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📣On July 10, 2024, the Centers for Medicare & Medicaid Services (CMS) unveiled the 2025 Proposed Medicare Physician Fee Schedule. The proposed changes offer new opportunities for more comprehensive care management services and expanded flexibilities for virtual care. ➡️We’ve summarized some of the key highlights on remote monitoring, telehealth, and care management services in our latest article. Dive into all the details here outlined in the latest article by 100Plus https://hubs.ly/Q02HqNVc0 #Healthcare #CMS #Medicare #Telehealth #CareManagement #RemoteMonitoring #HealthcareProviders #RPM

The Centers for Medicare and Medicaid Innovation (CMMI) Director Liz Fowler testified before the House Committee on Energy and Commerce Health Subcommittee on CMMI’s work to advance value-based care. CMMI has seen success over the last decade, improving patient health and generating millions in savings. Members of the Alliance for Value-Based Patient Care shared recommendations to further strengthen CMMI and support long-term healthcare transformation, including: ➡️Creating new models to engage more medical specialties ➡️Making it easier for safety net, rural, and small practices to transition to value ➡️Broadening and clearly defining the criteria to expand value-based models ➡️Engaging diverse healthcare stakeholders in model development Read the full letter: https://bit.ly/45n0PZX #ValueBasedCare #CMMI #HealthcareInnovation

On July 10, 2024, CMS released its proposed Medicare Physician Fee Schedule (MPFS) for calendar year 2025. In addition to the agency’s suggested cut to physician payments, the proposed rule also announced new covered services. According to CMS, the proposed rule “reflect[s] a broader Administration-wide strategy to create a more equitable health care system that results in better accessibility, quality, affordability, empowerment, and innovation for all Medicare beneficiaries.” Read the recent HC Topics article for more: https://lnkd.in/gGzfp_Hs For more updates in healthcare, be sure to subscribe to the HC Topics e-journal here: https://lnkd.in/g4VS2F7r and for more information about HCC, visit www.healthcapital.com #MPFS #CMS #Medicare #healthcare #HCTopics

News from First Report Managed Care: The current Medicare Physician Fee Schedule brought many significant changes to increase access to much needed virtual care management (VCM) services to underserved populations. Learn more about the potential implications of these fee changes from an expert in this interview with Brian Esterly. #FirstReportManagedCare #FRMC #medicarephysicianfeeschedule #medicare #virtualcaremanagement #VCM

Late last week, CMS released the final rule of the 2024 Medicare Physician Fee Schedule, announcing two major changes that will greatly benefit FQHCs and RHCs. Read our latest article analyzing the benefits, drawbacks, and impact the 2024 ruling will have on billing code G0511, and the future of remote patient monitoring. 📚 Get it here: https://hubs.la/Q027-My50 #CCM #RPM #TimeDoc #G0511 #FQHC #RHC

Chronic Care Management (CCM) encompasses a range of supportive services covered by Medicare, primarily designed for beneficiaries who manage multiple chronic health issues. These conditions are typically long-term, persisting for at least a year or until the end of a patient’s life. CCM plays a crucial role for patients who need ongoing care and supervision beyond the usual in-person consultations with healthcare providers. #MedicalBilling #MedicalCoding #COVID19 #Healthcare #HealthcareAdministration #HealthcareIndustry #HealthcareManagement #HealthcareProfessionals #HealthcareServices #MedicalBillingAndCoding #GroupPsychotherapy #CPTCode #HealthcareBilling #HealthcareCoding #Telemedicine #HealthcareTechnology #HealthcareSolutions #HealthcareUpdates #COVID19Impact #HealthcareTrends #HealthcareRecovery #HealthcareCommunity #ChiropracticCodes #CPTCodes #HealthcareBilling #MedicalCoding #ChiropracticTreatment #HealthcareProfessionals #MedicalBillingAndCoding #PhysicalTherapy #HealthInsurance

On November 2, 2023, the CMS unveiled The 2024 Physician Fee Schedule along with the ultimate guidelines governing #remotecare management. The #cms persists in enhancing the potential of Remote Patient Monitoring (RPM) and Remote Therapeutic Monitoring (RTM) services to both bolster revenue and enhance the overall #patientcare experience. Concurrently, #medicare disclosed two significant modifications poised to significantly advantage Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs). These alterations will empower FQHCs and RHCs to adopt a comprehensive approach to patient care, facilitating the delivery of more inclusive and easily accessible #healthcare services to their patient population. Read more about the 2024 RPM and RTM reimbursement changes on our blog: https://lnkd.in/gKPkjAUU #NetrinHealth #Remotepatientmonitoring #Primarycare #Valuebasedcare #FQHC #Ruralhealthcare

CMS creates the rules, providers play a game of Simon Says. It takes good management to create strategies to clinically incline a healthcare entity or practice. An ACO can be beneficial to primary care providers, specialists, and most importantly communities. By 2030, CMS is hoping for 100% of traditional Medicare beneficiaries to be a part of an ACO. An ACO is formed when a groups of doctors, hospitals, and community-based healthcare providers come together to provide coordinated care to recipients. Our focus is on assuring resources are available in communities and implementing programs focused on bridging gaps in care through telehealth, chronic care management (CCM), principal care management (PCM), and remote patient monitoring (RPM). We are the One! https://lnkd.in/gTgRcZC4 #revenuecycle #revenuecyclemanagement #priorauthorization #medicalbilling #medicalcoding #healthcare #healthcaretechnology #accountsreceivables #denialmanagement #consulting #management #implementationpartner MedPage Today

Healthcare is at a crossroads! With an aging population and skyrocketing costs, health plans are under immense pressure to control expenses while maintaining quality inpatient care. Reevaluating payment integrity is essential to ensure timely and accurate payment recommendations. One powerful tool? Diagnosis-related group (DRG) validation! Take a look at my article on how DRG reimbursement helps manage costs and improve payment accuracy. https://lnkd.in/eKhbedka #Healthcare #DRGValidation #PaymentIntegrity #Zelis

"Being Intentional About Reporting Leads to Better Quality" - Sound Physicians Long-Term Care Management (SLTCM) Accountable Care Organization (ACO) As a member of the Mingle Health team working in partnership with SLTCM to report clinical quality measures (CQMs), it has been a rewarding experience! Check out this article from Provider Magazine to hear more from SLTCM on their success and collaboration with Mingle Health. #ValueBasedCare #MSSP #ACO #QualityReporting