2003 and Public Health - Health Care Compliance Brief

Physicians Beware! Groups Providing DME, Prosthetic Devices, and Other Medical Supplies to Their Medicare Patients Risk Violating the Strict Liability Stark Law Since the Expiration of COVID-19 Public Health Emergency

Health Law Advisor

AUGUST 14, 2023

During the COVID-19 PHE, CMS issued temporary waivers, including a waiver of the “location requirement” of the In-Office Ancillary Services (“IOAS”) exception. Similarly, the Stark Law carveout from the definition of “referral” – for services that are personally performed by a physician – rarely will apply with respect to DME.

COVID-19

COVID-19 Medicare Medicare Public Health

How to Construct Better Organ Donation Policy and Achieve Health Equity

Bill of Health

APRIL 21, 2022

Per estimates from the Department of Health and Human Services (HHS), over 106,000 Americans are currently awaiting this life-saving medical treatment. By James R. The United States is facing an organ donation crisis, with massive gaps between supply and demand.

Governance

Governance Health Insurance Public Health

Proper Payments for Part B and Part D Drugs

Innovaare Compliance

MARCH 4, 2024

Until the enactment of the Medicare Modernization Act (MMA) in 2006 [1] , the Centers for Medicare & Medicaid Services does not cover most outpatient prescription drugs under Part B (“Part B drugs”). When a public health emergency (PHE) was in effect, CMS noticed that Part B versus Part D evaluation was omitted.

Medicare

Medicare Medicare Nurses Medicaid

Ethical Challenges Associated with the Protection of Pets in War

Bill of Health

APRIL 27, 2022

EU initiatives and advocacy efforts by animal rights groups pushed receiving countries to modify entrance requirements, waive fees, provide veterinary services, and shorten or eliminate quarantine times. And, as Ukrainians flee for their lives, they are frequently accompanied by their pets. Kristin Bergtora Sandvik (LL.M

Governance

Governance Bioethics Public Health

Waking Up a Health Consumer in the COVID-19 Era

Health Populi

MARCH 12, 2020

The high-deductible health plan design in fact prevents many people from seeking preventive care or testing: uninsured patients could pay at least $500 for a test, and a 10-day hospital stay can tally $75,000 according to Gerard Anderson , professor of public health at Johns Hopkins.

COVID-19

COVID-19 Telemedicine Hospitals Public Health

The HIPAA Definition of Covered Entities Explained

HIPAA Journal

DECEMBER 30, 2022

The HIPAA definition of Covered Entities is generally explained as health plans, health care clearinghouses, and health care providers that conduct electronic transactions for which the Department of Health and Human Services (HHS) has developed standards. Coverage issued as a supplement to liability insurance.

HIPAA

HIPAA US Department of Health and Human Services Health Insurance COVID-19

Only in America: The Loss of Health Insurance as a Toxic Financial Side Effect of the COVID-19 Pandemic

Health Populi

SEPTEMBER 17, 2020

So only in America in the coronavirus pandemic have millions of people lost their health security just when folks would be most needful of access to health care services: during a public health crisis. Race matters for health insurance in America. Onward, health citizens.

COVID-19

COVID-19 Health Insurance Public Health Health Care Access

In U.S. Health Care, It’s Still the Prices, Stupid – But Transparency and Consumer Behavior Aren’t Working As Planned

Health Populi

JANUARY 18, 2019

He co-wrote the first “It’s The Prices Stupid” research article in Health Affairs with Gerard Anderson et. back in 2003 — so we’ve known for over 16 years that in the U.S., higher-than-world-average health care spending is mostly about how services are priced, versus whether Americans use more healthcare.

Prescription Drug Pricing

Prescription Drug Pricing Health Insurance Doctors Medicare

Is HIPAA a Federal Law?

HIPAA Journal

MARCH 13, 2022

These generally allowed for state law to preempt HIPAA if states required group health plans to cover pre-existing conditions not covered by HIPAA or required longer periods than HIPAA between enrollment in a plan and the payment for treatment of a pre-existing condition. Is HIPAA a Federal Rule? The post Is HIPAA a Federal Law?

HIPAA

HIPAA Compliance Health Services Administration Public Health

Telehealth and COVID-19 in the U.S.: A Conversation with Ann Mond Johnson, ATA CEO

Health Populi

MARCH 12, 2020

The article returns to the advent of the SARS epidemic in China in 2003, which ushered in a series of events: people stayed home, and Chinese social media and e-commerce proliferated. The coronavirus spawned another kind of gift to China and the nation’s health citizens: telemedicine, the essay explains. The President signed the $8.3

COVID-19

COVID-19 Telemedicine Medicare Medicare

Telehealth, linked with Allscripts EHR and app, helps keep docs in business

Healthcare IT News - Telehealth

MAY 6, 2021

"For us, that familiarity helped when the public health emergency hit because many of our patients understood not only how to use it, but why it worked for connecting with their doctor." The physicians in Cary Medical Group's practice have been using Allscripts Professional EHR since 2003. MEETING THE CHALLENGE.

Doctors

Doctors COVID-19 Telemedicine Public Health

Which Situations Allow a Medical Professional to Release Information?

HIPAA Journal

APRIL 5, 2023

To find evidence supporting this statement, you only have to look at stories covered by mainstream news channels in which patients and their families have been denied their HIPAA rights by medical professionals, or in which politicians have failed to grasp the basics of health information privacy.

HIPAA

HIPAA Hospitals Compliance Medical Personnel

HHS-OIG Excludes Theranos Founder and CEO from Federal Health Programs for 90 Years

HIPAA Journal

JANUARY 23, 2024

The Department of Health and Human Services (HHS) Office of Inspector General (OIG) has added the founder and CEO of the health technology firm Theranos, Inc. to the OIG exclusion list , which means Elizabeth Holmes is prohibited from participation in Federal health care programs for 90 years.

Fraud

Fraud FDA Medicaid Medicaid

Wistful Thinking: The National Health Spending Forecast In a Land Without COVID-19

Health Populi

MARCH 26, 2020

The bar chart, Exhibit 5 from the report, is always important to examine as it reflects the very-American situation of spending as price times utilization — where “it’s been the prices, stupid” since Uwe Reinhardt and team wrote their seminal work on the role of health care prices in U.S.

COVID-19

COVID-19 Health Insurance Public Health Medical Billing

Part 2: Understanding How Payers Deny Claims

AIHC

MARCH 28, 2022

trillion government-wide from fiscal years 2003 through 2019. trillion COVID-19 response legislation, and making recommendations about how to improve its effectiveness in dealing with public health issues and the economy. Your office cannot bill a patient for a service denied due to denied claims based on the NCCI edits.

Medicare

Medicare Medicare Compliance Governance

April-July 2022 State Regulatory Developments

New Jersey Healthcare Blog

JULY 22, 2022

509(a), Governor Murphy issued an Executive Order updating and clarifying timeframes for requiring covered workers at health care facilities and high-risk congregate settings to be up-to-date with their COVID-19 vaccinations, including having received a booster shot. On April 4, 2022, at 54 N.J.R. See Executive Order No. 290 (2022).

COVID-19 Vaccine

COVID-19 Vaccine Licensing COVID-19 Public Health

SQA Regulatory Surveillance Summary | Monthly Update 2023 – May And June

SQA

AUGUST 8, 2023

The rules also cover other services that perform activities related to clinical analysis examinations, such as isolated (private) offices and pharmacies, which are considered health services since the publication of Law 13.021/2014. The rules of RDC 786/2023 correspond to a normative update, which replaces RDC 302/2005.

FDA

FDA Compliance COVID-19 World Health

Access to Reproductive Technology May Be Impeded by Workplace Law and Policy in South Africa

Bill of Health

SEPTEMBER 1, 2023

This constitutional right is further supported by the National Health Act and its Regulations relating to the artificial fertilization of persons, and the regulations relating to tissue, cells, organs, blood, blood products and gametes.

Health Insurance

Health Insurance Public Health Doctors

The New Loneliness Health Agenda from Dr. Vivek Murphy, US Surgeon General

Health Populi

MAY 2, 2023

” This was a preface to the Department of Health and Human Services this week launching an advisory on The Healing Effects of Social Connection , a framework for U.S. Murthy’s op-ed on the issue in the Sunday issue in a call-to-action titled, “We have become a lonely nation. It’s time to fix that.”

US Department of Health and Human Services

US Department of Health and Human Services Public Health Professionals Public Health Governance

How Comparative Law Can Counter Threats to the ‘Most Successful Global Health Program in Modern History’

Bill of Health

SEPTEMBER 29, 2023

A Bipartisan Program Politicized by the Abortion Debate Since its bipartisan inception in 2003, PEPFAR has saved 25 million lives and prevented 5.5 It has subsequently been reauthorized by Republican and Democratic Congresses in 2008, 2013, and 2018 and earned praise as “one of the most successful global health programs in modern history.”

Governance

Governance Public Health

Most Americans Want the Federal Government to Ensure Healthcare for All

Health Populi

DECEMBER 6, 2018

This sentiment has been relatively stable since 2000 except for two big outlying years: a spike of 69% in 2006, and a low-point in 2003 of 42%. Gallup points out in its analysis that the government is already a major health care channeler and funder through Medicare and Medicaid. Most people in the U.S.

Governance

Governance Medical Billing Medicaid Medicaid

Health Care Compliance Brief

Physicians Beware! Groups Providing DME, Prosthetic Devices, and Other Medical Supplies to Their Medicare Patients Risk Violating the Strict Liability Stark Law Since the Expiration of COVID-19 Public Health Emergency

How to Construct Better Organ Donation Policy and Achieve Health Equity

Trending Sources

Proper Payments for Part B and Part D Drugs

Ethical Challenges Associated with the Protection of Pets in War

Waking Up a Health Consumer in the COVID-19 Era

The HIPAA Definition of Covered Entities Explained

Only in America: The Loss of Health Insurance as a Toxic Financial Side Effect of the COVID-19 Pandemic

In U.S. Health Care, It’s Still the Prices, Stupid – But Transparency and Consumer Behavior Aren’t Working As Planned

Is HIPAA a Federal Law?

Telehealth and COVID-19 in the U.S.: A Conversation with Ann Mond Johnson, ATA CEO

Telehealth, linked with Allscripts EHR and app, helps keep docs in business

Which Situations Allow a Medical Professional to Release Information?

HHS-OIG Excludes Theranos Founder and CEO from Federal Health Programs for 90 Years

Wistful Thinking: The National Health Spending Forecast In a Land Without COVID-19

Part 2: Understanding How Payers Deny Claims

April-July 2022 State Regulatory Developments

SQA Regulatory Surveillance Summary | Monthly Update 2023 – May And June

Access to Reproductive Technology May Be Impeded by Workplace Law and Policy in South Africa

The New Loneliness Health Agenda from Dr. Vivek Murphy, US Surgeon General

How Comparative Law Can Counter Threats to the ‘Most Successful Global Health Program in Modern History’

Most Americans Want the Federal Government to Ensure Healthcare for All

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