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Healthcare facilities, payer networks and hospitals require credentialing to admit a provider in a network or to treat patients at a clinic or hospital. What may look like a straightforward credentialing process is engulfed with complications that can frustrate [...]
Electronic health records (EHRs) are the most important means whose implementation can be widely helpful to improve the safety, quality, and efficiency of health care. This digital makeover of the health care revolution gives scope for personal health information [...]
Accountable care organizations (ACOs) are part of the foundation of the healthcare industry’s transition to value-based care and purchasing. The federal government says ACOs could do more to reduce costs and improve care quality. And the organizations can achieve [...]
CMS’s Existing Initiatives Protect Medicaid In 2014, CMS revised the Medicaid Provider Reassignment Regulation to provide for a new exception to the direct payment requirement for certain providers, which primarily include independent in-home personal care workers. This new regulatory exception [...]
The CMS (Centers for Medicare & Medicaid Services) issued a final rule on May 16, 2019 that modernizes and improves the Medicare Advantage and Part D programs. Now patient will have transparency into the cost of prescription drug in [...]
