CMS-HCC Model Version 28 introduces more specific disease classifications to better capture patient complexity.
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Tag: CMS
ACO REACH: Innovation in Payment Models Driving Better Care and Greater Rewards
In today’s changing healthcare landscape, value-based models are redefining the way that providers give care and are reimbursed. Among these, ACO REACH (Accountable Care Organization Realizing Equity, Access, and Community Health) has emerged at the forefront not only for its…
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2025 Updates to Medicare Annual Wellness Visits
In 2025, Medicare has introduced several enhancements to the Annual Wellness Visits to improve preventive care and address beneficiaries’ comprehensive health needs.
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Coding Corner: Annual Wellness Visit Documentation & Coding
The goal of the AWV is to assess a patient’s risk factors, develop a personalized prevention plan, and discuss advance care planning. How do we document and code these yearly visits?
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Understanding the Benefits of ACO REACH: Waivers, Quality Withhold Incentives, and Favorable Benchmarks
ACO REACH (Accountable Care Organization Realizing Equity, Access, and Community Health) offers participants a unique opportunity to enhance patient care while benefitting from financial incentives. Among the many benefits of ACO REACH, waivers, quality withhold provisions, and favorable benchmarks stand…
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Closing the Quality Gap: Medication Adherence for Hypertension (MAH)
When nonadherence is the case, healthcare professionals can use the SIMPLE method to improve medication adherence and patient outcomes.
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