MedTrainer

NOVEMBER 27, 2023

Georgia Healthcare Compliance Resources Let’s start with the important state government agencies you’ll need to work with: The Georgia Department of Public Health (DPH) plays a crucial role in safeguarding the health and well-being of Georgians. Keep reading for resources, tips, and regulations unique to healthcare compliance in Georgia.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

MedTrainer

JANUARY 12, 2024

Healthcare compliance is the process of following the laws, regulations, and ethical standards that govern the healthcare industry. Medicare and Medicaid (1960s): The introduction of government-funded healthcare programs brought about increased scrutiny and regulation. What is Healthcare Compliance?

Compliance 52

Compliance HIPAA Telemedicine ACA 52

Verisys

NOVEMBER 14, 2023

A healthcare facility’s accountability and overall reputation are dependent upon rigorous credentialing processes compliant with governing regulatory bodies, such as the National Committee for Quality Assurance. It is critical for hospitals and health systems to know that everyone on the staff is compliant and in good standing at all times.

Licensing 52

Licensing Medicaid Medicaid Governance 52

Healthcare IT Today

JULY 19, 2022

Additionally, with this certification, Canvas customers are now eligible for value-based payment models in Medicare and Medicaid programs, as well as many commercial value-based programs. . Founded in 2015, Canvas is reimagining the EMR for the future of healthcare. About Canvas Medical.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

HIT Consultant

JULY 18, 2022

Founded in 2015, Canvas Medical provides the digital infrastructure for care delivery companies. Additionally, with this certification, Canvas customers are now eligible for value-based payment models in Medicare and Medicaid programs, as well as many commercial value-based programs. Strategic Plans & Milestones.

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

Healthcare Law Today

JANUARY 2, 2023

For example, in a 2015 case, DOJ attorneys stated in a court conference, “[T]his is not a question. of a case where the hospital is diligently working on the claims and it's on the sixty-first day and they're still scrambling to go through their spreadsheets, you know, the government wouldn't be bringing that kind of a claim.

Overpayments 52

Overpayments Overpayment ACA Medicare 52

AIHC

NOVEMBER 6, 2023

government introduced the 21st Century Cures Act, which builds upon the HITECH Act and aims to promote innovation in HIT and improve patient access to healthcare services. Department of Health and Human Services (HHS) Office for Civil Rights (OCR) is the government enforcement agency over both HIPAA and HITECH. In 2020, the U.S.

HIPAA 59

HIPAA Compliance Governance Health Insurance 59

AIHC

NOVEMBER 6, 2023

government introduced the 21st Century Cures Act, which builds upon the HITECH Act and aims to promote innovation in HIT and improve patient access to healthcare services. Department of Health and Human Services (HHS) Office for Civil Rights (OCR) is the government enforcement agency over both HIPAA and HITECH. In 2020, the U.S.

HIPAA 52

HIPAA Compliance Governance Health Insurance 52

Healthcare IT News - Telehealth

MARCH 18, 2022

Norden is particularly passionate about funding companies focused on the Medicaid population – a traditionally tricky and often ignored area. Virtual visits were selected five times more often for anxiety and depression complaints than in-person – and this was for pre-pandemic encounters between 2015 and 2017.

Medicaid 211

Medicaid Medicaid COVID-19 Telemedicine 211

Verisys

JANUARY 18, 2022

A healthcare facility’s accountability and overall reputation are dependent upon rigorous credentialing processes compliant with governing regulatory bodies, such as the National Committee for Quality Assurance. ISO 9001:2015 (quality management). Utilization Review Accreditation Commission (URAC) accredited.

Licensing 52

Licensing Medicaid Medicaid Governance 52

Kaiser Health News

JANUARY 19, 2022

” The changes are part of a 400-page proposed rule governing the federal health insurance marketplace and a few states that use the federal platform for their own exchanges. The new broker provision aims to deter fraudulent sign-ups by clarifying that applicants must attest that the income projections listed are correct.

ACA 73

ACA Health Insurance Licensing Governance 73

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

Healthcare Law Blog

APRIL 6, 2022

On April 1, 2022 , the Centers for Medicare & Medicaid Services (“CMS”) announced states may seek to extend Medicaid postpartum coverage from 60 days to one year through a new state plan option offered by the American Rescue Plan Act (“ARPA”). In states that have not expanded Medicaid, however, many postpartum women lose coverage.

Medicaid 52

Medicaid Medicaid ACA Public Health 52

Healthcare Law Blog

NOVEMBER 21, 2022

Pharmaceutical manufacturers are challenging the breadth of the Federal Anti-Kickback Statute (“AKS”) in federal court, arguing that the government is harming the very vulnerable patients it aims to serve by prohibiting cost-sharing subsidies for life-saving oncology drugs. 2, 2015). [10] United States, et al. Case No 3:22-cv-714 (E.D.

Medicare 52

Medicare Medicare Governance Medicaid 52

Healthcare IT Today

OCTOBER 19, 2022

Beyond the fact that DotCom Therapy has been successfully delivering services since 2015, a review of two dozen studies in 2019 found that phone and video therapies were equally effective at treating conditions like anxiety, depression, and post-traumatic stress disorder as in-person therapy.

Medicaid 107

Medicaid Medicaid Telemedicine COVID-19 107

HIT Consultant

NOVEMBER 29, 2022

Beyond the fact that DotCom Therapy has been successfully delivering services since 2015, a review of two dozen studies in 2019 found that phone and video therapies were equally effective at treating conditions like anxiety, depression, and post-traumatic stress disorder as in-person therapy.

Medicaid 98

Medicaid Medicaid Telemedicine Governance 98

Healthcare IT News - Telehealth

DECEMBER 16, 2020

As the pandemic experience varies at different times across different regions of the country, local partnerships between healthcare providers, payers, community groups and government agencies can help power a more informed response, it added. “A CEO flight simulator relies on advanced analytics and modeling,” the report read.

COVID-19 216

COVID-19 Hospitals Doctors Health Insurance 216

Hall Render

APRIL 6, 2022

Turning to the present case, in Safeway , the relator alleged that the defendant engaged in the submission of false claims to the government when it “reported its ‘retail’ price for certain drugs as its ‘usual and customary’ price.” Rather, this potentially qualifies as a breach of contract between the PBM and the pharmacy.

Medicare 72

Medicare Medicare Medicaid Medicaid 72

Redox

DECEMBER 4, 2020

Immunization information systems (IIS) have received special focus as part of government health initiatives (Meaningful Use 1 and 2), so every state has one or more: More accurate information about the number of distinct IIS in the US: [link] — Lisa Bari (she/her/hers) (@lisabari) November 17, 2020. The government thought the same.

Public Health 52

Public Health Governance Doctors Medicare 52

Hall Render

DECEMBER 22, 2023

governor pushes new Medicaid expansion proposal with work requirement Missouri state senator wants voters to have say in KU Health System, Liberty Hospital merger Kansas ACLU request to halt excessive wait times at Larned turned down by judge ‘Who cares about us? health care spending hits $4.5

Nursing Homes 40

Nursing Homes Nurses Hospitals COVID-19 40

Health Law RX

JULY 18, 2023

This partnership will involve, among other things, referring violations to other agencies for other regulatory considerations, such as the HHS Office for Civil Rights, the Federal Trade Commission, the Centers for Medicare and Medicaid Services, or the Department of Justice. What would such collaboration look like?

Fraud 52

Fraud Compliance Medicaid Medicaid 52

Hall Render

APRIL 21, 2023

health-tech startup MemoryWell pivots, eyes new funding to roll out software for insurers Department of Veterans Affairs health system kicks off multiyear Greater Washington expansion Georgetown to open Southeast D.C.

US Department of Health and Human Services 40

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

Health Populi

JUNE 18, 2020

consumers have been supportive of government negotiation for drug pricing since well before the COVID-19 pandemic. The Gallup-West Health Poll finds similar massive support for government negotiation specifically for COVID-19 treatment pricing, shown in the third table. bn between 2019 and 2015 (Part D) and from $4.8 bn to $9.9

Prescription Drug Pricing 79

Prescription Drug Pricing COVID-19 Medicaid Medicaid 79

Health Populi

JUNE 3, 2021

adults said that allowing the federal government and private insurance plans to negotiate for lower prices on Rx drugs was their top priority. Methodology-wise, the June 2015 KFF Poll analyzed opinions of 1,526 adults 18 and over living in the U.S. Two-thirds of U.S. 65% of Independents and. 57% of Republicans.

Governance 71

Governance COVID-19 Vaccine COVID-19 Medicare 71