Commercial Payers → Fiscal Operations

 

Fiscal Operations

 

This section features a variety of pages that focus on the operations of delivery and maintenance of the National Diabetes Prevention Program (National DPP) lifestyle change program through commercial payers. It includes examples of contract language and reimbursement models, information on coding and billing, and details on how data, reporting, and evaluation can be used to analyze and make improvements to the National DPP lifestyle change program.

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This page provides details on contracts between commercial health insurance plans or employers and CDC-recognized organizations.

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This page provides information about cost and reimbursement for the National DPP lifestyle change program and can help commercial health insurance plans and employers anticipate the financial impact of covering the program.

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The purpose of this page is to provide information about coding and billing to ensure the National DPP lifestyle change program is reimbursed appropriately and in a timely manner. Correctly coding and billing for the National DPP lifestyle change program can also help drive quality and process improvements as well as meet compliance requirements in case of an audit.

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This page features details on the types of data involved with the National DPP lifestyle change program and the processes and protocols by which that data is shared among parties. It also describes how these data and other sources can also be used in the evaluation of the National DPP lifestyle change program and associated pilots.

Content Updated: February 5, 2024