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Reduced Co-Insurance for Screening Colonoscopies

Medisys Compliance

For dates of service calendar years 2027-2029, the reduced coinsurance is 10%. 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.

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Monitor Improper Payments for Part C and Part D with Medicare Audit and Monitoring Software

Innovaare Compliance

1] The Centers for Medicare & Medicaid Services (CMS) has to establish an annual Part B premium that will adequately fund projected Medicare spending and maintain an adequate reserve in case actual costs are higher than estimated. annually on average between 2021 and 2029 compared to 4.4% in 2021 to $170.00

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Health Provider News

Hall Render

million for youth mental health care KENTUCKY Pike County nursing home officials release statement following loss of Medicare agreement Three Humana executives drop $11.2M

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April-July 2022 State Regulatory Developments

New Jersey Healthcare Blog

New Expiration Date: March 8, 2029. The chapter describes the policies and procedures of the New Jersey Medicaid/NJ FamilyCare program regarding transportation services. Effective Date: March 14, 2022 until March 14, 2029. New Expiration Date: May 4, 2029. Effective Date: March 8, 2022. On April 4, 2022, at 54 N.J.R.

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Healthcare Reforms Under the IRA: Expanding Access to Care

Healthcare Law Blog

Premiums for Part D plans will be subject to a premium stabilization plan under which they are capped at an increase of 6% annually through 2029. Improvement of Access to Adult Vaccines under Medicaid and CHIP. Certain vaccines must be covered under Medicaid and certain cost-sharing is eliminated. Premium Stabilization.

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Health Provider News

Hall Render

Greenwich Hospital Ribbon Cutting Celebrates Opening of New Pediatric Ambulatory Surgery Center Hartford HealthCare names Joanne Berger-Sweeney new board chair What changes did CT make to its Medicaid program in 2023? Here’s what we know. Some patients die waiting.

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PBM Practices Receive Increased Federal Scrutiny

Healthcare Law Blog

Further, PBMs have been found to encourage drug innovation and generate savings on specialty medications, and they are expected to save plan sponsors and consumers more than $1 trillion from 2020 to 2029. On March 1, 2023, the House Committee on Oversight and Accountability launched an investigation into PBM practices.