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Broader coverage comes as great news for those with profound hearing loss. Cochlear implants were first covered for adult Medicare beneficiaries in October 1986 with coverage for children following in 1992. Since then, devices have been improved and there have been gradual changes in the degree of hearing loss for which the Food and Drug […]
The post Medicare Expands Cochlear Implantation Coverage appeared first on AAPC Knowledge Center.
Re-evaluate your kickback compliance to include EKRA and the Travel Act’s racketeering statute for bribery. If a relationship with physicians or other referral sources has been structured to carve out Medicare and Medicaid patients to avoid triggering Anti-kickback Statute and Stark Law requirements, it’s time to review its compliance. Define Kickback and Self-referral Laws Federal […]
The post The Scope of Federal Kickback Compliance Expands appeared first on AAPC Knowledge Center.
UnitedHealthcare, one of nation’s leading health plans, will provide coverage for Inspire, Inc.’s novel obstructive sleep apnea (OSA) therapy starting in August. This determination comes almost one year to the day after Aetna agreed to cover Inspire’s neurostimulation device. And over the past year, BlueCross BlueShield joined the movement and is now offering several plans […]
The post Innovative Obstructive Sleep Apnea Therapy Coverage Expands appeared first on AAPC Knowledge Center.
Borrowing a page from the plan announced by Amazon, JP Morgan Chase, and Berkshire Hathaway, six healthcare systems in New Jersey are joining their work forces to expand coverage to 50,000 employees and dependents under a single self-insured health plan. The goal of joining together is to reduce costs and improve access to high quality healthcare services […]
AAPC Knowledge Center
Payers and practices are getting a second chance to participate in the Comprehensive Primary Care Plus (CPC+) model from 2018 to 2022. The four regions selected for CPC+ Round 2 are: Louisiana (statewide) Nebraska (statewide) North Dakota (statewide) New York (Greater Buffalo Region: Erie and Niagara counties) Eligible practices located in these regions may apply […]
AAPC Knowledge Center
The Centers for Medicare & Medicaid Services (CMS) announced Dec. 20 several new Innovation Center models and an update to the Comprehensive Care for Joint Replacement Model. The new payment models will allow for a broader range of clinicians to qualify for a 5 percent incentive payment through the Advanced Alternative Payment Model (APM) track […]
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