Today Kathleen Sebeluis announced a $130.8 million in grants to strengthen and expand the health professions workforce. Here is the breakdown. Training: Primary Care – $42.1 million Oral Health – $23.9 million Equipment: $50.5 million for e-learning tools Assistance: Loan repayment – $8.3 million Opportunity program – $2.1 million Patient Navigator – $ 3.8...
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CMS is planning to begin collection of encounter data from Medicare Managed Care Organizations. Today CMS announced a National Meeting to review the business and technical requirements for encounter reporting to CMS; timelines; impact of ICD-9 to ICD-10 coding and the launch of workgroups. Each organization is allowed an attendee and additional web seats. ...
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During a breakout session at AHIP on September 13, 2010 CMS announced that there will be an October 2010 meeting where CMS will be reviewing the preliminary files, processes and expectations for MA health plans to transition from submitting RAPS files to ‘full encounter’ data. No details were shared at AHIP, but there is...
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CMS has released a HPMS memo letting MA and MAPD plans know they will be provided a preview period of the STAR Rating that will be published on the Medicare Plan Finder (MPF)for the 2011 open enrollment period. In August 2010 plans were provided a preliminary preview and now the final results are in....
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ECRS is the CMS contractor system used to submit changes in Coordination of Benefits information for Medicare members. The contractor reviews the change requests. Once the requests are verified they are confirmed back to the plan in the CMS COB file. This process is key to maintain correct MSP information for members. All plans...
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In a significant move to reduce Fraud Waste and Abuse CMS has developed and is providing ‘Comparative Billing Reports’ to Medicare providers with the exception to Physicians and Inpatient hospitals. I would expect to see many more investments in new processes, transparency and compliance requirements to identify errors and outliers in billing and the...
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