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Important Resources to Ensure Medicare Compliance

Compliancy Group

depend on Medicare to get the healthcare they need. Remaining in good standing with Medicare has several advantages. Compliance Program A comprehensive way to avoid Medicare exclusion is to develop an organization-wide compliance program, one of the Centers for Medicare and Medicaid Services (CMS) requirements.

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BCBS of Michigan Launches Joint Venture with Honest Medical Group

HIT Consultant

What You Should Know: – Blue Cross Blue Shield of Michigan (BCBSM) today announced a joint venture with Nashville-based Honest Medical Group to offer physicians comprehensive operational, clinical, and financial support for shared accountability Medicare contracts. Cost-Effective Patient Care for Medicare Patients.

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2024 Final Rule: CMS Announces More Changes to Medicare Advantage but Declines to Reform the “60 Day Rule”

Health Care Law Brief

On April 5, the Centers for Medicare & Medicaid Services (“CMS”) released the 2024 Medicare Advantage and Prescription Drug Benefit Programs Final Rule (“Final Rule”), which will be codified at 42 C.F.R. The SRFs include low-income subsidy, dual eligibility (meaning eligible for Medicare and Medicaid) and disability.

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Castlight + Vera Appoints New CEO; Rebrands as Apree Health

HIT Consultant

These groups were comprised of Cerner’s foundational electronic medical record (EMR) and revenue cycle. He served on the board of referral management leader, Boston-based Kyruus, as well as on the board of the Medicare Advantage solution provider for health systems, St. Louis-based Lumeris.

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KAID Health Raises $4.25M for AI-Powered Provider/Payer Whole Chart Analysis Platform

HIT Consultant

– The funding will fuel growth of the provider/payer platform that integrates with the electronic medical records (EMR) to identify high-value tactical care and coding interventions. For example, KAID Health improves Medicare Advantage coding accuracy and completeness at a large multi-specialty group.

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Study Reveals Current Landscape of FHIR Apps

HIT Consultant

“In fact, the core asset of many FHIR apps is to take information out of an electronic health record and do useful things with it, such as identify trends, provide clinical decision support or handle a niche area not covered by a commercial electronic medical record system.”. PhD, a co-author on this study.

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Prior Authorization Takes a Leap Forward in CMS Regulation

Healthcare IT Today

The Centers for Medicare & Medicaid Services (CMS) have taken a bold step by mandating a standard for prior authorization. The standardization of documentation for prior authorization also enables physicians to submit requests within their familiar electronic medical record systems, reducing the burden on providers.