Category Archives: Medical Billing

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 

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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 →

CMS waives provider screening requirements in TX, LA during Hurricane Harvey recovery efforts

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CMS waives provider screening requirements in TX, LA during Hurricane Harvey recovery efforts The Centers for Medicare & Medicaid Services (CMS) today approved suspending certain Medicare enrollment screening requirements for healthcare providers and suppliers that are assisting with Hurricane Harvey recovery efforts in areas impacted in Texas and Louisiana. CMS Administrator Seema Verma said the agency has established a hotline Continue reading CMS waives provider screening requirements in TX, LA during Hurricane Harvey recovery efforts→

EpiPen Agreement Protects Medicaid Integrity,  Saves Hundreds of Millions of Dollars

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EpiPen Agreement Protects Medicaid Integrity, Saves Hundreds of Millions of Dollars   The Centers for Medicare & Medicaid Services (CMS) is pleased to announce an agreement with Mylan regarding the classification of EpiPen. Per the agreement, Mylan will reclassify EpiPen as a brand name drug consistent with the Medicaid statute and regulations. In addition, Mylan has agreed to use the Continue reading EpiPen Agreement Protects Medicaid Integrity,  Saves Hundreds of Millions of Dollars→