Cms 1537-2026

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For therapists, the CMS 1500 claim form is a lifeline to getting paid for the services rendered. Without it, or if its filled out incorrectly, you might face delays in payment, underpayment, or even denial of claims.
Risk adjustment is the process that the Centers for Medicare and Medicaid Services (CMS) uses to determine the appropriate premiums that health exchanges are permitted to charge, or which determine the appropriate reimbursement that CMS will give to Medicare Advantage programs.
The CGT Access Model seeks to test whether a CMS-led approach to negotiating and administering OBAs for cell and gene therapies, in the context of a comprehensive strategy for addressing a range of barriers to equitable access to cell and gene therapies, will improve access and health outcomes for people with Medicaid,