CMS announces initiatives to strengthen Medicaid program integrity

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CMS announces initiatives to strengthen Medicaid program integrity Agency actions will help ensure the sustainability of vital safety net program for all beneficiaries  Today, the Centers for Medicare and Medicaid Services (CMS) announced new and enhanced initiatives designed to improve Medicaid program integrity through greater transparency and accountability, strengthened data, and innovative and robust analytic tools. “The initiatives released today Continue reading CMS announces initiatives to strengthen Medicaid program integrity

5 New HCPCS Q Codes Effective July 1

Get a jump on five new HCPCS Level II codes going into effect July 1. All are Q codes and they help patients with opioid addiction, knee pain, cystic fibrosis, and hemophilia. Q9991         Injection, buprenorphine extended-release (Sublocade), less than or equal to 100 mg   Q9992         Injection, buprenorphine extended-release (Sublocade), greater than 100 mg   Sublocade is a drug used for treatment Continue reading 5 New HCPCS Q Codes Effective July 1

CMS announces new payment model to improve quality, coordination, and cost-effectiveness for both inpatient and outpatient care

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CMS announces new payment model to improve quality, coordination, and cost-effectiveness for both inpatient and outpatient care The Centers for Medicare & Medicaid Services (CMS) Center for Medicare and Medicaid Innovation (Innovation Center) announced the launch of a new voluntary bundled payment model called Bundled Payments for Care Improvement Advanced (BPCI Advanced). Under traditional fee-for-service payment, Medicare pays providers for Continue reading CMS announces new payment model to improve quality, coordination, and cost-effectiveness for both inpatient and outpatient care

Medicare offers more health coverage choices and decreased premiums in 2018 

Medicare Advantage premiums decrease, choices increase, while enrollment hits an at all-time high The Centers for Medicare & Medicaid Services (CMS) announced that people with Medicare will have more choices and options for their Medicare coverage in 2018. As CMS releases the benefit and premium information for Medicare health and drug plans for the 2018 calendar year, the average monthly Continue reading Medicare offers more health coverage choices and decreased premiums in 2018