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. Changed Telehealth Policies. Eligible services. Cost-sharing. Coding Guidelines.

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COVID-19 Medicare Medicare Medical Billing 52

YouCompli

MARCH 29, 2023

In this article, she discusses several issues that hospitals and health systems need to consider as a result of the scheduled end of the COVID-19 public health emergency. Department of Health & Human Services (HHS) reports that 80% of the U.S.

Public Health 52

Public Health COVID-19 COVID-19 Vaccine Medicare 52

Medisys Compliance

APRIL 20, 2022

Billing and coding guidelines for various medical specialities are constantly getting updated due different COVID-19 variants. As Public Health Emergency (PHE) has extended beyond 16 th April 2022 by 90 days, various waivers are continued, making no change in billing guidelines in pandemic.

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COVID-19 COVID-19 Vaccine Medical Billing Medicare 52

HIT Consultant

JULY 17, 2023

Talib Jaber, RPh, VP of Customer Success, Sunwave Health The pandemic caused a significant increase in overdose and Substance Use Disorder (SUD) related deaths, exposing long-standing deficiencies in the identification and treatment of SUD. It’s important to note that Medicaid is the leading payer for SUD treatment in the country.

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Public Health Medicaid Medicaid Electronic Medical Records 98

HIT Consultant

MARCH 8, 2022

The COVID-19 pandemic led to sweeping healthcare policy changes that enable vulnerable Americans to receive affordable health coverage and access essential safety net benefits. Under the PHE, states must keep Medicaid enrollees continuously covered, irrespective of their circumstances. .

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Public Health Medicaid Medicaid Health Insurance 98

Health Law Checkup

SEPTEMBER 23, 2022

On September 6, 2022, the Centers for Medicare & Medicaid Services (CMS) released a Request for Information (RFI) seeking public input to assess the impact of the waivers and flexibilities provided in response to the COVID-19 Public Health Emergency.

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Healthcare IT News - Telehealth

DECEMBER 14, 2021

This is why, as the new year approaches, Healthcare IT News has sat down with an expert in value-based care to get his views on what 2022 will hold for the payment system. 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.

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Health Populi

JUNE 22, 2022

states to live in for health and health care are Hawaii, Massachusetts, Connecticut, Washington, Vermont, Rhode Island, and Maryland… Those are the top health system rankings in the new 2022 Scorecard on State Health System Performance annual report from the Commonwealth Fund. The best U.S.

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Healthcare It News

OCTOBER 25, 2022

The first is focused on protecting access to care via the telehealth flexibilities that have enabled broad expansion and uptake of virtual care since the start of the COVID-19 pandemic. has the highest maternal mortality rate when compared with other countries with similar wealth.

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Healthcare IT News - Telehealth

FEBRUARY 3, 2023

The Telehealth Benefit Expansion for Workers Act would amend the Public Health Service Act, the Employee Retirement Income and Security Act of 1974 and the Internal Revenue Code of 1986 to allow employers to treat benefits for telehealth services like excepted benefits. In an announcement about the bipartisan bill, Rep.

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Public Health COVID-19 Medicare Medicare 169

Hall Render

MAY 2, 2023

COVID Regulations Impacted CMS issued several interim final rules during the PHE. Interim final rules are effective for a period of three years from the date of publication if CMS does not take further action. COVID Testing Requirements. COVID Vaccine Education. COVID Staff Vaccine. COVID Reporting Requirements.

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Nursing Homes Public Health Nurses COVID-19 40

HIPAA Journal

JUNE 26, 2023

When the Secretary issues a Notice of HIPAA Enforcement Discretion, it only applies to the emergency area for the emergency period specified in the public health emergency declaration, and only to hospitals that have initiated a disaster protocol.

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HIT Consultant

JANUARY 23, 2023

. – The report reveals inflation is not transitory and the economic outlook has meaningfully darkened due to a healthcare worker shortage and endemic COVID-19. Previously, in July 2022, it was estimated that provider profit pools would grow at a 7 percent CAGR from 2021 to 2025. But players are not standing still.

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Healthcare Law Blog

JANUARY 31, 2023

This blog is the second installment of our Digital Health Trends series. Overview Digital health services have exploded since the onset of the COVID-19 pandemic, and behavioral health services have seen large increases in utilization. billion in the first three quarters of 2022. [ii]

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Hall Render

APRIL 22, 2022

21 top management risks in healthcare for 2022. $1B Patient generated data can be a key factor in reducing health inequity. Supreme Court tosses Medicaid work requirement cases. This nursing home chain reported the highest COVID death rate. Fields, Prax discuss DHSS split, other Alaska health care initiatives.

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

Hall Render

FEBRUARY 27, 2023

billion in False Claims Act (“FCA”) related settlements and judgments in the federal fiscal year 2022. Whistleblowers continue to be one of the federal government’s greatest assets in FCA cases, as whistleblowers filed 652 qui tam suits in 2022 with recovery totaling $1.9 Health Care Fraud Actions Medicaid.

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Health Law Checkup

MARCH 17, 2022

In response to the COVID-19 pandemic, the Centers for Medicare & Medicaid Services (CMS) issued almost 200 “blanket” waivers which automatically apply to health care providers including hospitals, other healthcare facilities, and healthcare professionals.

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US Department of Health and Human Services COVID-19 Medicaid Medicaid 52

Health Law Checkup

MARCH 14, 2022

In response to the COVID-19 pandemic, the Centers for Medicare & Medicaid Services (CMS) issued almost 200 “blanket” waivers which automatically apply to health care providers including hospitals, other healthcare facilities, and healthcare professionals.

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US Department of Health and Human Services COVID-19 Medicaid Medicaid 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. CMS also extended the permissible breadth of telehealth services (the “Category 3” services) that it had added to the PFS in CY 2020 in response to COVID-19 through the end of 2023.

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Health Care Law Brief

JUNE 2, 2022

The onset of the COVID-19 public health emergency (“PHE”) led to a surge in the use of telehealth by health care providers. For example, the Department of Justice has aggressively pursued health care fraud claims against individuals and entities involved in non-compliant telehealth models.

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Public Health Compliance COVID-19 Licensing 52

Provider Trust

AUGUST 9, 2023

The Department of Health and Human Services (HHS) Office of Inspector General (OIG) has released its latest 2023 Spring Semiannual Report to Congress, providing a comprehensive overview of its activities from October 2022 to March 2023. Led by acting Inspector General Christi A. A Message from Acting Inspector General Christi A.

Nursing Homes 52

Nursing Homes COVID-19 Fraud Medicaid 52

Hall Render

MAY 13, 2022

FDA limits J&J COVID-19 vaccine due to rare blood clot risk. Travel nurses raced to help during Covid. Alabama hospital rationing medical supplies due to COVID disruptions in China. Alabama sees bump in COVID-19 cases, state health department monitoring. Oscar Health withdraws from 2 states.

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Hall Render

JUNE 10, 2022

CMS updates Medicaid eligibility standards. COVID-19 rising in Alabama, experts believe cases are higher than reported. How drones are innovating Alabama’s health care industry. Alaska’s Covid-19 emergency order to end July 1. California nurses plan for potential 2nd strike of 2022.

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Hall Render

MAY 20, 2022

AHA asks HHS to continue the public health emergency until conditions stabilize. Considerations for Social Determinants of Health Screening Design. COVID-19 public health emergency set to be extended. Covid-19 remains a public health emergency in US, administration says.

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Provider Trust

JANUARY 25, 2024

Ensuring the Financial Integrity of HHS Programs In fiscal year (FY) 2022, improper payments within healthcare programs like Medicare, Medicaid, and Children’s Health Insurance Program (CHIP) were estimated at a staggering $131.6 With Medicaid, the challenges are equally formidable.

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Hall Render

DECEMBER 6, 2022

Other facilities and health care clinics (including, but not limited to, federally qualified health centers) that have bona fide medical staffs may provide compensation under this exception on the same terms and conditions applied to hospitals. COVID-19 Blanket Stark Waivers Continue (for now). Practical Takeaways.

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Hall Render

SEPTEMBER 16, 2022

4 Health Systems Join Provider-Created Data Collective to Improve Care. Full 4th Circuit to tackle Medicaid fraud standard under False Claims Act. These 10 states still have COVID emergency orders in place. Why asking about social determinants of health is so important. HHS expected to renew COVID-19 PHE for 11th time.

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

Healthcare Law Blog

DECEMBER 12, 2022

The COVID-19 Public Health Emergency (“PHE”) led to a rapid expansion in the utilization of telehealth. On October 13, 2022 , Health and Human Services (“HHS”) Secretary Xavier Becerra renewed the COVID-19 PHE and the PHE is now set to expire on January 11, 2023.

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Hall Render

NOVEMBER 4, 2022

CMS gives nursing homes a longer leash on staff COVID-19 vaccination requirements. Feds approve program for rural Arkansas health care but it will cost local taxpayers more. Governor Hutchinson Announces Expansion To Rural Health Services With ARHOME Medicaid Program. CMS bumps ASC payments to 3.8

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

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. Castlight published the full research findings in April in the company’s 2022 Workforce Health Index.

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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).

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

HIT Consultant

MAY 30, 2023

Three years after the World Health Organization declared COVID-19 a pandemic, the Public Health Emergency (PHE) enacted in the United States came to an end this May. In addition, according to experts’ estimations , 17 million people could lose Medicaid coverage in just a few months.

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Hall Render

JANUARY 31, 2022

The Centers for Medicare & Medicaid Services (“CMS”) has armed surveyors with detailed instructions on how to survey skilled nursing facilities for compliance with the CMS staff vaccine requirements. Policies and procedures related to the skilled nursing facility’s COVID-19 staff vaccination policies and procedures.

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COVID-19 Vaccine Nurses COVID-19 Nursing Homes 40

Medisys Compliance

DECEMBER 23, 2022

The finalized 2023 Medicare Physician Fee Schedule was announced by the Centers for Medicare & Medicaid Services (CMS) on November 1 2022. On November 1, 2022, the Physician Fee Schedule final regulations were published, and they will take effect on January 1, 2023. Principles of PFS. A glance at other factors.

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HIT Consultant

APRIL 4, 2023

While Q4 2022 signaled the tail end of the digital health funding cycle, January and February funding numbers began to suggest that sector investment was slowly but surely inching back upwards. While this quarter exceeded both Q4 2022’s $2.7B and Q3 2022’s $2.2B valuation it floated back in September 2022.

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FDA Medicaid Medicaid COVID-19 52

Hall Render

OCTOBER 31, 2022

The Centers for Medicare & Medicaid Services (“CMS”) has retooled guidance it armed surveyors with regarding how to survey skilled nursing facilities for compliance with the CMS staff vaccine requirements. National Health Safety Network (“NHSN”) Data. Background. Key Surveyor Guidance Revisions. Key Surveyor Guidance Revisions.

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Nurses Compliance COVID-19 COVID-19 Vaccine 40

Bill of Health

SEPTEMBER 9, 2022

Centers for Disease Control and Prevention’s failed responses to COVID-19, ranging from “testing to data to communications,” have prompted a call to reorganize the agency. Yet restructuring the CDC will have little effect on pandemic preparedness if the decentralized American approach to health finance remains in place.

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