Medisys Compliance
JULY 13, 2023
Medicare recognizes the importance of diabetes self-management training and offers coverage for eligible beneficiaries. However, there are specific guidelines and conditions that need to be met for Medicare billing. Diabetes Education Billing Guidelines for Medicare Who May Furnish the Training?
AIHC
OCTOBER 20, 2023
Part 1 in a Series of Leadership Articles on Value-Based Care Written by Joanne Byron, LPN, BS, CCA, CIFHA, CHA, COCAS, CORCM, CHCO, OHCC, CMDP, ICDCT-CM/PCS Edited by Julie Rickman , MBA, CHC, CHPC, CHCO This article is the first in a series sponsored by the American Institute of Healthcare Compliance (AIHC) Volunteer Education Committee.
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HIT Consultant
SEPTEMBER 18, 2023
The newest value-based payment program purposely designed to address SDOH is the ACO Realizing Equity, Access, and Community Health (ACO REACH) model, launched by the Centers for Medicare & Medicaid Services (CMS). million people enrolled in Medicare that year, less than 2% had claims that incorporated Z codes.
Hall Render
FEBRUARY 22, 2024
In the FY 2024 IPPS Final Rule (the “Final Rule”), the Centers for Medicare & Medicaid Services (“CMS”) incorporated certain social risk factors into the Hospital Value-Based Purchasing (“VBP”) Program (“the Program”). Hall Render blog posts and articles are intended for informational purposes only.
Healthcare IT Today
OCTOBER 19, 2023
Previous articles in this series introduced the importance of social determinants of health (SDoH) and explained how it can be captured and classified. In this article, I’ll show how many hospitals, payers, and other institutions are acting on that data. She says they are currently hesitant to use it.
AIHC
NOVEMBER 29, 2023
We recommend reading Leadership in a Value-Based Care (VBC) Environment in addition to this article. Health Care from a Global Perspective, 2022: Accelerating Spending, Worsening Outcomes indicates that in 2021 the U.S. Why this Trend of Value-Based Care? are worse than those of our peer nations across the world.
Hall Render
MAY 10, 2024
On April 10, 2024, the Centers for Medicare & Medicaid Services (“CMS”) announced its plan to implement the Transforming Episode Accountability Model (“TEAM”), a new mandatory alternative payment model unveiled as part of the 2025 Hospital Inpatient Prospective Payment System proposed rule.
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