Med-Net Compliance

NOVEMBER 8, 2022

On November 3, 2022, the OIG released the results of a recent inspection of a nursing home by the Texas Health and Human Services (HHS) Office of Inspector General Audit and Inspections Division (OIG Inspections).

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The Health Law Firm

NOVEMBER 28, 2018

Board Certified by The Florida Bar in Health Law On November 2, 2018, a federal judge in Washington, D.C. said the US Department of Health and Human Services (HHS) has until the end of 2022 to completely clear out its backlog of thousands of Medicare billing appeals. Indest III, J.D.,

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Innovaare Compliance

JUNE 21, 2023

The Inflation Reduction Act of 2022 has wide-ranging impact on payments for drugs used by Medicare beneficiaries, whether they are administered in the provider’s office (Part B) or used in the ambulatory setting (Part D). Part B drugs have had the fastest spending growth for drugs for Medicare. percent annually.

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YouCompli

NOVEMBER 1, 2023

Unfortunately, with a title like “compliance officer,” we have some image issues to overcome if we want our healthcare leaders to see us more like a business partner and less like an obstacle. Let’s imagine someone is conducting an audit involving the review of medical-necessity documentation for physical therapy services.

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HIT Consultant

APRIL 18, 2022

Electronic health records (EHRs) are one of many health IT advancements in recent years, and they prove to have a significant impact on both providers and patients alike. While an EHR optimizes workflow efficiencies for providers, it also enables a more comprehensive view of a patient’s health.

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Healthcare Law Today

FEBRUARY 6, 2023

As of 2019 almost 95% of such persons had Medicare coverage and about half of those also had some sort of supplemental health insurance coverage. The United States is aging, and becoming more obese, and the need for cardiologists will increase as a result. Moreover, 40% of Americans are considered medically obese.

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Jane Sarashon

JULY 27, 2022

Apple wants to be your “intelligent guardian for health,” based on a 60-page paper shepherded by Jeff Williams, the company’s Chief Operating Officer. I’m folding the report into my coverage this week on the Retail Health Battle Royale today, Day 3 of my week-long series updating us on the health/care ecosystem.

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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. We have seen this rule moved on the Unified Agenda for several years since 2018, with the abstract language remaining consistent since early 2020.

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YouCompli

OCTOBER 5, 2023

Berger, there are six key psychological drivers for word-of-mouth communication among humans: Social Currency Triggers Emotion Public Practical Value Stories As compliance officers, we play a significant factor in influencing others and shaping our organizations’ culture of compliance. I recently stumbled across a book by Jonah Berger, Ph.D.,

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Natalia Mazina

APRIL 25, 2023

Safety-net providers play a critical role in delivering healthcare services in this country. Medicare reimbursement cut In 2018, CMS implemented a 28.5% Further litigation related to the remedies for the past payment cuts is continuing in the US District Court for the District of Columbia. 10,272 (Mar. Sanofi Aventis U.S.

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Provider Trust

JANUARY 26, 2022

Luckily for all us, there’s a spectrum–and it was created with visibility and safety in mind. Department of Justice (DOJ), the U.S. And when patient care and reimbursements are on the line, even one bad actor can put an entire organization’s reputation in jeopardy. How the OIG Finds & Prosecutes Healthcare Fraud.

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HIT Consultant

JULY 28, 2022

Since 2008, the US economy functioned with remarkably low inflation and interest rates. We leveraged our experience executing transactions, extensive network, and market analysis from our 16-year history of advising and selectively investing across the ever-evolving Health IT and Digital Health sectors to gather key market information.

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CMS.gov

APRIL 30, 2018

Mon, 04/30/2018 - 10:58. The Centers for Medicare & Medicaid Services (CMS) in April expanded the Medicare Diabetes Prevention Program (MDPP) , a national performance-based payment model offering a new approach to type 2 diabetes prevention in eligible Medicare beneficiaries with an indication of pre-diabetes. keya.joy-bush@….

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Healthcare IT Today

AUGUST 31, 2022

The following is a guest article by Cindy Jordan, CEO at Pyx Health. The idea of loneliness as something that impacts health isn’t novel. The Centers for Disease Control and Prevention (CDC) links it to serious health conditions. The impact of isolation can be devastating on mental and physical health.

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Healthcare IT News - Telehealth

SEPTEMBER 29, 2020

Harbor is a nonprofit mental health and substance use disorder treatment provider based in Toledo, Ohio, that has been addressing community needs for more than 100 years. Lighthouse Telehealth is a subsidiary of Harbor, formed in 2018 to meet the growing demand for telehealth. It serves more than 23,000 individuals annually.

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Total HIPAA

SEPTEMBER 11, 2019

Explore the full article to gain a holistic understanding of the law or use the table of contents below to find the specific information you need. Your HIPAA compliance plan will change as your staff, IT department, and business grows or evolves. HIPAA” is the Health Insurance Portability and Accountability Act of 1996.

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Healthcare Law Blog

MARCH 25, 2022

Various smaller health insurance issuers have challenged the risk-adjustment program under the Patient Protection and Affordable Care Act (ACA), alleging, among other things, that its underlying methodology favors larger insurers. See Vista Health Plan, Inc. United States Dep’t of Health & Hum. 2018 Final Rule, 83 Fed.

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Healthcare IT Today

SEPTEMBER 7, 2023

Department of Health and Human Services Health Care Industry Cybersecurity Task Force. The expansion of the Tausight platform will cover more sensitive healthcare data categories allowing the company to solve critical customer use cases and serve new healthcare market segments.

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Healthcare IT Today

DECEMBER 22, 2023

The following is a guest article by Amy Hester, PhD, RN, BC, FAAN, Chairwoman and CEO at HD Nursing The growing use of artificial intelligence (AI) across a number of industries, particularly in healthcare, has shown both great promise as well as cause for alarm. Government’s AI Executive Order: A Step Forward or Falling Short?

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AIHC

FEBRUARY 16, 2024

Lessons Learned about Consequences & Incentives Submitted by the AIHC Education Department Introduction The Office of Inspector General has released the new General Compliance Program Guidance or “GCPG” in late 2023. One of the seven items, #5 is “Enforcing Standards: Consequences and Incentives.” The result?

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AIHC

FEBRUARY 16, 2024

Lessons Learned about Consequences & Incentives Submitted by the AIHC Education Department Introduction The Office of Inspector General has released the new General Compliance Program Guidance or “GCPG” in late 2023. One of the seven items, #5 is “Enforcing Standards: Consequences and Incentives.” The result?

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Health Populi

JANUARY 18, 2021

But for those of us working with and innovating solutions for health and health care, #CES2021 was baked with health goodness , in and beyond “digital health” categories. In my consumer-facing health care work, I’ve adopted the mantra that our homes are our health hubs.

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MedTrainer

JULY 21, 2022

These hackers are costing health organizations millions of dollars and threatening the safety of patients. In January of 2018, Hancock Health of Indiana experienced a serious ransomware attack that forced their entire network to shut down. Another complication that healthcare organizations face is the US HHS itself.

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Health Populi

JUNE 8, 2018

Department of Health and Human Services. The loss of these two bright lights, gone from our lives to suicide within a few days of each other, gives me the sad compulsion to say something, again, about the state of mental health and behavioral health services in America. Physical health problems.

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Healthcare IT Today

JUNE 9, 2023

With this capital raise, Hyro will continue to meet the healthcare sector’s critical demand for conversational AI and automation, enabling large organizations to streamline access to digital services for their patients and staff while drastically reducing organizational inefficiencies.

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Health Populi

AUGUST 19, 2019

Data security breaches, access challenges, and privacy leakages plague the current state of Americans’ personal health information (PHI). The Scorecard was developed to gauge the progress (and lack thereof) of patient information access afforded by peoples’ health care providers. What did Ciitizen learn from this process?

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Hall Render

MAY 3, 2022

On March 28, 2022, the Department of Health and Human Services (“HHS”) Office for Civil Rights (“OCR”) announced the resolution of two more complaints under its Right of Access Initiative. Dentist Agrees to $30,000 Settlement for Failure to Provide Entire Copy of Designated Record Set.

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US Department of Health and Human Services HIPAA Compliance Health Insurance 40

Healthcare IT News - Telehealth

AUGUST 30, 2021

Department of Health and Human Services announced on Friday it was awarding $10.7 million from the American Rescue Plan to integrate telehealth services into pediatric care. "The COVID-19 pandemic has taken a toll on all of us, especially children," said HHS Secretary Xavier Becerra in a statement.

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HIT Consultant

SEPTEMBER 27, 2023

Keith Thompson, Chief Medical Officer of NuraLogix Those of us old enough to recall the 1960s TV series “Star Trek” were fascinated by Dr. McCoy when he would simply point a scanner at his patients and analyze their condition. This future state has been made possible since the advent of “Transdermal Optical Imaging” or “TOI TM ”.

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Health Populi

DECEMBER 30, 2019

the health/care ecosystem warmly embraced social determinants of health as a concept in 2019. A few of the mainstreaming-of-SDoH signposts in 2019 were: Cigna studying and focusing in on loneliness as a health and wellness risk factor. CVS building out an SDOH platform , collaborating with Unite US for the effort.

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Compliancy Group

DECEMBER 16, 2022

At first glance, the Department of Health and Human Services’ Office for Civil Rights HIPAA enforcement for the year 2022 appears to be lax. In 2022, OCR entered into 20 resolution agreements with HIPAA-covered entities, and imposed civil monetary penalties on two more. 22 cases total. . One Security Rule violation case.

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Health Populi

SEPTEMBER 12, 2019

Loneliness is a killer, a health risk factor that’s been equated to smoking 15 cigarettes a day. There’s a Loneliness Epidemic in America, according to the Health Resources & Services Administration , part of the U.S. Department of Health and Human Services.

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SQA

OCTOBER 18, 2022

Health Canada. Health Canada is warning consumers about counterfeit BTNX Rapid Response COVID-19 antigen rapid test kits (25-pack boxes) found in Ontario. The counterfeit devices were sold online by a distributor named Healthful Plus without the required license to import, distribute, or sell medical devices in Canada.

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Hall Render

MARCH 17, 2023

NATIONAL AMA pressures federal government to fix prior authorization problem plaguing radiology AHA pushes back on new 340B alliance Biden’s $6.8T Lawmakers are now mulling limits.

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Hall Render

JULY 14, 2023

NATIONAL 3 Stark law updates changing the healthcare landscape Agency nurse prices move higher for skilled nursing as staffing minimum nears AHA Responds to Request for Information on Drug Shortages AHA responds to GOP inquiry on drug shortages, shares impact on hospitals and patient care Biden launches new initiatives to reduce health care costs Cash (..)

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Health Populi

OCTOBER 12, 2018

CVS Health’s acquisition of Aetna was approved this week by U.S. This post updates my initial thoughts on the deal, given the morphing US healthcare market on both the traditional health services front and fast-evolving retail health environment. The deal is valued at $69 billion. as the first chart shows.

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New Jersey Healthcare Blog

JANUARY 14, 2022

Over the years I have written about the use of “Most Favored Nation” approach to the pricing of Drugs. Prescriptions from Outside the US. Pharmaceutical Pricing: Update to May 17, 2018 Blog. Saga of Most Favored Nations. Pharmaceutical Industry Challenges President Trump’s EO Adopting Most Favored Nation Approach.

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