Health Law Advisor

AUGUST 14, 2023

2] This means, in most cases, that Medicare beneficiaries must now come to a physician practice’s office location to pick up their DME – including IUCs – when the DME items are furnished and billed by physicians or their practices. The IOAS exception does NOT apply.

COVID-19 52

COVID-19 Medicare Medicare Public Health 52

Medisys Compliance

MAY 19, 2022

During the COVID-19 Public Health Emergency (PHE), reimbursements for telehealth continue to evolve. The federal government, state Medicaid programs, and private insurers have expanded coverage for virtual health care services. See this list of telehealth services from the Centers for Medicare & Medicaid Services.

COVID-19 52

COVID-19 Medicare Medicare Medical Billing 52

Healthcare IT Today

DECEMBER 31, 2020

To further support clinicians during the COVID-19 public health emergency, the Centers for Medicare & Medicaid Services (CMS) has extended the deadline for COVID-19 related 2020 Merit-based Incentive Payment System (MIPS) Extreme and Uncontrollable Circumstances Exception applications to February 1, 2021.

COVID-19 52

COVID-19 Payment Systems Medicaid Medicaid 52

HIPAA Journal

SEPTEMBER 29, 2022

The Government Accountability Office (GAO) recently conducted a review of Medicare telehealth services provided during the COVID-19 pandemic, when a waiver was in place that greatly expanded access to telehealth and virtual visits. Between April and December 2019, 5 million Medicare telehealth visits were conducted.

Medicare 70

Medicare Medicare COVID-19 HIPAA 70

Bill of Health

FEBRUARY 23, 2023

Over the course of the COVID-19 pandemic, now entering its fourth year in 2023, legislators, executives, and judges at every level of government have sought measures to derail efficacious public health interventions. And that’s where they are wrong. Some victories came easy.

COVID-19 176

COVID-19 Public Health COVID-19 Vaccine Governance 176

Hall Render

JULY 28, 2023

Starting on August 1, 2023, Medicare validation edits will be activated to require service location addresses on the UB-04 hospital claim form to match exactly with the service location enrolled in Medicare’s Provider Enrollment, Chain, and Ownership System (“PECOS”).

Medicare 40

Medicare Medicare Compliance COVID-19 40

Healthcare IT News - Telehealth

JANUARY 25, 2021

The bill, which was first introduced in July 2020, would help safeguard access to virtual care after COVID-19 via four main provisions. Authorize the Centers for Medicare and Medicaid Service to continue reimbursement for telehealth for 90 days beyond the end of the public health emergency. WHY IT MATTERS.

COVID-19 209

COVID-19 Medicare Medicare Telemedicine 209

Healthcare IT News - Telehealth

MARCH 25, 2021

Using data from Blue Health Intelligence data repository – an independent data and analytics company that is a licensee of the Blue Cross and Blue Shield Association – researchers from the Johns Hopkins Bloomberg School of Public Health compared claims data from March through June 2019 with March through June 2020.

COVID-19 204

COVID-19 Public Health Medicare Medicare 204

Health Law Advisor

FEBRUARY 11, 2022

First, CMS rescinded the prior guidance, issued originally on March 23, 2020, and updated on December 30, 2020, regarding use of the focused infection control survey tool developed to emphasize specifically infection prevention and control practices for combating COVID-19.

COVID-19 98

COVID-19 Public Health Medicaid Medicaid 98

Healthcare IT News - Telehealth

SEPTEMBER 27, 2021

The brief, which examined oversight efforts as of January and February 2020, stemmed from a survey of Medicaid directors from 37 states, as well as structured interviews with relevant stakeholders. Healthcare IT News is a HIMSS Media publication. Even so, only 11 conduct telehealth-specific monitoring and oversight.

Fraud 178

Fraud COVID-19 Medicaid Medicaid 178

Health Populi

FEBRUARY 14, 2018

In 2020, national health expenditures (NHE) in the United States will exceed $4 trillion to cover 334.5 of health spending per person. The three largest line items of NHE in 2020 will be: Hospitals = $1,326 trillion = 38% of NHE. Together, these three categories will comprise just over 80% of health spending in 2020.

Health Insurance 79

Health Insurance Medicare Medicare Medicaid 79

Healthcare IT News - Telehealth

OCTOBER 2, 2020

The Telehealth Improvement for Kids’ Essential Services, or TIKES, Act of 2020 would require the Secretary of the U.S. Department of Health and Human Services to issue guidance to states about how to increase access to telehealth under Medicaid and the Children’s Health Insurance Program. WHY IT MATTERS.

US Department of Health and Human Services 154

US Department of Health and Human Services COVID-19 Medicaid Medicaid 154

Hall Render

MAY 2, 2023

Interim final rules are effective for a period of three years from the date of publication if CMS does not take further action. In 2020, CMS revised the nursing home infection control regulations at 42 CFR § 483.80 For this alert, “nursing homes” refers to skilled nursing facilities (often known as “SNFs”). COVID Testing Requirements.

Nursing Homes 40

Nursing Homes Public Health Nurses COVID-19 40

Healthcare IT News - Telehealth

DECEMBER 14, 2021

Caravan Health President and CEO Tim Gronniger previously was chief of staff and director of delivery system reform at the Centers for Medicare and Medicaid Services. Caravan Health is a privately held company formed to create sustainable methodologies for health systems to excel in value-based care.

Medicare 178

Medicare Medicare COVID-19 Telemedicine 178

NY Health Law

FEBRUARY 13, 2024

On January 9, 2024, the federal Centers for Medicare and Medicaid Services (CMS) finally approved New York State’s 1115 waiver amendment to establish the New York Health Equity Reform (NYHER) Program. Workforce: Workforce investments with a goal of equitable and sustainable access to care in Medicaid.

Medicaid 52

Medicaid Medicaid Nurses Medicare 52

Healthcare Law Today

NOVEMBER 9, 2022

Starting January 1, 2023, Medicare will cover telehealth-based treatment services delivered by federally-accredited opioid treatment programs (OTPs), commonly referred to as “methadone clinics.” Background and History of Medicare Telehealth Coverage of SUD Treatment. New Changes to Medicare OTP Telehealth Services.

Medicare 52

Medicare Medicare COVID-19 Telemedicine 52

Healthcare Law Blog

JANUARY 31, 2023

Overview Digital health services have exploded since the onset of the COVID-19 pandemic, and behavioral health services have seen large increases in utilization. i] Behavioral health is the highest-funded clinical indication within digital health, and digital behavioral health companies raised $1.7

COVID-19 105

COVID-19 Medicare Medicare Medicaid 105

HIPAA Journal

JUNE 26, 2023

In the context of HIPAA enforcement discretion, the Secretary can waive sanctions and penalties that result from non-compliance with the following standards of the Privacy Rule: 164.510 – Uses and disclosures of Protected Health Information requiring an opportunity for the individual to agree or object.

HIPAA 68

HIPAA COVID-19 COVID-19 Vaccine Public Health 68

Healthcare IT News - Telehealth

SEPTEMBER 15, 2021

Telehealth providers saw a rapid rise in the need for remote services with the initial spread of the COVID-19 pandemic in early 2020. The Centers for Medicare and Medicaid Services (CMS) began to allow for reimbursement for videoconferencing between healthcare provider and patient.

Telemedicine 183

Telemedicine COVID-19 Medicare Medicare 183

Healthcare IT News - Telehealth

MAY 15, 2023

Ryan Health has seven primary care centers, seven school-based health centers, two community outreach centers at transitional housing sites, and one mobile health center, all located throughout Manhattan. As an FQHC, 75% of patients are enrolled in Medicaid or Medicare; another 7% are uninsured.

COVID-19 124

COVID-19 COVID-19 Vaccine Telemedicine Medicaid 124

Hall Render

JUNE 5, 2023

On May 31, 2023, the Centers for Medicare & Medicaid Services (“CMS”) released a final rule (“Final Rule”) that withdraws the COVID vaccine requirement for health care workers of Medicare-certified and Medicaid-certified long-term care facilities (“LTC Facilities”).

COVID-19 40

COVID-19 Medicaid Medicaid Medicare 40

Med-Net Compliance

AUGUST 4, 2022

In addition, 8 out of 10 COVID-19 deaths reported in the United States in 2020 were adults aged 65 years and older. million residents who live in the 15,446 Medicare and Medicaid certified nursing homes nationwide. CMS stated that it had intended to release the phase 3 interpretive guidance during the second quarter of 2020.

Nursing Homes 59

Nursing Homes Nurses COVID-19 Medicaid 59

Bill of Health

MARCH 15, 2022

Department of Labor’s Bureau of Labor Statistics , in 2020, only 18% of disabled people were employed, compared to 62% of nondisabled. Similarly, our health care system is a significant barrier to employment because most private health insurance companies do not cover critical supports for disabled people, such as personal assistant services.

COVID-19 246

COVID-19 ADA Medicaid Medicaid 246

Health Populi

JUNE 27, 2022

As a result, commercial healthcare spending fell in 2020, rebounding in 2021. The second bar chart illustrates the per member/per month (PMPM) spend for commercially insured workers, showing growth of over 7% from 2018 to 2019, and nearly 7% drop from 2019 to 2020 in the first year of the pandemic. compared with 941.9

COVID-19 121

COVID-19 Health Insurance Medicaid Medicaid 121

C&M Health Law

JANUARY 25, 2023

Throughout the COVID-19 pandemic, the Centers for Medicare and Medicaid Services (CMS) issued a number of waivers and flexibilities to help healthcare providers manage the influx of patients during the Public Health Emergency (PHE).

Hospitals 52

Hospitals COVID-19 Medicare Medicare 52

Health Populi

JUNE 3, 2020

As we wrestle with just “what” health care will look like “after COVID,” there’s one certainty that we can embrace in our health planning and forecasting efforts: that’s the persistence of telehealth and virtual care into health care work- and life-flows, for clinicians and consumers alike and aligned.

COVID-19 149

COVID-19 Hospitals Medicaid Medicaid 149

Health Law RX

APRIL 27, 2023

On April 11, 2023, the Department of Health and Human Services’ Office for Civil Rights (OCR) confirmed that four notifications of enforcement discretion regarding enforcement of the HIPAA Privacy, Security, and Breach Notification Rules (the HIPAA rules) during the COVID-19 public health emergency (PHE) will expire at the end of the PHE.

COVID-19 52

COVID-19 COVID-19 Vaccine HIPAA Public Health 52

Health Care Law Brief

DECEMBER 22, 2021

On November 2, 2021, the Centers for Medicare and Medicaid Services (“CMS”) issued its Calendar Year (CY) 2022 Physician Fee Schedule (“PFS”) Final Rule. This will result in lower rates of Medicare payment on a unit of service basis (while the inflation rate is above 7%). Medicare Shared Services Program (“MSSP”).

COVID-19 Vaccine 40

COVID-19 Vaccine COVID-19 Medicare Medicare 40

Healthcare Law Today

NOVEMBER 30, 2022

On November 1, 2022, the Centers for Medicare and Medicaid Services (CMS) released its final 2023 Medicare Physician Fee Schedule (PFS) rule. Telehealth and other digital health modalities continue to increase in importance for Medicare populations and corresponding health care providers.

Medicare 132

Medicare Medicare Telemedicine Nurses 132

Bill of Health

SEPTEMBER 9, 2022

patchwork ” system of incarceration, ultimately fall far short of the extensive regulatory framework governing Medicare/Medicaid, which shapes health care for over 83 million people in the U.S. health law and policy is the exclusion of people in custody in prisons, jails, and detention centers from Medicaid.

COVID-19 349

COVID-19 COVID-19 Vaccine Medicaid Medicaid 349

HIT Consultant

OCTOBER 18, 2021

While telehealth usage has dipped from its peak in April 2020 , overall utilization is still 38 times higher than before the pandemic. When the Centers for Medicare & Medicaid Services (CMS) granted payment flexibilities to facilitate access to telehealth amid the public health emergency, they also unwittingly created vulnerabilities.

Fraud 98

Fraud COVID-19 Public Health Medicare 98

HIT Consultant

APRIL 4, 2023

Top of mind is the announcement to end the COVID-19 public health emergency (PHE), which is slated to expire on May 11, 2023. State agencies are beginning to unwind expanded Medicaid coverage in conjunction with the expiration of a 2020 federal provision requiring continuous enrollment.

FDA 52

FDA Medicaid Medicaid COVID-19 52

Healthcare IT News - Telehealth

APRIL 12, 2021

At the start of 2020, widespread adoption of remote patient monitoring was still in the distance. Lucienne Ide, founder and chief health innovator at Rimidi, a cloud-based remote patient monitoring technology company, to gain her insights and expertise into the state of RPM – and where it goes from here.

COVID-19 207

COVID-19 Doctors Nurses Medicaid 207

Verisys

JUNE 13, 2023

Centers for Medicare & Medicaid Services : The US Department of Health and Human Services has issued a final rule update concerning guidelines for COVID-19 vaccination requirements for Long-Term Care Facilities (LTC) and Intermediate Care for Individuals with Intellectual Disabilities (ICFs-IID).

COVID-19 Vaccine 52

COVID-19 Vaccine US Department of Health and Human Services COVID-19 Licensing 52

Bill of Health

SEPTEMBER 9, 2022

This structure was already stripped bare by decades of state and local austerity even before the first cases of COVID-19 were identified, and has been further worn down since 2020. This precludes rebuilding the decimated public health workforce. Consider that between 2008 and 2020, U.S.

Public Health 362

Public Health COVID-19 Public Health Professionals Governance 362

Health Populi

OCTOBER 23, 2020

As patients returned to in-person, brick-and-mortar health care settings after the first wave of COVID-19 pandemic, they re-enter the health care system with heightened consumer expectations, according to the Beryl Institute – Ipsos Px Pulse report, Consumer Perspectives on Patient Experience in the U.S. early this year.

COVID-19 68

COVID-19 Doctors Hospitals Medicaid 68

Health Populi

JUNE 24, 2021

The last point on “new technologies” begs the question, “who” will fund innovation in health care as we emerge from the pandemic with national economics growing back at different paces, and employment in a very different context than pre-pandemic. spends on NASA.

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COVID-19 COVID-19 Vaccine FDA Public Health 108