science
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Understanding Healthcare Common Procedure Coding System (HCPCS) In the United States, healthcare insurers process over 5 billion claims annually for payment.
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SNF PDPM ICD-10 Diagnosis and Procedural Code Crosswalk The Patient-Driven Payment Model (PDPM) has brought significant changes to how Skilled Nursing Facilities (SNFs) are reimbursed for Medicare Part A stays.
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OPPS and ASC Temporary Increase in Medicare Part B Payment for Certain Biosimilar Biological Products The Centers for Medicare & Medicaid Services (CMS) recently announced a temporary increase in Medicare Part B payment for certain biosimilar biological products under the Outpatient Prospective Payment System (OPPS) and the Ambulatory Surgical Center (ASC) payment system.
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The Medicare Shared Savings Program (Shared Savings Program) is a innovative approach to healthcare delivery, bringing together doctors, hospitals, and other healthcare providers to work together as Accountable Care Organizations (ACOs).
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The Oncology Care Model (OCM) has been a significant initiative in the healthcare industry, aimed at transforming the way cancer care is delivered.
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The ACO Primary Care Flex Model (ACO PC Flex Model) is a voluntary model that will focus on primary care delivery in the Medicare Shared Savings Program (Shared Savings Program).