Patient Attribution Code: Annual Wellness Visit (AWV) billing codes are attribution codes for an ACO. This means the more AWVs completed, the more likely a patient will remain attributed to your ACO.; HCC Coding Point of Care: One of the most important tasks for an ACO at the point of care is for the care team to 1) Recode all removed diagnoses...READ MORE
Universal Health Services Case Study: How to Improve Network Design and Management with Claims Data
If you are part of an ACO or a clinically integrated network (CIN), you have begun the value-based care journey. As payment models continue to change, the question of how and when to increase appropriate risk and reward requires careful consideration. With the release of the final rule for Pathways to Success, CMS is increasingly pushing ACOs toward two-sided risk, and most commercial payers aren't far behind...READ MORE
Many of the top health system and provider groups lauded the Department of Health and Human Services' (HHS') proposed regulations aimed at updating the decades-old Stark Law saying they believe it is the start to removing major regulatory headaches stymying the shift to value-based care models...READ MORE
Nixon Law Group attorneys are experts in navigating the complex framework of healthcare laws and regulations that affect your segment of the healthcare industry. We help you reduce your exposure to risk and thrive in the new era of healthcare. Our goal is to help all of our clients get it right the first time, creating a strong foundation for compliance from the outset.
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