This week's note from the instructor is the second part in a series on the Medicare Diabetes Prevention Program (MDPP). This edition of the series reviews appropriate ways of reporting and receiving reimbursement for MDPP services.
The Hierarchical Condition Categories (HCC) risk-adjustment methodology is beginning to surface more frequently in both the acute and primary settings. Use these expert tips to help improve complete, compliant HCC capture.
The nearly 30-year-old Stark Law could be due for an overhaul, according to CMS. The agency is requesting public feedback on how to streamline the law’s administrative requirements and retool it to better fit with modern alternative payment models and value-based care.
This week’s Medicare updates include several changes to the July 2018 update of the Outpatient Prospective Payment System, the introduction of a new Data Element Library to help support interoperability, a request for information regarding possible changes to Stark Law, and more!
With new attention on the care continuum, many new roles are being created to both complement the comprehensive needs of patients and ensure that licensed individuals have the opportunity to work at the top of their license. As a result, many organizations are adding positions called navigators or health coaches to provide more support to the patient and family around the logistics of care.
