Chronic Care Management (CCM) services are essential in the ongoing care of patients with multiple chronic conditions, offering continuous support and coordination of care to improve health outcomes and reduce healthcare costs. The Centers for Medicare & Medicaid Services (CMS) recognizes CCM as a critical service and provides reimbursement for these non-face-to-face services under the
Dually eligible beneficiaries are individuals who qualify for both Medicare and Medicaid, making them eligible for a broad range of healthcare services. These beneficiaries typically have limited income and resources, qualifying them for additional support to cover healthcare costs that Medicare does not fully pay. Here’s a detailed guide to understanding the benefits, billing practices,
The Centers for Medicare & Medicaid Services (CMS) has issued an important update through Change Request (CR) 13241, which becomes effective on January 1, 2023. This update is designed to enhance the accuracy and efficiency of payment processes for Home Health Agencies (HHAs) that do not submit the required quality data. The update fully replaces
he durable medical equipment (DME) industry is witnessing significant growth due to an aging population, rising chronic diseases, and technological advancements. Companies are expanding their geographic presence and leveraging strategic partnerships to meet diverse healthcare needs. This growth is further driven by the increasing demand for home healthcare solutions. Key players like Invacare, Sunrise Medical, and Medline Industries are continuously innovating to maintain profitability and market reach. Understanding financial dynamics, sourcing strategies, and insurance billing processes are crucial for navigating this evolving industry.
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