article thumbnail

Amazon expands drug subscription program to Medicare members

Healthcare Dive

RxPass is now available to more than 50 million Medicare members after Amazon brought it into compliance with the insurance program’s regulatory standards.

Medicare 318
article thumbnail

How to Conduct Effective Compliance Audits 

American Medical Compliance

Compliance isn’t just a box to check—it’s a vital responsibility that safeguards patient well-being and protects organizations from significant financial losses. A powerful way to ensure this is through regular compliance audits. This is to confirm that staff are properly trained in compliance protocols.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

How Medicare Advantage Programs Can Address Social Risk and Improve Health Outcomes

HIT Consultant

Brian Norris, Managing Director of Strategic Consulting at MedeAnalytics There are almost 33 million people enrolled in eligible Medicare programs. Nearly half are enrolled in Medicare Advantage (MA) plans, and that number is expected to continue its climb.

article thumbnail

Medicare Counseling Coverage Explained

Medisys Compliance

Understanding Medicare coverage for counseling can feel particularly challenging, but it is crucial. Many providers find themselves asking: What exactly does Medicare cover when it comes to outpatient mental health counseling services? This cornerstone of outpatient mental health care is generally well-covered by Medicare.

article thumbnail

Simplify Screening for Excluded Providers

Use this sample Exclusion Screening Checklist and Compliance Policy to evaluate and improve your organization’s compliance with the law. Payments from Medicare, Medicaid, and TriCare trigger screening requirements that may extend to employees, contractors, volunteers, board members, and network providers.

article thumbnail

HEDIS Preparation Guide: 3 Essential Steps

MRO Compliance

For healthcare organizations, the HEDIS season, which typically spans February to May, requires a proactive approach to ensure data accuracy, compliance, and efficiency. Reminder of the audit process: According to NCQA , the HEDIS compliance audit contains two parts information system capabilities and HEDIS specification standards.

article thumbnail

Navigating QPP Reporting in 2025: Finding the Best Path for Your ACO

MRO Compliance

Choosing the right reporting method is critical to ensure compliance and maximize your ACOs return. Medicare Clinical Quality Measures (Medicare CQMs): Medicare CQMs focus solely on Medicare patients, leveraging claims-based data to identify measure populations.

Medicare 162