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Proposed Rule on Medicare Special Enrollment Periods (SEPs)

Medisys Compliance

On 22 nd April 2022, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule to update Medicare enrollment and eligibility rules that would expand coverage for people with Medicare and advance health equity. Sections 120 and 402 of the CAA made two key changes to Medicare enrollment rules.

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Diabetes Education Billing Guidelines for Medicare

Medisys Compliance

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?

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Understanding Basics of Alternative Payment Models (APMs)

Medisys Compliance

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.

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Navigating the Primary Care First Model

Medisys Compliance

The healthcare landscape is undergoing a dynamic transformation, driven by a growing emphasis on value-based care and patient-centered outcomes. At the forefront of this shift is the Primary Care First Model, a voluntary alternative payment model introduced by the Centers for Medicare & Medicaid Services (CMS).

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The Latest KFF Poll on Consumer Experiences with Health Insurance Speaks Volumes About Patients’ Administrative Burden

Health Populi

This “choice” to self-ration health care due to among health-insured Americans varies by health insurance plan type — notably, foregoing care is more likely the act of someone enrolled in a marketplace plan (50%) or Medicaid (51%). The top reason people in the U.S. The top reason people in the U.S.

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How The Healthcare Industry Can & Should Be Supporting Unpaid Caregivers

HIT Consultant

Caring for our caregiving community When organizations consistently show that they know and care about those they are serving, trust builds and health outcomes improve. The Centers for Medicare & Medicaid Services ( CMS ) even has a Caregiver Support Group, which acknowledges the impact of caregiving on one’s own well-being.

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Health Provider News – August 19, 2022

Hall Render

Kaiser mental health worker strike to expand to Hawaii. Hawaii Health Department reports 2 more monkeypox cases, bringing total to 18. ‘The unwinding’: Idaho Medicaid must recheck eligibility for 131K people when U.S. Idaho health care providers receive federal funding for rural communities. emergency ends.