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…

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 unmonitored. Moreover, the patient is placed at greater risk whe

2021 Performance Period Eligible Professional / Eligible Clinician eCQMs

2021 Performance Period Eligible Professional / Eligible Clinician eCQMsTotal number of EP/EC eCQMs: 47 Measure Name CMS eCQM ID Quality Domain NQF ID MIPS Quality ID Meaningful Measure Area Telehealth Eligible*…

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…

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