Here’s what you should know:
1. CSS plans to help plans cover at least 80 percent of eligible days.
2. The 80 percent threshold is essential for plans to achieve a high star rating from CMS.
3. The adherence program captures the reasons for non-adherence and attempts to understand the root cause of the issues.
4. CSS believes the program will help plans meet Medicare Part C and Part D bonus criteria.
More articles on coding, billing and collections:
How ASCs can mitigate compliance problem areas
How Amazon is making ‘hospital CEOs quake’ — 5 trends ASCs should watch
How a vascular ASC in Alaska approaches value-based care, consolidation & more
