Cognitive Assessment & Care Plan Services
If your patient shows signs of cognitive impairment during a routine visit, Medicare covers a separate visit to more thoroughly assess your patient’s cognitive function and develop a care plan…
Alternative Payment Models
Innovations
Providers
Reimbursement
Resource
Value Based Care
Value Based Operations
CMS Bundled Payments for Care Improvement (BPCI) Initiative: A Discussion on Bundled Payments
There is a large disconnect between what occurs after a patient is discharged from a hospital (acute) and what occurs thereafter. The quality of care is entirely unmanaged, uncontrolled, and…
2021 Performance Period Eligible Professional / Eligible Clinician eCQMs
The document outlines 47 electronic clinical quality measures (eCQMs) for Eligible Professionals/Clinicians for the 2021 performance period. It categorizes various measures based on quality domains, including effective clinical care, community…
Statutory and Plan-Bid Components of the Regional MA Benchmarks
Carriers set their actual prices by bidding against the capitation payment amounts. Carriers with plans that do well on Medicare Advantage program quality measures get a higher monthly capitation payment.
Physical Therapy Incident-to Billing Guidance
Evaluation and Management Coding for Physical Medicine and Rehabilitation Incident-to services are services performed that are integral to and an incidental component of the physician’s professional services in an outpatient…