Editor’s Note: Medicare Advantage organizations (MAOs) continue to do a poor job of maintaining accurate provider directories—and it’s landing some in hot water with the federal government. Can your claims review resources maximize the turn around time needed for complex claims? CLICK HERE and let us show how BHM’s economically maintain turn-around times and accuracy for new members.

Medicare Advantage

CMS issued a final rule April 1 to update 2020 payment policies for Medicare Advantage and Part D prescription drug plans.

Four things to know:

1. Under the rule, Medicare Advantage health plans will see a 2.53 percent pay raise in 2020.

2. In addition, chronically ill patients with Medicare Advantage can receive coverage for products and services aimed at addressing social determinants of health.

3. This includes meal delivery, transportation for nonmedical needs like grocery shopping and home environment services.

4. For example, CMS said Medicare Advantage patients with asthma could receive coverage for air cleaners and carpet shampooing to address irritants that could cause asthma attacks. A patient with diabetes could receive coverage for transportation to a physician’s appointment or other services like a nutritionist.

For the full fact sheet, click here.

Medicare Advantage organizations (MAOs) continue to do a poor job of maintaining accurate provider directories—and it’s landing some in hot water with the federal government. Can your claims review resources maximize the turn around time needed for complex claims? CLICK HERE and let us show how BHM’s economically maintain turn-around times and accuracy for new members.