Home Health Care
AUGUST 30, 2021
CommonSpirit Health carved out $136 million in savings to Medicare for 2020, while also improving overall outcomes for hundreds of thousands of beneficiaries, the company recently announced. CommonSpirit Health is a participant in the Medicare Shared Savings Program (MSSP), which began back in 2012 after being designed by the U.S.
p3care
NOVEMBER 7, 2023
The policy change perfectly aligns with the CMS’s plan for growth and the Medicare PI Program. Medicare CQMs for ACOs CMS has given the green light to the collection of Medicare Clinical Quality Measures (CQMs) for ACOs participating in the MSSP, specifically under the Medicare CQMs collection type.
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Etactics
JUNE 29, 2023
And those who work with the elderly and disabled in a nursing home setting will likely find themselves working with Medicare. While Medicare may not fully cover a stay in a nursing home, depending on an individual's circumstances, they can still qualify for partial coverage. Medicare coverage depends on: State and federal laws.
Sheppard Health Law
MAY 5, 2022
Department of Health and Human Services Office of Inspector (“OIG”) released a report that studied prior authorization denials and payment denials by Medicare Advantage Organizations (“MAOs”) (the “Report”). Thirteen percent of denied prior authorization requests met Medicare coverage rules. The OIG Report. additional test results).
HIT Consultant
OCTOBER 20, 2023
As is often the case in today’s healthcare environment, advanced technologies powered by artificial intelligence (AI) and machine learning (ML) are emerging as a potential solution, helping to both prevent falls and accelerate recovery when falls lead to injury – particularly when they can be used in the comfort of the patient’s home.
Sheppard Health Law
SEPTEMBER 6, 2022
In response to the COVID-19 Public Health Emergency (the “PHE”), the Centers for Medicare and Medicaid Services (“CMS”) issued numerous “blanket waivers” to increase access to medical services, and ease the regulatory burden on providers across the health care industry. The declaration of the PHE is currently set to expire on October 15 th.
Briggs Healthcare
MAY 4, 2023
Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare The submission deadline for the Inpatient Rehabilitation Facility (IRF), Long-Term Care Hospital (LTCH), and Skilled Nursing Facility (SNF) Quality Reporting Programs is approaching. All data must be submitted no later than 11:59 p.m. on May 15, 2023.
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