Course | Basic | Medicare Payment and Reimbursement
In this course we will address scheduling processes, including<div><ul><li>Patient identification</li><li>Requested service</li><li>Medical necessity screening</li><li>Medicare Advance Beneficiary Notice of Noncoverage processing</li><li>Pa...
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Course | Overview | Medicare Payment and Reimbursement
This course provides a brief history and overview of Medicare and Medicaid. It describes government organizations that regulate and administer this program. This course also discusses Medicare reimbursement. In addition, it highlights recen...
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Course | Intermediate | Medicare Payment and Reimbursement
This course provides an overview of the prospective payment systems used in the Medicare program and as well as Medicare fee schedules. This course provides a general discussion and overview of Medicare reimbursement under the Inpatient Pro...
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Course | Intermediate | Medicare Payment and Reimbursement
This course provides a general discussion and overview of reimbursement provided by Medicare under the outpatient prospective payment system. It also discusses the use of ambulatory payment classifications in the outpatient prospective paym...
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On Demand Webinar | Intermediate | Medicare Payment and Reimbursement
As the senior population continues to outpace the relative growth of the general population, and Medicare Advantage is accounting for about one-third (and growing every year) of all new Medicare eligible enrollees, providers are increasingl...
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Fact Sheet | Medicare Payment and Reimbursement

Advancing Care Coordination Through Episode Payment Models (EPMs) Proposed Rule Summary

Fact Sheet | Medicare Payment and Reimbursement

Advancing Care Coordination Through Episode Payment Models (EPMs) Proposed Rule Summary

CMS proposes to make modifications to the CJR model, create three EPMs for care of AMI, CABG, and SHFFT, and create the CR Model using its authority under section 1115A. The proposed Cardiac Rehabilitation (CR) Incentive Program is also briefly described in the rule.

CMS proposes to make modifications to the CJR model, create three EPMs for care of AMI, CABG, and SHFFT, and create the CR model using its authority under section 1115A. The proposed Cardiac Rehabilitation (CR) Incentive Program is also briefly described, under which additional payments for CR and intensive cardiac rehabilitation (ICR) services would be made during the follow-up care of AMI and CABG patients.The proposed rule also expands opportunities for Advanced Alternative Payment Model (APM) participation by eligible professionals (through Track 1 in each of the new EPMs and in the modified CJR), potentially allowing them to achieve Qualifying Participant (QP) status and APM-related payment incentives.  

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