diabeteschronic care modelevidence-based medicine guidelinesagingpractice managementPresents a question and answer advisory regarding the use of the Center for Medicare and Medicaid Services guide to determine office vis...
CMS proposes a new standard, "Emergency Services Readiness," within the Emergency Services CoPs. This standard would require facilities to have protocols and provisions consistent with nationally recognized and evidence-based guidelines to meet the emergency needs of patients, ...
CMS will continue to include organ acquisition costs for kidney transplants in the Program of All-Inclusive Care for the Elderly (PACE) rates, including PACE ESRD rates, and the IME payment phase-out does not apply to PACE capitation amounts. Therefore, for 2025, the ESRD rates for P...
[7] American Diabetes Association Professional Practice Committee. 9. Pharmacologic Approaches to Glycemic Treatment: Standards of Medical Care in Diabetes-2022. Diabetes Care. 2022;45(Suppl 1):S125-S143. [8] ElSayed NA, Aleppo G, Aroda VR, et al. 9. Pharmacologic Approaches to Glycemic Treat...
Use of a composite outcome measure of cardiovascular risk, which focused practices on a single clinical tool and outcome rather than discrete measures of hypertension, cholesterol, and diabetes control or broader approaches to care coordination and disease management. This shift may have ...
Diabetes management is a hallmark of various CMS primary care pay for performance (P4P) programs. Tight glycemic control, checking low density lipoprotein (LDL) cholesterol in patients already on statin medications, and aggressive blood pressure lowering, although financially incentivized by CMS, are li...
–“examination and blood work”• Conclusion and Diagnosis: This is the outcome of the findings based on the care rendered. –“Anemia with coexisting conditions of Adult onset diabetes, neuropathy, COPD, and Asthma” What to code?? • Complete Diagnostic Coding, not just primary Diagnosis ...
"NCCN has made a commitment that they are going to keep their guidelines up-to-date," said Fred Pane, R.Ph., senior director of pharmacy affairs at Premier Inc. "We were pretty confident that we were going to get recognized by CMS," said William McGivney, Ph.D., CEO of NCCN. Mc...
CMS also proposes to change some of the current administrative policies regarding FQHC reimbursement. Under the AIR system, FQHCs can bill for more than one visit if an illness or injury occurs subsequent to the patient’s initial visit or when mental health, diabetes self-management/medical nutr...
Obesity is a disease that has multiple causes and consequences, not limited to weight,” Michael Kolber, JD, health care partner at Manatt, Phelps, and Phillips, LLP, said in a press briefing. “Some medical specialty groups, in fact, have advocated for the use of a...