Search results
Results from the WOW.Com Content Network
Proposed rules from CMS, such as the patient burden and prior authorization proposed rule (CMS-9123-P), [31] further specify FHIR adoption for payer-to-payer exchange. The CMS rules and Office of the National Coordinator for Health IT (ONC) Cures Act Final rule (HHS-ONC-0955-AA01) [ 32 ] work in concert to drive FHIR adoption within their ...
Prior authorization, or preauthorization, [1] is a utilization management process used by some health insurance companies in the United States to determine if they ...
Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), (H.R. 2, Pub. L. 114–10 (text)) commonly called the Permanent Doc Fix, is a United States statute. Revising the Balanced Budget Act of 1997 , the Bipartisan Act was the largest scale change to the American health care system following the Affordable Care Act in 2010.
If your doctor thinks you may have early signs of cognitive health issues, Medicare covers a separate visit for a more thorough review to check for conditions such as dementia, depression, anxiety ...
Utilization management is "a set of techniques used by or on behalf of purchasers of health care benefits to manage health care costs by influencing patient care decision-making through case-by-case assessments of the appropriateness of care prior to its provision," as defined by the Institute of Medicine [1] Committee on Utilization Management by Third Parties (1989; IOM is now the National ...
HCFA was renamed the Centers for Medicare and Medicaid Services on July 1, 2001. [9] [11] In 2013, a report by the inspector general found that CMS had paid $23 million in benefits to deceased beneficiaries in 2011. [12] In April 2014, CMS released raw claims data from 2012 that gave a look into what types of doctors billed Medicare the most. [13]
Stoli. Stoli Group USA, the owner of the namesake vodka, filed for bankruptcy in December. A number of things went wrong for the unit, including a slowing demand for spirits, a major cyberattack ...
Medicare. News. Science & Tech. Shopping. Sports. Weather. Fans Are Worried About Giada De Laurentiis: 'Someone Needs To Go Check On Giada' Megan Schaltegger. December 16, 2024 at 10:20 AM.