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CEO Resources

Resources to Drive Performance and Profitability:

Frequently Asked Questions about Physician Billing for Chronic Care Management Services.  This document answers frequently asked questions about billing chronic care management (CCM) services to the Physician Fee Schedule (PFS) under CPT codes 99487, 99489 and 99490. January 18...
Palliative care focuses on relieving patients’ stress, pain and other symptoms as their health declines, and it helps them maintain their quality of life. It’s for people with serious illnesses, such as cancer, dementia and heart failure. The idea is for patients to get palliative care and then...
Trend tracking can support your strategic planning and de-risk your future. Taking place right now are trends preparing the continuum of care for bundled payments. We take a look at significant changes to come...
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40% of the spending that comprises the Medicare Spending Per Beneficiary (MSPB) measure is accumulated outside of inpatient hospitalization. MSPB will be a quality measure across the healthcare continuum starting in 2017.
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Some of the highest-need, highest risk Medicare beneficiaries are those enrolled in both Medicare and Medicaid.  In current Medicare ACO initiatives, beneficiaries who are Medicare-Medicaid enrollees may be attributed to ACOs. The Medicare ACO, however, does not have financial...
ACO leaders identify and provide insights to how they are addressing the non-medical needs of patients. We explore key areas of transportation, housing and food insecurities. We take a look at CMS’ solutions and ways to solve barriers.
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Recent research suggests readmissions are higher within the first several days after discharge reaching its lowest point around seven days. Take a look at the analysis and check it against your own data.
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As health system reform shifts payment away from fee-for-service to value-based care models, the incentives to focus on and improve care for high-cost patients will grow.
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Why are there not more post-acute providers using EHRs? Identified in this article is the GAO report about the five current EHR barriers and why the government’s overall plan is impacting usage.
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Medicare Advantage now covers almost a third of all Medicare beneficiaries. In this article, we explore the importance of why Medicare Advantage Plans should coordinate with post-acute providers.
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Market conditions are sending strong signals about changing responsibilities and payments physicians will have for managing patients beyond the four walls of their offices. We explore three key game changing trends.
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Key bills have been introduced in the new Congress, which are similar to those not acted on in the last Congress.   They are bipartisan measures, which should improve their chances of passage. Home Health Care Planning Improvement Act of 2017 * Legislation cosponsored by Sens. Susan...
Care Coordination Significant To New Cardiac Bundled Payment Model The Centers for Medicare & Medicaid Services recently proposed a new payment model that would bundle payment to acute care hospitals for heart attack and cardiac bypass surgery services. In 2014, more than 200,000 Medicare...

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