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Reimbursement Insights: Medicare and Medicaid Coverage for Cardiology Billing

p3care

Medicare and Medicaid are the two biggest healthcare insurance programs in the United States. They provide healthcare coverage for different medical specialties, and cardiology is one of them. Therefore, receiving reimbursement for Medicare and Medicare cardiology billing seems difficult.

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Hospital Inpatient Prospective Payment Systems, Quality Programs and Medicare Promoting Interoperability Program Requirements

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare. On April 18, 2022, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule (CMS-1771-P) that provides updates to the fiscal year (FY) 2023 Long-Term Care Hospital Quality Reporting Program (LTCH QRP).

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Quantifying the Medicare Advantage advantage

Healthcare Leadership Council

In the 15 years since its inception, the increase in popularity of Medicare Advantage (MA) – health coverage provided by private plans in contrast to traditional fee-for-service (FFS) Medicare – has been undeniable. Roughly half of all Medicare-eligible seniors are enrolled in Medicare Advantage plan and that proportion keeps rising.

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Lumeris Secures $100M to Expand Proven Value-Based Care Solutions

HIT Consultant

Lumeris equips these partners with cutting-edge technology and streamlined care delivery processes, enabling them to achieve remarkable improvements in both healthcare quality and cost-effectiveness. “This recent investment will further enable us to meet the growing demand from our provider partners to adopt value-based models.”

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LunaJoy Health Secures $4.2M to Launch LunaCare & Address Disparities in Maternal Mental Health

HIT Consultant

This initiative is especially timely, coinciding with the Centers for Medicare & Medicaid Services’ (CMS) upcoming launch of the Transforming Maternal Health Model (TMaH). This government program aims to bolster infrastructure and improve maternal mental healthcare quality and safety for vulnerable populations.

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The CBO Report and Lessons for CMMI’s Future

Healthcare Leadership Council

First, we’ve already witnessed that CMMI can have its greatest impact in helping to transition the healthcare system from its traditional fee-for-service orientation to a value-based framework. billion between 2011 and 2020.

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Hospital finances in 2022: Outlook is grim

Healthcare ECONOMIST

A report from the Center for Healthcare Quality & Payment Reform (Miller 2020) found that many rural hospitals are in financials straights. Public policy seeks both to restrain Medicare spending and encourage provider coordination. Moreover, more than half hospitals are projected to have negative margins.