As the 2019 novel coronavirus (COVID-19) pandemic continues to strain the healthcare industry, the Centers for Medicare & Medicaid Services (CMS) eased healthcare provider enrollment rules. CMS has significantly streamlined the process for physicians and other providers se...
The agency has also been collecting more data on race and ethnicity through voluntary MA and Part D enrollment forms and calculating risk scores using MA encounter data and traditional Medicare claims for the 2022 coverage year, according to a press release. Centers for Medicare & Medicaid Services...
Every year, theCenters for Medicare and Medicaid Services (CMS)provide guidance on theMedicare Communications and Marketing Guidelines (MCMG)for Medicare Advantage Plans (MAs), Medicare Advantage Prescription Drug Plans (MA-PDs), Prescription Drug Plans (PDPs) and 1876 Cost Plans. CQ fluency can p...
Last month, the Centers for Medicare and Medicaid Services (“CMS”) released arequest for information(“RFI”) to obtain input on how the agency can use emerging technologies such as artificial intelligence (“AI”) to ensure proper claims payment and reduce provider burden, as well as how t...
those who met CMS criteria for enrollment (Table 1) were in general significantly older, more likely to be White race, more likely to be female, were less likely to have enrolled in Medicare due to criteria other than age eligibility, and had a higher number of comorbidities as well as hi...
Medicare benefits are determined as if the services were covered under Medicare Parts A and B. The person receives services from a provider who has elected to opt-out of Medicare. Medicare benefits are determined as if the services were covered under Medicare Parts A and ...