Understanding Medicare & Medicaid for Dually Eligible Beneficiaries
Understanding Medicare & Medicaid for Dually Eligible Beneficiaries 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 […]
Transitional Care Management Services
Understanding Transitional Care Management (TCM) Services: A Comprehensive Guide Transitional Care Management (TCM) services play a crucial role in ensuring that patients who are discharged from inpatient care facilities receive the appropriate follow-up care necessary to transition smoothly back into their community settings. These services are vital for preventing readmissions, improving patient outcomes, and managing […]
Skilled Nursing Facility 3-Day Rule Billing
Understanding the Skilled Nursing Facility (SNF) 3-Day Rule for Medicare Billing Navigating Medicare’s billing requirements can be complex, especially when it comes to the Skilled Nursing Facility (SNF) 3-Day Rule. This rule is critical for ensuring that Medicare covers SNF services, and understanding it can help prevent denied claims and unexpected costs for patients. Here’s […]
Reimbursement Changes
Reimbursement Changes Medicare Reimbursement Rate Adjustments: Background: Medicare periodically adjusts reimbursement rates for DME based on market data and competitive bidding outcomes. Recent Changes: Rates have been adjusted to reflect the savings achieved through competitive bidding, with reductions in payment rates for many items. Impact: Lower reimbursement rates can challenge the profitability of DME […]
