Prior to PAMA, CMS paid for certain chemistry tests using Automated Test Panels (ATPs). ATPs used claims processing logic to apply a bundled rate to sets of these codes based off how many ATPs were ordered. The claims processing system would not pay more for all ATPs than the associated...
The Association of American Physicians and Surgeons (AAPS) called the act “socialist,” and a “forfeiture of our freedom” that would “destroy private insurance.” Simultaneously, other legislators introduced a competing act to create a federally run “single-payer” national health insurance ...
The Association of American Physicians and Surgeons (AAPS) called the act “socialist,” and a “forfeiture of our freedom” that would “destroy private insurance.” Simultaneously, other legislators introduced a competing act to create a federally run “single-payer” national health insurance ...
Excel-based for easy and convenient use. Import prior cost reports: No need to re-enter the same information as last year. Code your trial balance and your values are immediately populated on many of the worksheets. PS&R import: You read that right! All values from the PS&R instantly fi...
is not intended to be an exhaustive review of every detail and requirement contained within the text of the proposed regulation. We will be providing a Webinar Series to discuss the fine details, business implications and best practices surrounding Section 111 Mandatory Insurer Reporting for NGHPs....
Addiction treatment and telehealth: review of efficacy and provider insights during the COVID-19 pandemic. Psychiatr Serv. 2022;73(5):484-491. doi:10.1176/appi.ps.202100088PubMedGoogle ScholarCrossref 35. Chan B, Gean E, Arkhipova-Jenkins I, et al. Retention strategies for ...
The most direct solution: Create a new nutrition-therapy benefit. Depending on utilization, the IOM estimated costs for the new benefit at somewhere between $873 million and $2.63 billion for the five years from 2000 to 2004. The report also estimated savings of up to $330 million for diabet...
doi:10.1111/psyg.12044 PubMedGoogle ScholarCrossref 29. Lee YJ, Johnston DM, Reuland M, Lyketsos CG, Samus Q, Amjad H. Reasons for hospitalization while receiving dementia care coordination through maximizing independence at home. J Am Med Dir Assoc....
Scott Nelson, PharmD, MS, FAMIA, ACHIP, joined Drug Topics to discuss the 2025 Pharmacy Forecast and AI’s role in the future of pharmacy practice. Pharmacists as the Authority on Ultra-High-Cost Drugs Brian Nowosielski;Erin R. Fox, PharmD, MHA, BCPS, FASHP February 13th 2025 Podcast...
The Pathway for SGR Reform Act of 2013 (PSRA; P.L. 113-67) and PAMA9 extended the therapy cap exceptions process through March 31, 2015. Section 202 of MACRA extends the exceptions process through December 31, 2017, and requires the Secretary to implement a new medical review process for...