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Proper Payments for Part B and Part D Drugs

Innovaare Compliance

Until the enactment of the Medicare Modernization Act (MMA) in 2006 [1] , the Centers for Medicare & Medicaid Services does not cover most outpatient prescription drugs under Part B (“Part B drugs”). However, some drugs self-administered by Medicare beneficiaries at home are Part B eligible.

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Capitation Rates Announcement for CY 2025

Innovaare Compliance

The Centers for Medicare & Medicaid Services (CMS) officially announced capitation rates for Medicare Advantage (MA) plans for CY 2025 – average increase of 3.7% In total, gross spending under Medicare Part D was $240 billion in 2022; Ozempic accounted for 2% of this amount, before rebates [5]. billion [4].

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Rate Announcement for CY 2025

Innovaare Compliance

The Centers for Medicare & Medicaid Services (CMS) officially announced capitation rates for Medicare Advantage (MA) plans for CY 2025 – average increase of 3.7% In total, gross spending under Medicare Part D was $240 billion in 2022; Ozempic accounted for 2% of this amount, before rebates [5]. billion [4].

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An Overview of the New York OMIG Exclusion List

Provider Trust

In 2006, New York’s Office of the Medicaid Inspector General (OMIG) was established as an independent office within New York State’s Department of Health to combat fraud and abuse in New York State’s Medicaid program.

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Changes for Prescription Drug Encounter Data in 2024

Innovaare Compliance

The Centers for Medicare & Medicaid Services (CMS) has been processing Part D drug claim data via the Drug Data Processing System (DDPS) since inception of Part D in 2006. Author Yvonne Tso, PharmD SVP, Integritas Medicare [1] Revenue reconciliation for Part D usually takes place in September for the prior contract year. [2]

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Integrated EHR enables shift to virtual post-discharge follow-up

Healthcare IT News - Telehealth

From 2006 to 2010, they explained, an integrated delivery system staggered implementation of an integrated EHR across 17 hospitals. WHY IT MATTERS. The research team studied nearly 250,000 hospital discharges in patients with diabetes from 2005 to 2011.

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Featured Health IT Job: Healthcare Data Analyst

Healthcare IT Today

Founded in 2006 by healthcare leaders, NYeC works to help New York State achieve the Triple Aim of improving the patient experience of care, delivering better health outcomes, and reducing costs.