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In the realm of healthcare, the correct billing of cardiac device credits under Medicare is crucial for ensuring compliance and avoiding overpayments. These credits often arise when a cardiac device, such as an implantable defibrillator or pacemaker, is replaced due to a defect, recall, or other issues covered under a manufacturer’s warranty. Understanding the billing […]
Dually eligible beneficiaries are individuals who qualify for both Medicare and Medicaid, making them eligible for a broad range of healthcare services. These beneficiaries typically have limited income and resources, qualifying them for additional support to cover healthcare costs that Medicare does not fully pay. Here’s a detailed guide to understanding the benefits, billing practices, […]
Comprehensive Guide to Chronic Care Management (CCM) Services Chronic Care Management (CCM) services are essential in the ongoing care of patients with multiple chronic conditions, offering continuous support and coordination of care to improve health outcomes and reduce healthcare costs. The Centers for Medicare & Medicaid Services (CMS) recognizes CCM as a critical service and […]
The Centers for Medicare & Medicaid Services (CMS) has issued Change Request (CR) 13707, effective October 1, 2024, which introduces critical updates to hospice payment rates, the hospice wage index, and the hospice cap amount for the fiscal year (FY) 2025. These changes are essential for hospice providers to understand and implement as they impact […]
Starting January 1, 2024, the Centers for Medicare & Medicaid Services (CMS) will implement a significant change under Change Request (CR) 13244, which introduces separate payments for Disposable Negative Pressure Wound Therapy (dNPWT) devices under the Home Health Prospective Payment System (HH PPS). This update marks an important shift in how these devices are billed […]
