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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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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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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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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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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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The 2023 Health Economy – The Evolving Primary Care and Retail Health Convergence Through Trilliant Health’s Lens

Health Populi

healthcare spending, with curves moving up and to the right, and the Medicare Hospital Insurance Trust Fund moving into the opposite direction toward insolvency by 2033. You can read more about this fact here in Health Populi , most recently in this post ]. adults saying inflation has made it harder to pay medical bills.