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DC Circuit Revives Medicare Advantage Overpayment Rule | Troutman Pepper

DC Circuit Revives Medicare Advantage Overpayment Rule | Troutman Pepper
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Providers, payers see direct contracting's capitation as an important move to value-based care

Photo: Cecilie Arcurs/Getty Images
Over the past several years, the big trend in healthcare has been to inch away from fee-for-servicereimbursement and toward value-based care, in which a provider s reimbursement is tied more to clinical quality than to volume. The industry, policymakers and the federal government have attempted this shift through a number of legal and regulatory means, and one policy that has proven popular in this regard, among both providers and payers, is direct contracting.
In basic terms, direct contracting is a population-based model that allows for the use of capitation. This is what sets it apart: Aside from Next Gen and Pioneer, virtually all of the other compensation-based models from the Centers for Medicare and Medicaid Services are billed as fee-for-service, with a reconciliation 18 months later. ....

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Top 5 Medicare Advantage plan changes coming for 2022

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DecisionHealth Announces the ACDIS Outpatient Pocket Guide Add-On for SelectCoder, the Premier Online Coding Resource

DecisionHealth Announces the ACDIS Outpatient Pocket Guide Add-On for SelectCoder, the Premier Online Coding Resource
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As an add-on, the guide’s content is seamlessly integrated into SelectCoder to provide coders with greater clarity and insight for Hierarchical Condition Category (HCC) documentation and coding.
The addition of this essential resource for outpatient coding guidance, truly helps to alleviate the complexities of HCC coding.
BRENTWOOD, Tenn. (PRWEB)
March 03, 2021
DecisionHealth, an HCPro brand, is proud to announce the launch of a new add-on option for SelectCoder: the ACDIS Outpatient Pocket Guide. Originally developed by experts at the Association of Clinical Documentation Integrity Specialists (ACDIS), the Outpatient Pocket Guide is a robust informational resource and best-selling book. As an add-on, the guide’s content is seamlessly integrated into SelectC ....

Maria Tsigas , Association Of Clinical Documentation Integrity Specialists , Clinical Documentation Integrity Specialists , Outpatient Pocket Guide , Hierarchical Condition Category , Decisionhealth Pink Sheet , Pocket Guide , Product Director , Press Release , சங்கம் ஆஃப் மருத்துவ ஆவணங்கள் நேர்மை வல்லுநர்கள் , மருத்துவ ஆவணங்கள் நேர்மை வல்லுநர்கள் , ஔட்‌ப்யாஶஂட் பாகெட் வழிகாட்டி , பாகெட் வழிகாட்டி , ப்ராடக்ட் இயக்குனர் , ப்ரெஸ் வெளியீடு ,