Medicare Prevention Rehabilitation 
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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Home Health Care
AUGUST 19, 2024
This article is a part of your HHCN+ Membership Home health providers have lately been hamstrung by payment rate cuts , staffing woes and Medicare Advantage (MA) penetration. The LTM Group, based in Dayton, Ohio, provides home health, personal care, hospice, and rehabilitation services through multiple locations.
Briggs Healthcare
MARCH 23, 2022
PEPPER is an educational tool that summarizes provider-specific data statistics for Medicare services that may be at risk for improper payments. PEPPER is developed under contract with the Centers for Medicare & Medicaid Services (CMS) by RELI Group, along with its partners TMF® Health Quality Institute and CGS.
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.
Healthcare It News
MARCH 8, 2023
At the other end of the age range, speech therapists can provide virtual care to seniors and Medicare Advantage enrollees nationwide. Today, virtual speech therapy programs strengthen the health plan’s range and depth of services for members enrolled in both commercial and Medicare Advantage.
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).
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