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As the population ages and the Medicare percentage of total patients increases for most community health centers, a focus on optimizing revenue from this important payer continues. This session will explore the key drivers of Medicare revenue including G-Code rate development, Chronic Care Management (CCM), and others.
Presenters will discuss completion of the Medicare cost report and how the information from that completed report can be used to help monitor your performance and provide you with information on opportunities with this important program.
Recognize the importance of an accurately completed Medicare cost report to use as a management decision tool.
Identify the key drivers of Medicare revenue and tips and hints to help ensure that Medicare revenue has been optimized.
Understand the need to have a Medicare strategy so that opportunities to increase Medicare market share are utilized.
Value-based care and quality payment models have made coding an integral part of the Medicare Access and CHIP Reauthorization Act (MACRA), Merit-Based Incentive Payment System (MIPS), and Quality Payment Program (QPP)…
There are many considerations involved in deciding to have an in-house pharmacy or to use a contract 340B pharmacy. A "contract pharmacy" is a pharmacy that is owned by an organization other than the health center…
This session will cover a high-level, cost-benefit analysis of health centers preparing for pay for performance. The first section will be devoted to identifying potential pay-for-performance revenue, from both process-based and outcomes-based sources…
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