While providers aren’t required to follow OIG recommendations, a compliance program based on their guidance can spare ...

Using data from 632 primary care practices, the authors show that the CMS Practice Assessment Tool has adequate predictive validity for participation in alternative payment models. Objectives: To ...

Medicare Advantage organizations may be improperly using health risk assessments to increase risk-adjusted reimbursement, according to a report HHS’ Office of Inspector General issued in September.

CMS released proposals to update cardiovascular disease risk assessment and risk management services. The organization proposed coding and payment for an atherosclerotic cardiovascular disease risk ...

Medicare Advantage plans have come under fire for upcoding that can increase the payouts they receive, and regulators point to health risk assessments as a likely culprit in this increase in coding ...

Some Care Compare information used by consumers to evaluate nursing homes is too old, and, in some cases, the Centers for Medicare & Medicaid Services needs to add more information to make data more ...

Medicare covers fall risk assessments during routine preventive visits for beneficiaries enrolled in Part B. If you have a history of recent falls or issues with walking and balance, you may be a ...

Though it’s not officially part of their mandate, the Centers for Medicare and Medicaid Services has gradually assumed more health technology assessment responsibilities over the years. As CMS begins ...

A new US Government Accountability Office (GAO) report found that the use of cognitive assessment and care plan services tripled in traditional fee-for-service Medicare between 2018 and 2022. However, ...

During a Medicare annual wellness visit, a healthcare professional may include a Social Determinants of Health Risk Assessment. This helps healthcare professionals determine whether there are ...