Hospital-based billing and provider-based billing are two separate reimbursement models used in health care settings.

The Medicare Diabetes Prevention Program (MDPP) is a program to help Medicare-insured individuals who have prediabetes delay or prevent T2D by focusing on lifestyle changes.¹ 

Artificial Intelligence (AI) is a machine-based system that, for a given set of objectives, can make recommendations, predictions, and decisions.

The Medicare Prescription Payment Plan (MPPP), also known as the “M3P” is a voluntary program designed to help Medicare beneficiaries manage out-of-pocket prescription drug costs.

A facility fee is the charge made by a hospital for services provided at an associated outpatient clinic.^1-2 These fees cover the cost of using and maintaining the health care facility.¹ Per CMS, Medicare will reimburse facility fees from hospital-based facilities but will not reimburse physician offices that are not affiliated with a hospital.³