2026, Medical Billing Outsourcing and Medicare - Health Care Compliance Brief

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2026

Medical Billing Outsourcing

Medicare

Reduced Co-Insurance for Screening Colonoscopies

Medisys Compliance

JULY 27, 2022

For dates of service on or after calendar year 2030, Medicare waives the coinsurance. In the CY 2017 PFS Final Rule, the Centers for Medicare & Medicaid Services (CMS) modified coding and reporting of procedural services that include moderate sedation as an inherent part of the service, including for screening colonoscopies.

Medical Billing

Medical Billing Medical Billing Outsourcing ACA Medicare

Understanding Basics of Alternative Payment Models (APMs)

Medisys Compliance

APRIL 18, 2022

In October 2021, the Center for Medicare and Medicaid Innovation (CMMI) announced a goal of having every Medicare beneficiary and the majority of Medicaid beneficiaries covered by some type of alternative payment model (APM) by 2030. In order to do so, a clinician must be in a Medicare Advanced APM. APMs Overview.

Medical Billing

Medical Billing Medical Billing Outsourcing Medicaid Medicaid

Reduced Co-Insurance for Screening Colonoscopies

Understanding Basics of Alternative Payment Models (APMs)

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