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Hospital Value-Based Purchasing Program Adds Scoring for Health Disparities

Hall Render

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”).

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What Is Involved With a Healthcare CMS Inspection?

MedTrainer

These expectations help to ensure patient safety and quality of care within CMS’s state- and federally-funded programs. This means your organization must comply with the Health Insurance Portability and Accountability Act of 1996 (HIPAA). Watch this one-demand webinar for insider tips straight from seasoned compliance surveyors.

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CMS Announces Proposed Rule: Transforming Episode Accountability Model “TEAM”

Hall Render

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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How to Deliver Patient-Centered Care in a Post-Covid World

YouCompli

An opportunity to reframe, regroup, and refocus  Now that the COVID-19 Public Health Emergency (PHE) is well behind us, we have an opportunity to reframe patient expectations – and regroup and refocus on compliance-related patient care needs. Social Determinants of Health   It all starts with acknowledging SDOH for your patient population.

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

Innovaare Compliance

in Social Security benefits. 2] A Medicare audit and monitoring software package can help health plans identify these areas and design corrective action plan(s). 4] Multiple reasons accounted for the rising expenditures for MA beneficiaries which will be subject for a different blog. in 2021 to $170.00

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How to Prevent Medicare Advantage Fraud, Waste, and Abuse

Provider Trust

US Department of Health and Human Services (HHS) Office of Inspector General Christi A. Their work shows that program risks in Medicare can have a huge impact for payers, with improper payments potentially costing hundreds of millions of dollars and barriers being imposed on enrollees receiving care.

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The PACE Solution to Increasing Demands for Long-Term Services and Supports in the U.S.

Healthcare Law Blog

1] LTSS represents the wide-ranging health and social services that individuals require over an extended period of time, including assistive services. [2] 2] The increasing demand for these services will also likely proportionally increase health care expenditures of LTSS. trillion spent on personal health care. [3]