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
At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.
