Synergy Medical Solutions is now accepting Tennessee Medicaid!
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We're laying out our top tips for correctly coding and documenting anesthesia services for the maximum Medicare and Medicaid reimbursements. Read More ➡️ https://bit.ly/4dj0BGP
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President at Medical Association of Billers and MAB Reimbursement Professionals | Academic Director at MAB Institute | VP at MTP | Certified Medical Billing Specialist | Market Access Reimbursement Analyst
Q&A: Talking Prior Authorization With Rep. Suzan DelBene The Washington congresswoman also discusses home dialysis, Medicare cuts Although the Centers for Medicare & Medicaid Services (CMS) issued a final ruleopens in a new tab or window on prior authorization, there is more that can be done to ease clinician burdens in this area, according to Rep. Suzan DelBene (D-Wash.). DelBene sponsored the Improving Seniors' Timely Access to Care Actopens in a new tab or window, which would, among other provisions, require affected plans to establish an electronic prior authorization process and issue real-time decisions on routinely approved services and procedures. https://lnkd.in/etKxemnk
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Centers for Medicare & Medicaid Service Notices Publication Date: 4/23/2024 Comments Close: 5/23/2024 Agency Information Collection Activities; Proposals, Submissions, and Approvals Medicaid and CHIP Program (MACPro) FedRegDoc#:2024-08658 FRDoc@89 FR 30377 (3 pgs) Agency/Document Identifier: CMS-10434 At this time, MACPro is made up of the main umbrella (see collection number 1 in the following list) and nine individual generic collections of information (see collection numbers 2 through 10 in the following list). Details such as the collection's requirements and burden estimates can be found in the collection's supporting statement and associated materials (see ADDRESSES for instructions for obtaining such documents). William N. Parham, III Director, Division of Information Collections and Regulatory Impacts, Office of Strategic Operations and Regulatory Affairs. [FR Doc. 2024-08658 Filed 4-22-24; 8:45 am] https://lnkd.in/e6_BuZe8
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The Centers for Medicare & Medicaid Services (CMS) have announced key changes for 2025. These updates, which affect Part D of the drug benefit program, are crucial for anyone involved with Medicaid, Medicare, and CHIP. To understand these regulatory requirements and their impact, head over to our blog for more details! https://bit.ly/3RJdbWF
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HR Business Partner/Sr. Manager ⏩ Director-Level Strategy + Leadership Supporting Companies During Growth + Change ⏩ HR Compliance, Employee Engagement + Training SME ⏩ DEI Thought Leader ⏩ F-500 + US Army HR Experience
CMS has limited the counting of section 1115 demonstration days in the Medicaid fraction of the disproportionate share hospitals calculation. Learn more in this article from FORVIS.
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CMS has limited the counting of section 1115 demonstration days in the Medicaid fraction of the disproportionate share hospitals calculation. Learn more in this article from FORVIS.
DSH Payment Calculation Finalized to Exclude Section 1115 Demonstration Days
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Founder & CEO, Coding Clarified ⚕ Let us Clarify Coding for You, Affordable Online Medical Coding Training Program
The Centers for Medicare & Medicaid Services (CMS) has proposed an episodic payment model, the Transforming Episode Accountability Model (TEAM). This is one of CMS’s “innovation” models. If it makes it through the rulemaking process, the proposed model would launch on Jan. 1, 2026 and run for five years, ending on Dec. 31, 2030. The model would be mandatory for five types of surgical procedures: Lower extremity joint replacement; Surgical hip femur fracture treatment; Spinal fusion; Coronary artery bypass graft; and Major bowel procedures. These procedures would “initiate” the episode.
Coding Clarified
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We abstractly talk about addressing #SDOH in whole-person care, but it's fascinating to see this tool released by Centers for Medicare & Medicaid Services showing the billable codes that address these needs directly! https://lnkd.in/gJkvB6UY
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Navigating Medicaid enrollment can be daunting, especially when patients are at their most vulnerable. What if providers could reset the mess of paperwork and complex workflows that make getting coverage difficult, creating a remarkably simple experience that empowers more patients to affordably pursue the care they need? That’s now possible with Cedar’s Affordability Navigator, featuring full-service Medicaid enrollment in partnership with Advocatia Solutions: https://lnkd.in/d46mpKSp
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