Advanced | Presentation

Navigating the Thicket: Medicare Billing Processes, Pitfalls & Opportunities for CBOs

Spurred by new health care payment and delivery models, a growing emphasis on the social determinants of health and the aging population wave, community-based organizations (CBOs) are partnering with traditional health care payers and providers more than ever. However, tapping directly into Medicare-based reimbursement streams has been an elusive goal that, while full of sustainability potential, has proven challenging to facilitate on the ground.  At this year’s n4a conference, consultant Tim McNeill shared opportunities, strategies and potential challenges for CBOs to tap into Medicare funding.

 

Medicare Billing and Dual Eligible Populations (PDF of Slides)

Reinterpretation of “Primarily Health Related” for Supplemental Benefits (PDF of Memo)