation is one of the simplest ways to strengthen both patient care and year-end performance.

When we take a moment to confirm and update chronic conditions, we give patients an accurate clinical story and ensure our teams have what they need to support them well.

It does not require a heavy lift. Ask the right questions, note what changed, and document what was monitored, evaluated, assessed, and treated. Those small steps lead to better risk accuracy and better care.

Medicare Open Enrollment is coming to a close, and many patients still need a quick check on their coverage. A simple qu...
12/03/2025

Medicare Open Enrollment is coming to a close, and many patients still need a quick check on their coverage.

A simple question during a visit can help them avoid surprises with medications, specialists, or out-of-pocket costs next year.

If you are seeing Medicare patients this week, take a moment to ask whether they have reviewed their plan. Your guidance can help them start the new year with confidence and the coverage that fits their needs.

❌ Myth: Medicare patients only need diagnoses updated when something changes.✅ Fact: Many chronic conditions must be rev...
12/02/2025

❌ Myth: Medicare patients only need diagnoses updated when something changes.

✅ Fact: Many chronic conditions must be revalidated every year. If a condition is not documented as active and addressed during the visit, it will not count toward the patient’s risk score.

Grateful for our incredible CHESS team and the providers who share our mission to improve lives through value-based care...
11/27/2025

Grateful for our incredible CHESS team and the providers who share our mission to improve lives through value-based care.

Wishing everyone a wonderful Thanksgiving! 🍂

11/26/2025

⚠️ Medicare Telehealth Flexibilities Have Changed

Many COVID-era telehealth flexibilities have expired. Here's what providers should do now:

+ Review Appointments & Care Plans: Identify patients with upcoming telehealth visits that may no longer be covered.
+ Communicate with Patients: Keep your patients informed about the changes.
+ Plan for Reimbursement: Determine whether to hold claims for non-covered services or risk denial.
+ Check Other Coverage Sources: Verify if Medicare Advantage and Medicaid policies align with fee-for-service rules.

Staying proactive now helps ensure smooth patient care and reduces administrative risk.

https://www.chesshealthsolutions.com/2025/10/08/medicare-telehealth-flexibilities-expire-what-you-need-to-know/

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

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