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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?
Medisys Compliance
MAY 5, 2022
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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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.
HIT Consultant
NOVEMBER 9, 2023
Procedural disenrollments often result from the inability to contact the individual and notify them of the required paperwork. These members frequently move residences, resulting in a lack of consistency with reliable contact information. There is still one common denominator missing in both scenarios: up-to-date contact information.
Healthcare Law Blog
MAY 16, 2022
On April 29, 2022 , the Centers for Medicare and Medicaid Services (“CMS”), issued the final rule on Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs (the “Final Rule”). With a few exceptions, the Final Rule is a wholesale codification of the proposed rule.
Bill of Health
APRIL 13, 2022
This policy improves coverage and helps reduce churn , which is associated with poor health outcomes. To further improve the rate of contact for enrollees, 35 states plan follow-up on returned mail via telephone, email, and text before terminating coverage after the PHE. Continuity of Coverage.
Medisys Compliance
NOVEMBER 17, 2023
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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