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Medicare Fee for Service Reimbursement
Published July 19, 2019

“Leveraging Medicare Fee-for-Service Reimbursement to Address Social Determinants of Health”

Hosted annually by the National Association of States United for Aging and Disabilities, the Home and Community Based Services (HCBS) Conference took place August 26-29, 2019, in Baltimore, MD.  The event highlighted best practices in HCBS, and attendees had the opportunity to connect with federal, state, and local policymakers, as well as with administrators, managers, and deliverers of waiver and other HCBS programs.

PYA Principals Martie Ross and Kathy Greenlee presented “Leveraging Medicare Fee-for-Service Reimbursement to Address Social Determinants of Health.”  Through partnership with healthcare providers, community-based organizations (CBOs) can leverage new Medicare fee-for-service reimbursement for chronic care management (CCM) and remote patient monitoring (RPM).  The presentation provided:

  • A practical explanation of CCM and RPM billing rules.
  • Examples of CBO-delivered aging services for which Medicare reimbursement is available, such as in-home assessment, CCM, medication reconciliation and adherence, health promotion, and chronic disease self-management.
  • Explanations for establishing relationships and negotiating contractual arrangements with healthcare providers to maximize funding.
  • Examples of financial projects and successful partnerships.

View the presentation below.

If you would like more information about Medicare fee-for-service reimbursement, or would like assistance with any matter involving strategy and integration, valuation, or compliance, contact one of our PYA executives below at (800) 270-9629.

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