Anita is a 76-year-old patient who cannot be insured. She has no income and came to the U.S. on a green card that expired many years ago. Anita has end-stage renal disease and can no longer care for herself. Her disease has progressed so dramatically that she will never be able to stand or walk on her own again. What can a case manager do in this complex case to ensure Anita receives care?
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.
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!
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.
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.
