Part 3: The CMS Final Rule was not surprising at all. The Final Rule pulled back the curtain and provided valuable information for providers, and in this workshop, the physician-led experts at Corro Clinical will present how the Final Rule’s clarifications can help you solidify core elements of your payer strategy, contracts, and measures for accountability.
Federal Register / Vol. 88, No. 70 / Wednesday, April 12, 2023 / Rules and Regulations
On Demand: Navigating the Medicare Advantage Final Rule – Traditional Medicare rules DO apply (and have always)
Payers have a relentless pursuit of profit margin; meanwhile, most hospitals continue to operate in the red. Medicare Advantage and so-called “frictionless healthcare” are adding to the confusing ways payers behave, muddying the waters and masking denials. So, what can providers do about it? This workshop will present strategies that will help you get your house in order, hold accountabilities, enforce your rights, and escalate payer issues – all with the goal of changing payer behavior. Learn more about payer behaviors today evolving payer behaviors that are on the horizon.
On April 5, 2023, CMS issued the 2024 Medicare Advantage and Part D Final Rule (CMS-4201-F), giving the industry explicit guidance about utilization management criteria. Corro Clinical is here to help.
Regulatory Bulletin- April 2023: CMS-4201-F
CMS Has Issued the 2024 Medicare Advantage and Part D Final Rule
Providing Explicit Guidance to the Industry