EDI. Dual deadlines challenge providers, payers.
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Case management--when every single one of your managed Medicare patients is high-risk: Here's now the case management program at H. Lee Moffitt Cancer Center in Tampa, FL, controls utilization and improves outcomes using a unique model based on medical, financial, and psychosocial factors.
This proposed rule implements several recent statutory changes and makes other revisions to the Third Party Collection Program. The primary matter include implementation of new statutory authority to include workers' compensation programs under the Third Party Collection Program; the addition of special rules for collections from preferred provider organizations; and other program revisions.
A provider community with limited experience in risk-sharing needs more than encouragement to make a bigger commitment. That's exactly what Blue Cross and Blue Shield of Iowa offered.
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