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A FQHC Prospective Payment System (PPS) was scheduled to be implemented in 2014. [4] The Patient Protection and Affordable Care Act (ACA) mandates that the Centers for Medicare and Medicaid Services (CMS) collect and analyze health services data prior to developing and implementing the new payment system.
In 1989, Congress created the Federally Qualified Health Center (FQHC) program, which established a preferential payment policy for health centers by requiring "cost-based" reimbursement for both Medicaid and Medicare. [1] The policy designated FQHC services as a mandatory Medicaid service that all states must cover and reimburse on a cost ...
The Centers for Medicare & Medicaid Services (CMS) is a federal agency within the United States Department of Health and Human Services (HHS) that administers the Medicare program and works in partnership with state governments to administer Medicaid, the Children's Health Insurance Program (CHIP), and health insurance portability standards.
Data includes: [3] Categories of Records in the System. No information is maintained in this system for individual applicant/enrollees. The hub accesses and passes data which includes, but may not be limited to, the applicant's first name, last name, middle initial, mailing address or permanent residential address (if different from the mailing address), date of birth, Social Security Number ...
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). The NPI has replaced the Unique Physician Identification Number (UPIN) as the required identifier for Medicare services, and is used by other payers ...
The Medicare Payment Advisory Commission has urged the federal government to restructure the hospice benefit to remove such incentives by reducing payments for longer stays, warning that such changes are “imperative.” The Centers for Medicare and Medicaid Services has the authority to reform the system but has not adopted the proposed changes.
Image credits: Westford Animal Control / Facebook A woman walking by the Nabnasset Lake in Westfold, Massachusetts, noticed a cat stuck on the ice in the middle of the lake and immediately called ...
The various providers within an ACO work to provide coordinated care, align incentives and lower costs. [31] ACOs are different from health maintenance organizations (HMOs) in that they allow providers much freedom in developing the ACO infrastructure. [32] Any provider or provider organization may assume the role of running an ACO.