Healthcare IT News - Telehealth

DECEMBER 17, 2021

According to the indictment , starting in May 2014 the defendants and their co-conspirators allegedly used telehealth to generate prescriptions for compounded medications and durable medical equipment, regardless of medical necessity.

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Fraud Telemedicine Nurses Licensing 135

Healthcare IT Today

JULY 10, 2023

Company Adds Two Board Members and a Senior Executive to Lead its Medicare Advantage Business Aledade , the largest network of independent primary care practices in the country, today announced the closing of a $260 million Series F funding round to enhance and acquire services and technology to support its practices.

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Healthcare Law Today

JANUARY 11, 2023

The government alleged that, between April 2014 and April 2019, Jet Medical introduced devices into interstate commerce that were misbranded under the Federal Food, Drug and Cosmetic Act (FDCA) because Jet Medical did not obtain approval or clearance from the U.S. and Martech Medical Products Inc., Pre-submission Meetings.

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HIT Consultant

MARCH 20, 2024

The Centers for Medicare and Medicaid Services (CMS) estimated that for payment year 2018 alone , it will recover $428.4 To address these concerns and other matters, CMS announced significant regulatory changes to the Medicare Advantage (MA) program beginning in 2024. million (net) and $4.7

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Health Care Law Brief

JUNE 26, 2022

Under the traditional, or fee-for-service (FFS), Medicare program, CMS directly pays providers a predetermined rate for the items and services furnished to patients under Medicare Parts A and B. 29844, 29921 (May 23, 2014). CMS’s Payments to MA Plans. at § 1395w-23(b)(4)(D).

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Healthcare IT Today

APRIL 21, 2023

Series B funding proceeds will enable Scene to further accelerate its ability to serve Medicaid and Medicare managed care plans, pharmaceutical companies, and clinical research organizations. This financing brings the total investment in Scene to over $25 million since its founding in 2014. For more information, visit scene.health.

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HIPAA Journal

SEPTEMBER 11, 2023

Care Health Plan to assess the state of HIPAA compliance, the first of which was in response to a media report about impermissible disclosures of protected health information (PHI) via its member portal and the second was in response to a breach that was reported to OCR involving the PHI of 1,498 members. million members. OCR informed L.A.

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HIPAA Compliance Medicaid Medicaid 71

Verisys

MARCH 23, 2023

3 Healthcare Fraud and Abuse Laws Providers Should Know About In 2021, the Department of Justice reported recovering over $5.5 This is the largest amount recovered under the False Claims Act since 2014. This guide will cover three federal fraud and abuse laws that healthcare providers need to know about.

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Hall Render

JANUARY 12, 2023

On December 27, 2022, the Centers for Medicare & Medicaid Services (“CMS”) published a proposed rule that could potentially have a significant impact on enrollees’ obligations under the “60-day” overpayment rule. It is not until after this six-month investigation period that the 60 days to report starts to run.

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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).

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Health Populi

APRIL 8, 2019

That retirement cost gap is the sticker-shock assumption that Medicare is going to cover all health care expenses in retirement. But the first chart tells the story about where retiree health care money currently goes: to insurance premiums and prescription drugs, and out-of-pocket payments for services (copays, coinsurance, and deductibles).

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Health Populi

AUGUST 11, 2019

-Canadian border died in a murder-suicide this week after leaving notes that detailed concerns about paying for medical care,” USA Today reported on August 10, 2019. Five years ago, financial toxicity as a side-effect was noted by two Sloan Kettering Medical Center in a landmark report on 60 Minutes in October 2014.

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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.

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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. About Tom Zaubler, MD.

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The Health Law Firm

MAY 29, 2014

Board Certified by The Florida Bar in Health Law Talk about cracking down on Medicare fraud. On May 14, 2014, a Brevard County radiation oncologist received his final judgment in a whistleblower Medicare fraud case. The doctor was charged with defrauding Medicare under the False Claims Act. By George F.

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American Medical Compliance

NOVEMBER 3, 2022

in 2014, and 45.5% Surgeon General Dr. Vivek Murthy raised the alarm earlier this year about what he called a national crisis on doctor burnout, which is made worse by the pandemic. The AMA released a statement indicating that in 2021, the prevalence of burnout among U.S. doctors was 62.8%. These numbers have increased from 38.2%

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Doctors COVID-19 Public Health Professionals Compliance 52

The Health Law Firm

APRIL 4, 2014

The Health Law Firm On February 28, 2014, the Centers for Medicare and Medicaid Services (CMS) issued its revised emergency preparedness checklist for health care facility planning. By Lenis L. Archer, J.D.,

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Healthcare Law Blog

JANUARY 10, 2022

On January 6, 2022 , the Centers for Medicare and Medicaid Services (“CMS”) issued the proposed rule on Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs (the “Proposed Rule”). Refining Definitions for Fully Integrated and Highly Integrated D-SNPs (§§ 422.2

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Health Populi

APRIL 16, 2018

Walmart is enhancing about 500 of 3500 stores, and health will be part of the interior redecorating. Here’s a New York Times article from 2014 discussing the company’s vision for expanding primary care. Walmart talked about the company’s growing commitment to helping consumers manage diabetes in a press release here.

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Health Insurance Medicare Medicare Doctors 54

Healthcare IT Today

JANUARY 4, 2023

When friends meet for dinner, there’s no confusion about which dining hall they’re going to; no fragmentation. When the same group of friends meets at the dining hall, there needs to be more specificity about which location they’re referencing. About Nate Maslak. billion in 2014.

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US Department of Health and Human Services Doctors Health Outcomes COVID-19 64

Provider Trust

JULY 26, 2022

District Attorney alleges that Pickering was hired in 2019 as a licensed physician’s assistant at a family practice in Norcross, Georgia but had not been a licensed physician’s assistant in Georgia, or any state, since March 2014. Learn more about a comprehensive and automated license and exclusion monitoring solution.

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Licensing Fraud Compliance Nurses 52

Health Populi

OCTOBER 28, 2019

84% of Americans told the Foundation that they were concerned about how much health care costs will affect them in the future, with 42% of patients saying they couldn’t afford to pay over $500 for an unexpected medical bill. … over a trillion dollars a year,” which is about one-third of national health spending.

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Hospitals Prescription Drug Pricing Pharmaceutical Industry Medical Billing 54

Hall Render

AUGUST 5, 2022

The most recent challenge was the retroactivity of the statute going back to 2014, per Law360. Medicare payment bump for 2023. USPI has about a 7% share of the ASC market with 410 surgery centers and 24 surgical hospitals in 34 states, including a recent joint venture with Centura Mercy Hospital in Durango, CO, per Becker’s.

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CMS.gov

NOVEMBER 15, 2018

Administrator, Centers for Medicare & Medicaid Services. Approximately 60 million people live in rural areas – including millions of Medicare and Medicaid beneficiaries. Empower patients in rural communities to make decisions about their healthcare. On National Rural Health Day, We Recommit to Improving Rural Health. Leadership.

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Healthcare Law Today

DECEMBER 15, 2022

Petitioner-Relator Polansky is a doctor and former consultant for Executive Health Resources (EHR), a company that submits claims to Medicare on behalf of health care providers. However, the government moved to dismiss the case later, in August 2019.

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Health Populi

OCTOBER 8, 2018

At the time of the signing of HITECH, Medicare and healthcare costs were seen as a key driver of America’s long-term deficit spending at this low point in the national economy. Morgan Stanley estimated that this represents about 20% of U.S. Beyond the local economic effects, think about the larger region or State.

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Hospitals Health Insurance Health Outcomes Telemedicine 61

CMS.gov

AUGUST 23, 2018

Note: 2014 data was as of 5/27/14, 2015 was as of 11/03/14, 2016 was as of 10/29/15, 2017 was as of 11/05/16, 2018 was as of 11/07/17. I encourage you to learn more about HSA-eligible plans and HSAs by checking out our resources on HealthCare.gov , our HSA Fact Sheet , and by viewing additional information on the IRS website. ###.

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CMS.gov

MARCH 6, 2013

By: Christine Stahlecker, Director, Administrative Simplification Group, Office of E-Health Standards and Services, Centers for Medicare & Medicaid Services. Visit our ICD-10 website for the latest news and resources to help you prepare for the October 1, 2014 , deadline. And please stop by our booth (#2868) in the exhibit hall.

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Healthcare Law Blog

JANUARY 11, 2023

Morgan Healthcare Conference, you would know that all three are waiting to see what the upcoming final rule on Medicare Advantage risk adjustment data validation (known as RADV) audits will mean for the industry when it drops in February. (Trying really hard not to start off with a “three health plans walk into a bar” joke…). to perhaps a 2.3

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HIT Consultant

FEBRUARY 8, 2023

Kishore Pendyala, CEO of KP-Tech Services The Fast Healthcare Interoperability Resources (FHIR) standard was introduced by HL7 in 2014 as a significant replacement for the HL7 V2 and V3 standards. Interoperability presents concerns about how to map data while upholding the same level of confidentiality for transferred data as with other PHI.

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AIHC

DECEMBER 7, 2021

I found myself constantly searching for ways to become fired up again about correct reimbursement to ultimately receive the current and most optimal reimbursement available. Be sure you have on the correct uniform – and I’m not talking about your jeans Sometimes, the right outfit makes you feel great.

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Healthcare Law Blog

JANUARY 11, 2024

John Kao, CEO of Alignment Healthcare, shared today that only 12% percent of their Medicare Advantage membership accounts for approximately 74% percent of their institutional cost (hospital and facility costs), while conversely their “healthy” membership of 74% accounted for only 5% of their institutional costs.

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Nurses Hospitals ACA Patient Satisfaction 52

Redox

DECEMBER 4, 2020

Given that the problems that I focus on most are integration in clinical workflows (and that there are many other smart minds writing about logistics – the best is Olivia’s here ), I’m probably best equipped to opine on that second problem. – Administration of the vaccine and associated understanding of our progress in that area.

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Public Health Governance Doctors Medicare 52

CMS.gov

MARCH 7, 2013

Stage 2 of the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs. We encourage you to learn more about CMS’ efforts during the CMS Quality Measurement Session at HIMSS13 today. By Patrick Conway, MD, MSc. How will this next phase improve health care and reduce the burden on providers? Learn more at HIMSS.

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Health Law Advisor

SEPTEMBER 1, 2023

On August 29, 2023, the Centers for Medicare & Medicaid Services (CMS) announced the ten (10) Medicare Part D drugs selected for the first round of negotiations of the Medicare Drug Price Negotiation Program (Program)—a few days before the September 1, 2023, statutory deadline imposed by the Inflation Reduction Act (IRA).

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Hall Render

APRIL 1, 2022

What We Know About BA.2 One of Brevard’s only mental health crisis units about to close amid care shortage. Court sides with HHS in Indiana hospitals’ challenge to Medicare payment calculation. Oregon’s private insurers spent millions more than Medicare for same hospital services. Oregon to pay $22.5M

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COVID-19 US Department of Health and Human Services Nursing Homes Nurses 40

Health Law Advisor

AUGUST 10, 2023

But the question is, to what extent do health care providers need to worry about FDA requirements as they use AI? But what is significant about that passage is the detail provided regarding a health care facility that modifies software for regulated intended purpose, making it a manufacturer. The allure is obvious. 3] 21 U.S.C.

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