About Benchmarks:

Are you ready for this regulation? Use this benchmark to find out. Each benchmark is build directly for the federal regulation.  They reflect the learning objectives of the related course. The benchmark is not a "trivia test" - they help you evaluate your readiness to apply the new regulation. Contact us for more information and/or personalized benchmarks for your specific organization/industry.

Benchmark: Medicare and Medicaid Programs: 2025 Updates and Impacts

Take this benchmark to assess how much you would benefit from taking the course on Medicare/Medicaid payment updates, quality and safety standards, prior authorization, eligibility, clinic services, and equity-driven reporting. In 5–7 minutes you’ll surface where the proposed changes could materially affect your budgets, workflows, and patient access, and where you may need deeper guidance. You’ll get a quick read on readiness for OPPS/ASC updates, health equity and SDOH measures, obstetrical safety standards, faster prior auth timelines, continuous eligibility for kids, four-walls exceptions, coverage nuances for individuals leaving custody, IHS/Tribal drug payment issues, and related RFIs. Use your results to target the modules that will help you avoid operational risk, improve equity, and capture appropriate payment when the rule is finalized.

NOTE: Unless otherwise indicated, all Benchmarks are free of charge!

Federal Register Title
This benchmark will help determine your readiness for: Federal Register Document titled Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, Including the Hospital Inpatient Quality Reporting Program; Health and Safety Standards for Obstetrical Services in Hospitals and Critical Access Hospitals; Prior Authorization; Requests for Information; Medicaid and CHIP Continuous Eligibility; Medicaid Clinic Services Four Walls Exceptions; Individuals Currently or Formerly in Custody of Penal Authorities; Revision to Medicare Special Enrollment Period for Formerly Incarcerated Individuals; and All-Inclusive Rate Add-On Payment for High-Cost Drugs Provided by Indian Health Service and Tribal Facilities. Document Number: 2024-15087

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FR-24-268-1