Healthcare IT News - Telehealth

DECEMBER 22, 2020

But to gain a sense of the landscape going forward, here's a refresher of Healthcare IT News' top 10 telehealth stories from 2020: Telemedicine during COVID-19: Benefits, limitations, burdens, adaptation. Some even gave away their services for free. Epic launches new telehealth service with Twilio.

COVID-19 210

COVID-19 Telemedicine Medicare Medicare 210

Healthcare IT News - Telehealth

MARCH 17, 2020

As promised , the Centers for Medicare and Medicaid Services has expanded its Medicare telehealth coverage during the coronavirus crisis, enabling more patients to get virtual care services from their doctors without having to travel to a healthcare facility. Medicare coinsurance and deductibles still apply.

COVID-19 218

COVID-19 Medicare Medicare Nursing Homes 218

Healthcare IT News - Telehealth

NOVEMBER 2, 2020

Centers for Disease Control and Prevention released Friday found a 154% increase in telehealth visits during the last week of March 2020, compared with the same time period in 2019. million telehealth encounters occurred from January through March 2020 – what the agency calls the "early pandemic period. ON THE RECORD.

COVID-19 182

COVID-19 Medicaid Medicaid Public Health 182

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

Provider Trust

APRIL 30, 2024

This year, as always, the Medicaid Fraud Control Units (MFCUs) released an annual report dissecting the exclusions, enforcements, and overall takeaways from their work throughout the previous fiscal year (FY). for every $1 spent How ProviderTrust Can Help With nearly 80 million individuals covered by Medicaid, every data point counts.

Fraud 52

Fraud Medicaid Medicaid Licensing 52

Kaiser Permanente

JANUARY 1, 2022

Medicaid and the Children’s Health Insurance Program (CHIP) have served as critical supports to children, pregnant women, parents, seniors, and individuals with disabilities – covering 80 million individuals during the COVID-19 pandemic. Since February 2020, Medicaid enrollment has grown sharply to cover an additional 9.9

Medicaid 92

Medicaid Medicaid Medicare Medicare 92

Healthcare IT News - Telehealth

MARCH 30, 2022

Department of Health and Human Services Office of Inspector General released a study examining how Medicare beneficiaries used telehealth during the first year of the COVID-19 pandemic. "Telehealth was critical for providing services to Medicare beneficiaries during the first year of the pandemic," read the report.

Medicare 141

Medicare Medicare US Department of Health and Human Services COVID-19 141

HIPAA Journal

MAY 12, 2023

A settlement has been proposed by Maxim HealthCare Services to resolve all claims related to a 2020 cyberattack and data breach involving unauthorized access to multiple employee email accounts. Maxim Healthcare Services Inc. Maxim HealthCare Services denies all claims made in the lawsuit and maintains there was no wrongdoing.

HIPAA 84

HIPAA Medicaid Medicaid Medicare 84

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. ii] Investments in behavioral digital health services have the potential to transform the healthcare system in several key areas.

COVID-19 105

COVID-19 Medicare Medicare Medicaid 105

Electronic Health Reporter

MARCH 5, 2019

The article America’s Physician Groups Responds to CMS MA 2020 Advance Notice appeared first on electronichealthreporter.com. The article America’s Physician Groups Responds to CMS MA 2020 Advance Notice appeared first on electronichealthreporter.com.

Medicare 89

Medicare Medicare Medicaid Medicaid 89

Electronic Health Reporter

APRIL 18, 2019

The Centers for Medicare & Medicaid Services (CMS) released the final annual Notice of Benefit and Payment Parameters for the 2020 benefit year, also known as the 2020 Payment Notice. This article is copyrighted strictly for Electronic Health Reporter. Illegal copying is prohibited.

Medicaid 89

Medicaid Medicaid Medicare Medicare 89

Electronic Health Reporter

MARCH 19, 2021

1, 2020, the Centers for Medicare and Medicaid Services (CMS) released its final ruling on policy and payment changes to the Medicare Physician Fee Schedule […]. Illegal copying is prohibited. By Devin Partida, technology writer and the editor-in-chief, ReHack.com.

Medicare 171

Medicare Medicare Medicaid Medicaid 171

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”).

Medicare 98

Medicare Medicare COVID-19 Medicaid 98

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

HIT Consultant

NOVEMBER 9, 2023

Director of Healthcare Strategy, LexisNexis Risk Solutions During the peak of the Covid-19 pandemic, over 10 million Americans enrolled in Medicaid – nearly a 14% increase from the beginning of 2020. A month before the public health emergency ended on May 11, 2023, 87 million individuals were enrolled in Medicaid.

Medicaid 64

Medicaid Medicaid Health Insurance Health Outcomes 64

C&M Health Law

FEBRUARY 16, 2021

On November 13, 2020, the Centers for Medicare & Medicaid Services (“CMS”) published a final rule , demonstrating long-awaited efforts to streamline the regulatory framework governing the Medicaid and Children’s Health Insurance Program (“CHIP”) managed care programs. Pass-through Payments.

Medicaid 40

Medicaid Medicaid Medicare Medicare 40

Innovaare Compliance

FEBRUARY 19, 2024

On January 31, 2024, the Centers for Medicare & Medicaid Services (CMS) released a draft of the 2025 Advance Notice describing the Methodological Changes for Calendar Year (CY) 2025 for Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies ahead of the final notice to be published on April 1, 2024.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Innovaare Compliance

FEBRUARY 19, 2024

On January 31, 2024, the Centers for Medicare & Medicaid Services (CMS) released a draft of the 2025 Advance Notice describing the Methodological Changes for Calendar Year (CY) 2025 for Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies ahead of the final notice to be published on April 1, 2024.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Healthcare Law Blog

NOVEMBER 13, 2023

On November 6, 2023, the Centers for Medicare and Medicaid Services (“CMS”) released the contract year 2025 proposed rule for Medicare Advantage (“MA”) organizations and Part D sponsors (the “Proposed Rule”). CMS proposes additional requirements designed to help ensure that SSBCIs offered are in fact backed by evidence.

Medicare 59

Medicare Medicare Medicaid Medicaid 59

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”). This option is available for five years and ends on March 31, 2027.

Medicaid 52

Medicaid Medicaid ACA Public Health 52

Medisys Compliance

MAY 19, 2022

The federal government, state Medicaid programs, and private insurers have expanded coverage for virtual health care services. During the COVID-19 public health emergency, any health care provider who is eligible to bill Medicare can bill for telehealth services regardless of where the patient or provider is located.

COVID-19 52

COVID-19 Medicare Medicare Medical Billing 52

Health Law Attorney

DECEMBER 18, 2020

The Centers for Medicaid & Medicare Services ( CMS ) recently released the 2021 Physician Fee Schedule ( PFS ) Final Rule. The PFS Final Rule is scheduled to be published on December 28, 2020, but an unpublished version may be accessed here. The fact sheet may be accessed here. CMS’ action resulted in over 24.5

Medicare 40

Medicare Medicare COVID-19 Telemedicine 40

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 76

Medicare Medicare COVID-19 HIPAA 76

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.

Medicare 52

Medicare Medicare COVID-19 Telemedicine 52

Healthcare IT News - Telehealth

NOVEMBER 10, 2020

Prepare Now for Anticipated Changes to Medicare and Private Payer Rules. The Centers for Medicare and Medicaid Services (CMS) is expected to issue new rules for telehealth in the release 2021 Physician Fee Schedule later this year. Today, Medicare reimburses for specific services when delivered via live video.

Public Health 145

Public Health Medicare Medicare COVID-19 145

Healthcare Law Blog

MAY 16, 2022

More than 13 million people were enrolled in Medi-Cal in California in September 2021, making it the largest Medicaid program in the nation. It envisions enhanced coordination, integration, and information exchange among managed care plans (MCPs); physical, behavioral, community-based, and social service providers; and county agencies.

Medicaid 59

Medicaid Medicaid Nurses Health Care Access 59

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

DECEMBER 2, 2020

The American Telemedicine Association on Wednesday issued a response to the Centers for Medicare and Medicaid Services final rule regarding a permanent expansion to some Medicare telehealth services. THE LARGER TREND. The CMS rule comes on the heels of final rules from the U.S. In Texas, Republican Gov.

COVID-19 197

COVID-19 Medicare Medicare Public Health 197

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

Health Populi

JUNE 27, 2022

Declines in preventive care services like cancer screenings and blood glucose testing concern employers, whose continued to cover health insurance for employees during the pandemic. Take preventive services across the entire national commercial population in the study. compared with 916,7 visits per 1000 members in 2020.

COVID-19 121

COVID-19 Health Insurance Medicaid Medicaid 121

Provider Trust

MAY 9, 2023

What is a Medicaid Fraud Control Unit (MFCU)? But these programs cannot be controlled by Medicaid and Medicare alone. But these programs cannot be controlled by Medicaid and Medicare alone. With this legislation, Medicaid Fraud Control Units (MFCUs) were born.

Fraud 52

Fraud Medicaid Medicaid Nurses 52

HIT Consultant

MARCH 1, 2022

Medicaid systems are struggling as potential expansion looms Clearly, many state unemployment information systems are in dire need of upgrades. For Medicaid, the threat comes as potential expansion looms. Some of today’s Medicaid systems may collapse under the weight of such data and analytics requirements.

Medicaid 52

Medicaid Medicaid Overpayments Overpayment 52

HIPAA Journal

OCTOBER 17, 2022

The investigation also uncovered unauthorized access to email accounts, with the email accounts accessed by unauthorized individuals at various points over the preceding 8 months, between December 22, 2020, and July 15, 2021. RAA has not publicly disclosed how many people have been affected.

Licensing 57

Licensing HIPAA Health Insurance Medicaid 57

Redox

MARCH 24, 2021

But in 2020, necessity was the mother of adoption , and by this, I mean technology, especially as it relates to telehealth. In one of my recent Forbes columns, I took a slightly different approach to the usual predictions, focusing more on lessons learned from 2020 to then help guide these four forward-looking prescriptions: .

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

HIT Consultant

AUGUST 6, 2023

Especially regarding reimbursement for service? In most industries, paying for goods or services is straightforward: you note the price, pay, and receive the item or service. They are no longer simply a place for aging Medicare and Medicaid patients to live out their final years. Nursing homes are evolving.

Nursing Homes 98

Nursing Homes Nurses Medicare Medicare 98

Healthcare IT News - Telehealth

SEPTEMBER 27, 2021

Department of Health and Human Services Office of Inspector General issued a data brief this month aimed at providing insight into state evaluations and oversight of tele-behavioral services. "No state has evaluated the effects of telehealth specifically on the quality of behavioral health services," said OIG.

Fraud 182

Fraud COVID-19 Medicaid Medicaid 182

Health Populi

FEBRUARY 14, 2018

In 2020, national health expenditures (NHE) in the United States will exceed $4 trillion to cover 334.5 Three factors will drive healthcare costs to 2026: prices for medical goods and services, changes in income growth, and shifting enrollment from private health insurance to Medicare — driven by the aging of Boomers.

Health Insurance 79

Health Insurance Medicare Medicare Medicaid 79