2016, Fraud, Medicare and Payment Systems - Health Care Compliance Brief

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2016

Fraud

Medicare

Payment Systems

What Are The Current Regulatory Changes And Compliance Requirements That ASCs Need To Be Aware Of In Their Billing Practices?

Healthcare IT Today

JUNE 29, 2023

Medicare Certification ASCs must sign a contract with Medicare and meet its Conditions for Coverage (CFC) to be paid. ASCs must also meet Medicare’s Conditions for Coverage. Medicare Payment Resources CMS implemented an Ambulatory Payment Classification-based payment methodology in 2008.

Compliance

Compliance Medicare Medicare Medical Billing

A State Roadmap To Successfully Deploy Medicare Modularity (MMIS)

HIT Consultant

NOVEMBER 2, 2021

In 2010, the Affordable Care Act ushered in a new era for Medicaid Modularity, an approach anchored by breaking down large, monolith systems into smaller, more nimble and self-contained modules that can de-risk healthcare delivery and unlock innovation. Prior to 2016, large vendors controlled the market and monopolized state MMISs.

Medicare

Medicare Medicare Medicaid Medicaid

What Are The Current Regulatory Changes And Compliance Requirements That ASCs Need To Be Aware Of In Their Billing Practices?

A State Roadmap To Successfully Deploy Medicare Modularity (MMIS)

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