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Webinar: The Medicare Annual Wellness Visit: Moving Toward Benchmark

Since the initiation of Annual Wellness Visits (AWVs) in 2011, many health systems have attempted to increase the volume of these preventative visits for their Medicare and Medicare Advantage patients. Unfortunately, many systems have not taken the time or deployed adequate resources to effectively overcome the many barriers to an effective AWV program. In this webinar, Steve and John discuss why the Annual Wellness Visit offers a win-win-win benefit for patients, providers, and health systems.

Duration: 1 Hour
This webinar is free to attend.

Speakers: Steve Jarosinski & John Wortley

340B Reimbursement Update

Medicare Part B Reimbursement Cuts To 340B Hospitals

In 2018, the Center for Medicare & Medicaid Services (CMS) implemented a change in reimbursement for DSHs, RRCs, and non-rural SCHs for Medicare Part B drugs obtained through the 340B Program, adjusting reimbursement amounts based on a value of Average Sales Price (ASP) – 22.5% from the previous value of ASP + 6%. This was […]

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HEALS Act vs. HEROES Act: Our Comparison

HEALS Act vs. HEROES Act: Our Comparison

On July 27th, Senate Republicans introduced their version of an additional round of economic stimulus and coronavirus response in the form of the Health, Economic Assistance, Liability Protection and Schools (HEALS) Act. In comparison to the Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act introduced by House Democrats back in May, the HEALS Act […]

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PAC Billing Codes

Denied Claims due to Billing Codes

A new issue is affecting some inpatient hospital and Skilled Nursing Facility (SNF) claims when an interrupted stay is billed at the end of the month. The system incorrectly assigns edits U5601-U5608 (overlapping a hospital claim). If you billed the interrupted stay correctly, and your claim is rejected, modify your billing so the claim spans […]

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