Healthcare IT Today

FEBRUARY 27, 2024

HealthBeacon was founded in 2013 in Dublin, Ireland. About Hamilton Beach Health Drawing on decades of experience as a trusted resource in the kitchen and beyond, Hamilton Beach Health empowers people to take control of their health with groundbreaking, digitally connected tools using in-home solutions.

FDA 85

FDA Licensing Medicaid Medicaid 85

Healthcare IT Today

APRIL 28, 2023

billion through Arcadia’s Medicare Shared Savings Program (MSSP) service. About Arcadia Arcadia is dedicated to happier, healthier days for all. Since formation in 2013 and as of December 31, 2022, VCP has deployed over $9.7 The past year included several important milestones for Arcadia, including: Inclusion on Inc.

Medicare 81

Medicare Medicare Health Outcomes Hospitals 81

HIT Consultant

FEBRUARY 16, 2023

In 2013, My mother would have met the screening criteria to get a CT but she did not get scanned and in September of that year, her stage 4 lung cancer was identified and she died shortly after. For more information about Oatmeal Health, visit [link] Sadly, we both lost family members to lung cancer.

Doctors 98

Doctors Medicare Medicare Compliance 98

HIT Consultant

AUGUST 17, 2023

Needs more training for healthcare workers to manage the technology and remote consultations The Department of Health and Human Services has made permanent changes to Medicare telehealth policies influenced by the pandemic. That goes for maternity care, too. Since the company’s inception, they have raised over $37M.

Medicaid 98

Medicaid Medicaid Doctors Telemedicine 98

HIT Consultant

FEBRUARY 16, 2023

In 2013, My mother would have met the screening criteria to get a CT but she did not get scanned and in September of that year, her stage 4 lung cancer was identified and she died shortly after. For more information about Oatmeal Health, visit [link] Sadly, we both lost family members to lung cancer.

Doctors 98

Doctors Medicare Medicare Compliance 98

Medval Compliance Blog

MARCH 10, 2022

by Frank Fairchok, Vice President of Medicare Reporting Services. Last week, the Centers for Medicare & Medicaid Services (CMS) advanced the rulemaking process in two long-awaited areas. 0938-AT85 – Medicare Secondary Payer and Future Medicals (CMS-6047). 0938-AT85 – Medicare Secondary Payer and Future Medicals (CMS-6047).

US Department of Health and Human Services 52

US Department of Health and Human Services Medicare Medicare Medicaid 52

MedTrainer

SEPTEMBER 8, 2023

The breach occurred in 2013 when four unencrypted laptops containing the electronic protected health information (ePHI) of over 4 million patients were stolen from an Advocate Health administrative building. Details of the settlement indicate the submission of false claims to Medicare, Medicaid, TRICARE, and FECA programs.

Compliance 52

Compliance HIPAA Medicaid Medicaid 52

Health Populi

JUNE 23, 2022

“Working Americans are worried about money — and their concern is growing. points which was the biggest two-week decline in the past year — and the lowest level since CivicScience launched this study in 2013. Elon Musk, Tesla CEO, said he had a “super bad feeling” about the economy. Gallup concurs.

Medical Billing 115

Medical Billing Medicare Medicare Hospitals 115

HIPAA Journal

JUNE 9, 2023

In 2013, David Dubin was examining a patient when he was informed by his father that the patient’s Medicaid benefits had been exhausted and cut the evaluation short. The Supreme Court decision related to the latter. William and David Dubin are father and son psychologists who ran a mental health testing company called Psychological ARTs.

Fraud 95

Fraud Medicaid Medicaid Doctors 95

HIPAA Journal

OCTOBER 21, 2022

In 2013, HHS confirmed that paper-to-paper, non-digital faxes are not covered transactions). A common misconception about HIPAA is that all healthcare data is subject to its protection. Health Care Data Collected by Personal Health Records. Part of the reason for the lack of financial penalties is funding.

HIPAA 95

HIPAA Compliance Medicare Medicare 95

Innovaare Compliance

FEBRUARY 7, 2022

Health plans (collectively, “plan sponsors”) that contract with the Centers for Medicare & Medicaid Services (CMS) to provide health services to eligible Medicare beneficiaries are responsible for legal, contractual, and fiduciary obligations whether performed by the plan or those to whom the company delegates those obligations.

Compliance 52

Compliance Medicare Medicare Medicaid 52

McGuire Wood

OCTOBER 2, 2023

According to the DOJ press release, from January 2013 to July 2018, Oliver Street, doing business as U.S. The disclosure noted that claims for certain referred services were submitted for payment to Medicare, thus invoking the reach of the implicated federal laws. These are key reasons to self-disclose. CMS Voluntary Self-Disclosure.

Fraud 52

Fraud Governance Compliance Medicare 52

Hall Render

OCTOBER 7, 2022

million in Medicare Part B payments should not have been made during 2016-2021, which was a decrease from $51.6 million in improper payments during 2013-2016. billion reduction in improper Medicare fee-for-service payments over the past 7 years. OIG found that $39.3

Hospitals 40

Hospitals Nurses Medicare Medicare 40

HIT Consultant

APRIL 20, 2022

Since the passage of the Medicare Improvements for Patients & Providers Act in 2008, the U.S. Hospitals report the data to the Centers for Medicare & Medicaid Services (CMS), which uses that data to create the Overall Hospital Quality Star rating for each hospital. Tom Zaubler, MD, Chief Medical Officer of NeuroFlow.

Medicare 98

Medicare Medicare Telemedicine Medicaid 98

Provider Trust

MAY 17, 2022

Regulators and enforcement agencies at both the state and federal levels are serious about issuing fines and penalties to the organization that contracts with an excluded vendor, as well as the vendor itself – a growing trend we expect to continue. What is considered a healthcare vendor? It also includes suppliers. Explore Our Solution.

Compliance 52

Compliance Medicare Medicare Due Diligence 52

HIT Consultant

NOVEMBER 8, 2021

Jessica Altman, Pennsylvania’s insurance commissioner sums it up well : “When we talk about bringing something back to state control, that is a real narrative that can appeal to both sides of the aisle. There is nothing political about making health insurance more affordable.”. About Chini Krishnan.

Health Insurance 98

Health Insurance Medicaid Medicaid Governance 98

HIPAA Journal

FEBRUARY 23, 2022

The preamble could give the impression that the Administrative Simplification provisions of HIPAA Title II will improve accessibility to and affordability of the Medicare and Medicaid programs, or that the development of a health information system would streamline the provision of healthcare between providers.

HIPAA 88

HIPAA Fraud Health Insurance Medicaid 88

American Medical Compliance

FEBRUARY 23, 2023

What you’ll learn Understanding of HIPAA regulations and HITECH act What is HIPAA and what is a covered entity Access to electronically protected health information About cybersecurity guidance About cybersecurity and medical devices protection Details Course length: 30 minutes; CEU: 0.5.

HIPAA 52

HIPAA Compliance Governance Health Insurance 52

Provider Trust

MAY 18, 2022

What the HHS-OIG says about vendor compliance. Additionally, check out this HHS-OIG 2016 report, Medicare: Vulnerabilities Related to Provider Enrollment and Ownership Disclosure , which revealed “vulnerabilities that could allow potentially fraudulent providers to enroll in the Medicare program.”. Explore Our Solution.

Compliance 52

Compliance Due Diligence Medicaid Medicaid 52

CMS.gov

MARCH 1, 2019

Administrator, Centers for Medicare & Medicaid Services. Medicare Parts A & B. My primary mission as the Administrator of the Centers for Medicare and Medicaid Services (CMS) is to deliver on President Trump’s commitment to strengthen and modernize Medicare for the millions of Americans who depend on us every day. .

Medicare 38

Medicare Medicare Medicaid Medicaid 38

HIPAA Journal

FEBRUARY 9, 2024

For example, annual emergency action plan training is a condition of participation in Medicare. Help to Comply with OSHA Healthcare Regulations If you have a responsibility for safety and health in a hospital, and you are not sure about which regulations apply to your organization, you can get help from multiple sources.

Hospitals 45

Hospitals Compliance HIPAA Medicare 45

Verisys

NOVEMBER 14, 2023

With proven credentialing software, you never have to worry about scalability if you’re rapidly hiring and credentialing more healthcare providers. Many healthcare organizations find themselves in a merger and suddenly serve more providers than their staff can handle. This could create a huge liability issue.

Licensing 52

Licensing Medicaid Medicaid Governance 52

MedTrainer

JULY 20, 2020

RHCI), which operates a Medicare-certified Federally Qualified Health Center (FQHC) headquartered in Fort Pierre, South Dakota, successfully employed MedTrainer’s learning management system (LMS) to improve the tracking of staff training due dates and completions of mandated education courses. About MedTrainer.

Compliance 40

Compliance Medicare Medicare Governance 40

Health Blawg

APRIL 30, 2018

I spoke with Win Whitcomb about Remedy Partners’ work as a convener for CMMI’s Bundled Payments for Care Improvement initiative. The company supports provider organizations participating in the BPCI program , having gone live in Fall 2013. Inovalon has been around for about 20 years. Inovalon has been around for about 20 years.

Hospitals 60

Hospitals Nurses Medicare Medicare 60

Health Blawg

APRIL 30, 2018

I spoke with Win Whitcomb about Remedy Partners’ work as a convener for CMMI’s Bundled Payments for Care Improvement initiative. The company supports provider organizations participating in the BPCI program , having gone live in Fall 2013. Inovalon has been around for about 20 years. Inovalon has been around for about 20 years.

Hospitals 60

Hospitals Nurses Medicare Medicare 60

Health Blawg

APRIL 30, 2018

I spoke with Win Whitcomb about Remedy Partners’ work as a convener for CMMI’s Bundled Payments for Care Improvement initiative. The company supports provider organizations participating in the BPCI program , having gone live in Fall 2013. Inovalon has been around for about 20 years. Inovalon has been around for about 20 years.

Hospitals 60

Hospitals Nurses Medicare Medicare 60

Health Blawg

APRIL 30, 2018

I spoke with Win Whitcomb about Remedy Partners’ work as a convener for CMMI’s Bundled Payments for Care Improvement initiative. The company supports provider organizations participating in the BPCI program , having gone live in Fall 2013. Inovalon has been around for about 20 years. Inovalon has been around for about 20 years.

Hospitals 60

Hospitals Nurses Medicare Medicare 60

Health Blawg

APRIL 30, 2018

I spoke with Win Whitcomb about Remedy Partners’ work as a convener for CMMI’s Bundled Payments for Care Improvement initiative. The company supports provider organizations participating in the BPCI program , having gone live in Fall 2013. Inovalon has been around for about 20 years. Inovalon has been around for about 20 years.

Hospitals 60

Hospitals Nurses Medicare Medicare 60

Healthcare IT News - Telehealth

JULY 10, 2019

Dr. Kaveh Safavi, Accenture's global head of healthcare, spoke recently with Healthcare IT News about the big trends he sees on the horizon for the healthcare workforce – and the changes that already are taking place. People worry now about nursing retirements, etc. We don't really think about this as a job substitution.

US Department of Health and Human Services 136

US Department of Health and Human Services Doctors Hospitals Nurses 136

Verisys

JANUARY 18, 2022

All state-level Federal Healthcare Entitlement Program (FHEP) sources including state Medicaid exclusions, state Contractor Disqualification/Debarment lists, HEAT Task Force News, state Attorney General News, Federal District – Attorney General News, and Medicare/Medicaid opt-out lists. ISO 27001:2013 (information security).

Licensing 52

Licensing Medicaid Medicaid Governance 52

HIPAA Journal

DECEMBER 31, 2022

The evidence that there may be a misunderstanding about what a HIPAA violation is comes from the Department of Health and Human Services (HHS) Enforcement Highlights web page. The web page is regularly updated with statistics relating to complaints about HIPAA violations, compliance reviews, and enforcement action.

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HIPAA Due Diligence Compliance Fraud 132

Pharmacy Law Blog

MARCH 13, 2018

The relator McKenzie Stepe, a former RS sales representative, originally filed her complaint in December 2013. She accused RS and Gobea of charging Tricare, Medicare and Medicaid excessively high rates for certain compounded drugs. The Relator’s FCA Suit. To read the court’s order in full, click here.

Fraud 52

Fraud Governance Licensing FDA 52

CMS.gov

OCTOBER 2, 2018

Administrator, Centers for Medicare & Medicaid Services. Between 2013 and 2016, Federal spending on Medicaid grew by over $100 billion. And ultimately, this move toward greater transparency will start an important conversation about how and when states should be held accountable for the outcomes their programs produce.

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Medicaid Medicaid Fraud Health Outcomes 40

CMS.gov

MARCH 6, 2013

By: Christine Stahlecker, Director, Administrative Simplification Group, Office of E-Health Standards and Services, Centers for Medicare & Medicaid Services. These requirements are in place to lower costs, create uniform electronic standards, and streamline exchanges between health care providers and payers.

ACA 30

ACA HIPAA Medicaid Medicaid 30

AIHC

JANUARY 28, 2022

For more information on filing compliance cost reports, attend the Medicare Cost Report Camp in March 2022 presented by KraftCPAs and sponsored by the American Institute of Healthcare Compliance. This is calculated based on the hospital’s relative share of uncompensated care nationally. This is known as the hospital “market basket.”

Medicare 52

Medicare Medicare Hospitals Payment Systems 52

HIPAA Journal

JULY 24, 2023

This section relates to the “Exclusion of Certain Individuals and Entities from Participation in Medicare and State Health Care Programs”, which – although effective since the passage of the Medicare-Medicaid Anti-Fraud and Abuse Amendments in 1977 – had never been properly enforced due to a lack of resources.

Fraud 52

Fraud Medicare Medicare Medicaid 52

HIT Consultant

FEBRUARY 21, 2023

Similarly, payers are under more scrutiny from the Centers for Medicare and Medicaid Services, as more strict audits of Medicare Advantage plans could result in payers repaying billions of dollars. A Kaufman Hall report says that 2022 was the most challenging financial year for U.S.

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Medicare Medicare COVID-19 Medicaid 52