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OIG-LEIE, GSA-SAM, and State Medicaid Exclusion Lists: What’s the Difference?

Provider Trust

Exclusions are administrative actions that are placed upon an individual or entity by HHS OIG, a state agency or Medicaid Fraud Control Unit (MFCU), or by one of the many agencies associated with SAM.gov. Additionally, there are varying, disparate State Medicaid exclusions sources that require periodic screening.

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CMS Pushes Publication of Final FFS Adjuster for RADV Audits Rule to February 1, 2023

Healthcare Law Blog

The proposed rule back tracked CMS’s 2012 decision to apply a FFS Adjuster to extrapolated contract-level RADV audits. Under the 2012 announcement, the FFS adjuster was intended to account for any effect of erroneous diagnosis codes in the data from Medicare Parts A and B that are used to calibrate the MA risk adjustment model.

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FCC and other awards helped enable permanent telehealth policy changes in Virginia

Healthcare IT News - Telehealth

"We already had developed a virtual personal protective equipment model in our special pathogen unit of our Medical ICU, or iSOCOMS," said Dr. Karen Rheuban, cofounder and director of the Center for Telehealth and medical director of telemedicine at the University of Virginia Health System. MEETING THE CHALLENGE.

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HIMSS names 2021 Changemaker Award winners

Healthcare IT News - Telehealth

Before joining Geisinger, she served as Pennsylvania’s secretary of health, where she developed an innovative payment and delivery model for rural hospitals. Before that she served as director of the State Innovation Models Initiative at the Centers for Medicare and Medicaid Services. CIO, Delaware Valley Community Health.

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Why Family Caregivers Need Help from the Healthcare Establishment

HIT Consultant

It doesn’t take you to a health plan website. It doesn’t even take you to the Centers for Medicare & Medicaid Services (CMS) website. She served as an Executive Vice President of SeniorBridge Family Companies and subsequently Chief of Professional Services at Human At Home after Humana’s acquisition of SeniorBridge in 2012.

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October-December 2021 State Regulatory Developments

New Jersey Healthcare Blog

Below are the most recent health care related regulatory developments as published in the New Jersey Register from October-December 2021: On October 4, 2021, at 53 N.J.R. 103, which declared a Public Health Emergency for the state in response to COVID-19. 10:69, AFDC-Related Medicaid, or 10:71, Medicaid Only.

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The Most Dangerous Branch: A Review of the Supreme Court’s 2021-2022 Term

Bill of Health

This opinion, the first time in over a decade that the court has reviewed a firearm case, will have telling consequences for public health and safety. The outcome of the affirmative action case will have a critical effect on the future composition of the health care workforce. And there is Dobbs v.