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Medicare Fee Schedule Changes in 2023

Medisys Compliance

The internet is ringing with the news of the CMS Updates Final rule for the 2023 Medicare Physician Fee Schedule. The finalized 2023 Medicare Physician Fee Schedule was announced by the Centers for Medicare & Medicaid Services (CMS) on November 1 2022. Effects of the PFS in 2023 on providers.

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Medicare Exact Match Update: Provider Compliance Required Effective 8/1/2023

Hall Render

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”). UB claim).

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Overcoming Challenges in Public Health Policy Implementation

Healthcare Blog

Public health policy encompasses various levels of healthcare, from federal legislation to state or local laws, community-based health initiatives, and facility-level policies. It also encourages good health and helps achieve designated health objectives. What Is Public Health Policy?

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Is your Medicare Advantage Organization Ready for Compliance with Regulatory Changes in 2023?

Innovaare Compliance

Annual Election Period (AEP) is about two weeks away when Medicare Advantage Prescription Drug Plans (MAPD) will be signing up new enrollees by the thousands. According to the Centers for Medicare & Medicaid Services (CMS), enrollment in MAPD keeps rising. In 2022, 48% of all eligible Medicare beneficiaries are enrolled in MAPD.

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Compliance Implications for the End of the Federal Public Health Emergency (PHE)

MedTrainer

The end of the federal Public Health Emergency (PHE) will reinstate regulations that have been absent for years… and many healthcare workers have never had to follow. That includes many compliance professionals. That includes many compliance professionals. Hard to believe, huh? That’s a lot to keep track of!

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COVID-19 Public Health Emergency and HIPAA Telehealth Flexibilities Due to be Extended

HIPAA Journal

The Secretary of the Department of Health and Human Services, Xavier Becerra, is expected to extend the COVID-19 Public Health Emergency (PHE) today (October 13, 2022) for the 11th time. The extension, if confirmed, will last for a further 90 days, making the next deadline January 11, 2023.

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Preparing for the End of the Public Health Emergency

YouCompli

CMS Updates to beneficiary PHE waivers that matter to healthcare compliance Sharon Parsley, JD, MBA, CHC, CHRC, contributes regularly to the YouCompli blog. 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.