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CMS Revises Fiscal Year (FY) 2023 State Performance Standards System (SPSS) Guidance

Briggs Healthcare

The SPSS is aligned with CMS expectations for State Survey Agency performance in accordance with the §1864 Agreement and all related regulations and policies intended to protect and improve the health and safety of Americans such as the State Operations Manual, the Mission and Priority Document, survey procedure guides, and other relevant documents.

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The Critical Shift in ASC EHR Adoption: Overcoming Barriers

HIT Consultant

The EHR is the best way to support the immediate and long-term trajectory of a patient’s health by allowing for more efficient information gathering and information analysis along the continuum of care, including preventive care, through medical incidents, rehabilitation and maintenance.

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HCPCS vs CPT: Everything You Need to Know

Etactics

Preventing denial codes is essential if you want to keep a steady revenue flow. This is an easily preventable billing error, which we are going to go over in this blog. H Codes - Rehabilitative services. These codes provide data about the quality of care given. 99397 - Preventive exam (over the age 65).

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Weighing Policy Trade-offs: Building State Capacity to Address Health Care Consolidation

NASHP

Evidence suggests that vertical integration and growing consolidation in health care leads to higher hospital and provider prices and higher total spending — all while having little to no impact on improving quality of care for patients, reducing utilization, or improving efficiency.

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National Care Coordination Standards for Children and Youth with Special Health Care Needs (CYSHCN): Proceedings from the National Forum on Care Coordination for CYSHCN

NASHP

High-quality, integrated care requires strong system-level partnerships, information and data sharing, and family-centered practices. In spite of these barriers, and to help address them, states have implemented innovations to improve integrated care coordination for CYSHCN. Supporting a diverse care coordination workforce.

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Behavioral Health System Modernization along the Continuum

NASHP

The commission was created in the New Hampshire Legislature in 2000 (NH RSA Chapter 12-J), which established the Alcohol Fund, directing a part of proceed from sales of alcohol to prevention, harm reduction treatment, and recovery services. An action plan dashboard tracks targets.

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CMS Promotes Competition, Transparency, Health Equity and More in the CY2025 Medicare Advantage and Part D Proposed Rule

Sheppard Health Law

Improving Access to Behavioral Health Care Providers The Proposed Rule would expand MA network adequacy requirements to encompass outpatient behavioral health in order to improve access to behavioral health care providers. Please refer to our January 5, 2023 , November 4, 2022 and May 16, 2022 blog posts for more information.