What happens to a single senior on Medicare who needs replacement joint surgery and rehab physical therapy for recovery for limb replacement when the patient is unable to secure help from friends or family? I am greatly frustrated that the times for hospitalization for surgeries have been cut at ...
In Part D,catastrophic coverageoccurs when your drug spending has reached a certain level. This rate changes each year. In 2023, enrollees pay a $505 deductible and 25% of total drug costsup to the catastrophic threshold, and then 5% coinsurance. In the catastrophic phase, Medicare pays 80%...
Quality: CMS proposes requiring the use of the Spanish CAHPS survey, increasing the data completeness threshold to 80 percent starting in the performance year 2027 (payment year 2029), and changing the existing MIPS quality measure set by adding nine measures, removing 15 measures, mo...
MCTRJCA set the annual threshold at $3,700 to be applied separately for the two categories of therapy services effective October 1, 2012. However, this increased amount applied to therapy service receivedboth in physicians' offices and hospital outpatient departmentsfor the first time. The condition...
For 2023 and in subsequent years, an eligible professional who meets either of the following criteria: (a) Medicare payment threshold. At least 75% of Medicare payments are furnished through an eligible APM; or (b) Combination all-payer and Medicare payment threshold. At least 25% of Medicare...