Healthcare IT Today

OCTOBER 12, 2023

The Centers for Medicare & Medicaid Services (CMS) have taken a bold step by mandating a standard for prior authorization. The federal government has been haranguing vendors and clinicians to make interoperable systems since the HITECH act was passed in 2009. The release of FHIR in the mid-2010 decade changed everything.

Electronic Medical Records 93

Electronic Medical Records Doctors Governance Medicaid 93

Healthcare IT Today

FEBRUARY 7, 2024

State governments are also roped in thanks to their Prescription Drug Monitoring Programs (PDMPs). According to Dr. Colin Banas, chief medical officer at DrFirst , they initiated EPCS in 2010, partnering with the Massachusetts Department of Health. Kelly says that a federal bill in 2021 required EPCS for Medicare prescriptions.

Telemedicine 109

Telemedicine Doctors COVID-19 Medicare 109

MedTrainer

MARCH 28, 2024

Establishes a governance structure, reviews compliance reports, and ensures the organization operates ethically and within legal boundaries. Law by law, regulations were added, increasing the complexity of maintaining compliance for healthcare organizations. Cons: Limited focus on other aspects of compliance beyond their specific areas.

Compliance 52

Compliance Compliance Officers Licensing Regulatory Compliance 52

Innovaare Compliance

FEBRUARY 9, 2021

Annually, the Centers for Medicare & Medicaid Services (CMS) releases star ratings, which measure the quality of care health plans deliver for its members. Medicare Advantage and Part D) for a comprehensive assessment of a health plan’s performance. The CMS star ratings challenge. Why are CMS star ratings important?

Medicare 40

Medicare Medicare Medicaid Medicaid 40

Kaiser Health News

JULY 11, 2023

Hospitals also claim as community benefits the difference between what it costs to provide a service and what Medicaid pays them, known as the Medicaid shortfall. ” Hospitals have long argued they need to charge private insurance plans higher rates to make up for the Medicaid shortfall.

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Hospitals Medicaid Medicaid Medical Billing 66

HIPAA Journal

MARCH 31, 2023

This is because each state has its own laws governing the retention of medical records, and – unlike in other areas of the Healthcare Insurance Portability and Accountability Act – HIPAA does not pre-empt state data retention laws. In some cases, this can mean retaining records indefinitely.

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HIPAA Medicare Medicare Compliance 125

Kaiser Health News

JUNE 16, 2022

Patient debt is piling up despite the landmark 2010 Affordable Care Act. Hospitals recorded their most profitable year on record in 2019, notching an aggregate profit margin of 7.6%, according to the federal Medicare Payment Advisory Committee. The law expanded insurance coverage to tens of millions of Americans. “The No.

US Department of Health and Human Services 145

US Department of Health and Human Services Medical Billing Hospitals Medicare 145

Kaiser Health News

JANUARY 12, 2023

But Medicare is likely to be on the agenda, which will require the input of the chairs of both committees. Still to be determined is whether Medicare — which provides insurance to most people with Alzheimer’s — will cover the drug. And of course, the Ways and Means Committee has jurisdiction over most of Medicare in the House.

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US Department of Health and Human Services FDA Medicare Medicare 52

Healthcare IT News - Telehealth

NOVEMBER 27, 2019

But at the tail end of the 'teens, we see a flowering of innovation that could only have been dreamed of in 2010. Congress, government agencies, presidential candidates, consumers and the industry itself talk about the need to lower healthcare costs, but what does this entail? by September 30, 2019.

Telemedicine 84

Telemedicine Health Analytics Governance Hospitals 84

Bill of Health

FEBRUARY 28, 2023

That approach successfully transformed public and private health care — albeit not without challenges for coordination and political resistance — through the Patient Protection and Affordable Care Act of 2010. This was accomplished by the U.S.

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Public Health COVID-19 Medicaid Medicaid 176