tci Medicare Compliance & Reimbursement - 2016 Issue 8

Reimbursement: How New Diabetes Prevention Program Blazes Trails for Medicare

Physician organizations are backing Medicare coverage expansion for NDPP. Generally lauded as great news in the healthcare world, the Centers for Medicare & Medicaid Services (CMS) says it will soon start paying for diabetes prevention services that you provide to Medicare beneficiaries. For the first time, CMS will expand a preventive service model from the CMS Innovation Center into the Medicare program. On March 23, CMS announced that its independent Office of the Actuary has certified the expansion of the National Diabetes Prevention Program (NDPP). CMS contended that this model reduces Medicare spending while improving quality of care. Prevention...

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