Hospice CPT Coding FAQ

HOSPICE Overview Hospice care is an alternative treatment approach that is based on recognition that impending death requires a change from curative treatment to palliative care for the terminally ill patient and support for the family. Palliative care focuses on...

What is MEDICATION THERAPY MANAGEMENT (MTM)

Purpose: ** To optimize therapeutic outcomes for individual patients. ** Optimize drug therapies. ** Improve medication use. ** Reduce risk of adverse events and drug interactions. ** Increase patient adherence and compliance with prescription drugs. ** Identify...

CMS STAR RATINGS

The  Centers  for  Medicare  &  Medicaid  Services  (CMS)  uses  a  five-star  rating  system  to  measure  Medicare beneficiaries’ experience with their health plans and the health care...

claim submission guideline form SHP

Claims Submission Claims are to be submitted to Simply Healthcare Plans with appropriate documentation by mail or filed electronically for CMS-1500 and UB-04 claims. For those members that may be assigned to a delegated medical group/IPA that does its own claims...