CMS discharge program isn’t reaching those with highest readmission risks: study
By
Kristen Fischer
Mar 22, 2024
A new report took a deeper dive to see if the Center for Medicare & Medicaid Services’ transitional care management (TCM) program is reaching those most at risk. Even though the program is designed to...
Push for permanent telehealth funding kicks into high gear in Congress
By
Josh Henreckson
Mar 15, 2024
With ongoing federal Medicare reimbursements for telehealth set to expire at the end of the year, a bipartisan push is underway in the US House of Representatives to make those payments permanent.
Providers grateful for certain opportunities in proposed 2025 Medicare pay rule
By
James M. Berklan
Apr 02, 2024
Even though debate will continue about how much Medicare reimbursement should rise next year, there’s little disagreement that the Centers for Medicare & Medicaid Services got at least a few things right...
An insider’s guide to managed care contract exclusions
By
Susie Mix
Dec 18, 2023
There’s a key question more providers need to know the answer to: What is a contract exclusion? A contract exclusion details the medications and treatments that are not included in the levels of a managed...