A key provision of the CCA would significantly expand the relevant timespan for medical record reviews, offering both opportunities and challenges.
The recent reinstatement of the overpayment rule has significant implications for Medicare Advantage plans.
The 21st Century Cures Act also makes substantive changes to the way dual enrollees are accounted for in the MA risk adjustment models.
The 21st Century Cures Act includes newly-designated conditions for mental health disorders, substance abuse disorders, and chronic kidney disease.
In addition to the impact on health IT interoperability, the 21st Century Cures Act (CCA) has profound Medicare reimbursement policy implications.
Additional key provisions of the new interoperability rule which impact health plans.
Health plans face a number of new requirements to be compliant with the CMS interoperability final rule.
Implementation of the new interoperability rules presents a number of challenges for health care organizations.
New rules around interoperability have been issued to advance the adoption of electronic health record systems.
The sampling methodology employed for the risk adjustment data validation process has a significant impact on the payment recovery process.