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.

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Health Law Advisor

AUGUST 14, 2023

During the COVID-19 PHE, CMS issued temporary waivers, including a waiver of the “location requirement” of the In-Office Ancillary Services (“IOAS”) exception. 3] As indicated above, the temporary waiver that allowed mailing or home delivery of DME during the COVID-19 PHE expired May 11, 2023 and is no longer available.

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Medisys Compliance

DECEMBER 23, 2022

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. Principles of PFS.

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HIT Consultant

DECEMBER 9, 2022

has taken center stage, but the true impact of COVID-19 on families is just now coming into focus. Here are 5 behavioral health trends that we see taking shape in 2023: 1. Daniel Etra, co-founder, and CEO of RethinkFirst. For the past two years, behavioral health in the U.S. By 2024, estimates show the U.S.

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Medicaid Medicaid COVID-19 Governance 98

YouCompli

JANUARY 18, 2023

Featured speakers : Eric Gold , Chief, Massachusetts Attorney General’s Office Healthcare Division; Jennifer Goldstein , Managing Attorney, Medicaid Fraud Division, Massachusetts Attorney General’s Office; and Steven Sharobem , Assistant US Attorney, District of Massachusetts. Priorities for Massachusetts’s Medicaid Fraud Division.

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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. population previously received at least one COVID-19 vaccination. Department of Health & Human Services (HHS) reports that 80% of the U.S.

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HIPAA Journal

MAY 29, 2023

State attorneys general also enforce the HIPAA Rules and 2023 has already seen several enforcement actions over violations of HIPAA and state privacy laws. Reducing risk exposure from vendor relationships is one of the biggest security challenges in healthcare in 2023 and a pressing issue, as hackers are actively targeting the supply chain.

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HIT Consultant

APRIL 4, 2023

What You Should Know: 2023 started off with the hallmarks of a rebound year. Q1 Funding Soars, But 2023 May Struggle to Catch Up to 2019 Q1 2023 U.S. If funding for the next three quarters matches the average funding across the prior three quarters, 2023 is on pace for the lowest level of annual funding since 2019.

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Healthcare IT Today

JANUARY 6, 2023

As we head into 2023, we wanted to kick off the new year with a series of 2023 Health IT predictions. We have seen unprecedented growth in the digital healthcare space and this momentum will only continue in 2023 – bringing more innovation, smarter technology, and impactful legislation and business initiatives.

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Health Populi

JUNE 23, 2023

If you live in Massachusetts, Hawaii, and New Hampshire, you win a kind of state lottery for public health and well-being, based on this year’s read of the 2023 Scorecard on State Health System Performance from The Commonwealth Fund. “Women faced particularly severe challenges during the COVID-19 pandemic.

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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”). UB claim).

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Healthcare Law Blog

FEBRUARY 28, 2023

On February 13, 2023, the Centers for Medicare and Medicaid Services (CMS) published the revised List of Telehealth Services for Calendar Year (CY) 2023 (List). In its update, CMS clarified that all codes on the List are available through the end of CY 2023.

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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. Growth in 2021 resulted from making up for care deferred from the first year of the COVID-19 pandemic as well as additional healthcare demand attributable to COVID-19.

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Compliancy Group

JUNE 6, 2024

Centers for Medicare and Medicaid (CMS) : Waiver (applied retroactively) from March 1, 2020, through May 11, 2023, for physician owners of independent freestanding emergency departments serving Medicare patients during the COVID-19 pandemic. CMS Updates in 2023 : Voluntary self-referral disclosure laws.

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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. In November 2020, Oregon became the first state to legalize psilocybin-assisted therapy and began accepting applications for licensure on January 2, 2023. [v]

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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.

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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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Provider Trust

JULY 17, 2023

In our recent webinar, ProviderTrust’s Chief Compliance Officer, Donna Thiel, shared her expertise and valuable feedback from the 2023 HCCA Compliance Institute. This is sometimes due to staffing shortages, infection control, and emergency preparedness, though COVID-19 certainly exacerbated longstanding issues and created new ones.

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HIT Consultant

JANUARY 15, 2024

What You Should Know: – The US healthcare industry, after weathering a storm of inflation, labor shortages, and lingering COVID-19 impacts in 2023, is now showing signs of a promising rebound, according to a new repor t by McKinsey & Company.

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Hall Render

DECEMBER 6, 2022

non-cash or cash equivalent) compensation to physicians up to an aggregate amount of $489 for calendar year 2023. The $5,000 limit is adjusted annually for inflation and will increase from the 2022 limit of $5,270 to $5,702 beginning January 1, 2023 for the 2023 calendar year. COVID-19 Blanket Stark Waivers Continue (for now).

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Healthcare IT News - Telehealth

FEBRUARY 3, 2023

An excepted benefit allows employers to finance additional medical care, like vision or dental coverage, according to the Centers for Medicare & Medicaid Services FAQs for insurance agents and brokers, requiring Congress to amend previous public health and funding laws. In an announcement about the bipartisan bill, Rep.

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Jane Sarashon

JUNE 5, 2023

in 2023, and millions of more people worldwide. Just in time for #ASCO2023, the IQVIA Institute published their annual report on Global Oncology Trends 2023 – Outlook to 2027 , an update featuring pipelines, therapy approvals, research updates, costs of oncology products, and patients. including patients living in the U.S.)

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Healthcare Law Today

NOVEMBER 9, 2022

Starting January 1, 2023, Medicare will expand and increase coverage of certain services and providers to advance access to prevention and treatment services for substance use disorders (SUD) and mental health services. The combination of the opioid crisis and the COVID-19 pandemic have led to record need for behavioral health treatment.

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HIPAA Journal

JUNE 26, 2023

Nationwide Discretion Announced during the COVID-19 Pandemic During the COVID-19 pandemic, healthcare providers had to deal with a nationwide public health crisis, the likes of which had never been seen before.

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Hall Render

MAY 11, 2023

As skilled nursing facilities work and provide health care services after the May 11, 2023, end of the Public Health Emergency, questions and concerns about visitation at these facilities will likely continue to arise. and follow accepted national standards, such as CDC recommendations.

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Healthcare Law Blog

FEBRUARY 1, 2023

As we approach the middle of the first quarter of 2023, private equity firms have continued to demonstrate their interest in investing in digital health. The following serves as a broad overview of recent policy updates and areas of opportunity in 2023. from 2023 to 2030.

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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”). The Final Rule will be effective on August 4, 2023.

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HIPAA Journal

JUNE 14, 2023

All operations at the two hospitals will permanently end on Friday, June 16, 2023. Margaret’s Health has faced increasing financial pressures in recent years, and the COVID-19 pandemic, continuing staff shortages, and the ransomware attack on St. The Sisters of Mary of the Presentation founded St. Like many rural hospitals, St.

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HIT Consultant

JULY 17, 2023

So, with the end of the public health emergency (PHE) on May 11, 2023, and the cessation of PHE-related exceptions that increased access to mental health resources, there is reason for concern. Cessation of PHE telehealth, prescribing, and mental health access exceptions could impact the Medicaid population the most.

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Healthcare IT News - Telehealth

JANUARY 4, 2021

By the end of 2021, about 4 billion COVID-19 vaccine doses will be delivered globally. Digital enterprise vaccination management platforms will have to be built to inform the public, schedule vaccinations, automate mobile facilities, monitor outcomes and manage the supply chain for COVID-19 vaccines.

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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).

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Health Care Law Brief

FEBRUARY 8, 2024

billion to fund Medicaid, $4.8 In addition to the 1115 Waiver, which funds the Medicaid Hospital Global Budget for financially distressed safety net hospitals transitioning from volume-based reimbursement models to value-based models, the HMH Bill would also establish the Healthcare Safety Net Transformation Program (“HSNT Program”).

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Healthcare Law Blog

MAY 16, 2022

On April 29, 2022 , the Centers for Medicare and Medicaid Services (“CMS”), issued the final rule on Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs (the “Final Rule”). Additional Opportunities for Integration through State Medicaid Agency Contracts (§ 422.107).

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Verisys

JULY 12, 2023

Alabama : Legislation has been passed as of April 20, 2023 amending section 34-23-30 of the Code of Alabama 1975. AL HB290 Additional updates were located in the “Executive Secretary Report June 2023” email. Effective August 7, 2023. Major changes to Medicaid credentialing are effective July 1, 2024.

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HIT Consultant

APRIL 21, 2022

What You Should Know: – Centers for Medicare & Medicaid Services’ (CMS) payment adjustments did not adequately address hospitals increased costs for FY 2021, according to new data from Premier. A very high payment update in FY 2023 will be needed to match the rates most acute care providers are now paying their staff.

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Healthcare Law Blog

NOVEMBER 1, 2022

CMS announced today a further extension until February 1, 2023, of the deadline for its publication of the long-awaited final rule on the use of extrapolation and the application of a fee-for-service adjuster (FFS Adjuster) in risk adjustment data validation (RADV) audits of Medicare Advantage organizations (MAOs). FOOTNOTES. [1]

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Verisys

MARCH 17, 2023

HB 62 Status: In Committee Iowa: Continued COVID-19 Public Health Emergency Flexibilites A state plan amendment has been proposed to provide additional COVID-19 coverage for Hawki and Medicaid enrollees after the last day of the national public health emergency period.

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