Healthcare payers are redefining their role in care delivery through provider ownership, technology, and provider enablement to deliver higher-value care to members. Audio (9 pages) As the care-delivery landscape in the United States evolves in a COVID-19 era, both incumben...
Under the law, the person performing the abortion could face a felony prosecution punishable by up to five years in prison. In cases of rape or incest, the law requires pregnant women to file a police report and provide a copy of the report to the provider prior to an abortion. If the...
The state's Medicaid Provider Manual is often helpful in determining which services are covered and which guidelines accompany each billable code. As tertiary care and/or follow-up providers, it is our responsibility to educate ourselves about the nurse practitioner reimbursement laws currently in ...
Moving can be an incredibly stressful experience, andfinding out you've been scammedcan make it infinitely worse. The most popular scam includes getting a quote from a moving company and sending a deposit, only to have the movers never show up. Another scam includes companies quoting you a ra...
The Centers for Medicare & Medicaid Services (CMS) and other payers are pushing provider organizations to assume greaterfinancial riskunder value-based care models. By shifting risk to providers, industry leaders aim to significantly reduce costs while improving care quality, patient satisfa...
On the upside, however, many owners received federal assistance that kept paychecks going or found a new revenue stream in the sale of PPE and cleaning materials to a new customer base. Relief also came when the Centers for Medicare & Medicaid (CMS) temporarily removed some regulatory burdens....
Whereas these dramatic demographic changes should suggest that demand for facilities such as nursing homes would likely remain strong despite the at-home preference, the number of CMS (Centers for Medicare & Medicaid Services) certified nursing facilities available in the U.S. has continued to contra...
States Look To Drugs, Provider Reimbursements To Reduce Medicaid CostsKate Fiore