This course offers a comprehensive examination of the new CMS regulations addressing billing anomalies in the Medicare Shared Savings Program. Learn to identify suspect billing activities, understand regulatory adjustments, and implement necessary compliance strategies to ensure accurate financial performance assessments for ACOs. Gain insights into how these changes impact financial calculations and shared savings eligibility.
In this course you will learn the following:
* Understand the purpose and scope of the final rule.
* Identify key requirements and actionable steps for compliance.
* Recognize the consequences of non-compliance with the new regulations.
* Implement strategies to adjust financial calculations in response to suspect billing activities.