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. population previously received at least one COVID-19 vaccination.

Public Health 52

Public Health COVID-19 COVID-19 Vaccine Medicare 52

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).

Medicare 40

Medicare Medicare Compliance COVID-19 40

Kaiser Health News

AUGUST 3, 2023

For the readmission penalties , Medicare cuts as much as 3 percent for each patient, although the average is generally much lower. The patient safety penalties cost hospitals 1 percent of Medicare payments over the federal fiscal year, which runs from October through September. Below are look-up tools for each type of penalty.

Medicare 75

Medicare Medicare Hospitals Public Health 75

Innovaare Compliance

OCTOBER 6, 2022

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.

Medicare 52

Medicare Medicare Compliance Public Health 52

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

Healthcare IT News - Telehealth

SEPTEMBER 27, 2022

Biden’s statement, which divided the public health community and the public, has wide-reaching implications for the fate of connected health and vital telehealth services. Department of Health and Human Services Alex Azar signed the first Public Health Emergency declaration , declaring COVID-19 a national emergency.

COVID-19 113

COVID-19 Public Health US Department of Health and Human Services Medicare 113

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

Jackson Lewis

MAY 3, 2023

The Biden-Harris Administration has announced that, at the end of the day on May 11, 2023, it will end COVID-19 vaccination requirements for federal employees, federal contractors, and international air travelers. The COVID-19 public health emergency also will end on the same day. Read more.

COVID-19 Vaccine 52

COVID-19 Vaccine COVID-19 Public Health Medicaid 52

HIPAA Journal

JANUARY 31, 2024

Report: Security Breaches in Healthcare (Direct Download PDF, 1.9MB, 16 pages) An unwanted record was set in 2023 with 725 large security breaches in healthcare reported to the Department of Health and Human Services (HHS) Office for Civil Rights (OCR), beating the record of 720 healthcare security breaches set the previous year.

Ransomware 122

Ransomware HIPAA Hospitals Compliance 122

C&M Health Law

JANUARY 25, 2023

On December 29, President Joe Biden signed into law the Consolidated Appropriations Act, 2023 ( P.L. We expect issues regarding regulation of diagnostic tests and mental health parity enforcement to resurface in the new Congress. 117-164 ) (the “Act”)—an approximately $1.7

Medicaid 104

Medicaid Medicaid Medicare Medicare 104

C&M Health Law

AUGUST 10, 2022

On July 29, 2022, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that updates Medicare payment policies and rates for skilled nursing facilities (SNFs) and enacts changes to the SNF Quality Reporting Program and the SNF Value-Based Purchasing Program beginning in FY 2023.

Medicare 52

Medicare Medicare COVID-19 Nursing Homes 52

Health Law Advisor

MARCH 16, 2023

In this episode of the Diagnosing Health Care Podcast : In conjunction with the national COVID-19 public health emergency (PHE), the Centers for Medicare & Medicaid Services and other federal agencies have issued waivers and other declarations with the goal of giving providers flexibility in order to render services during the PHE.

Public Health 52

Public Health COVID-19 Medicaid Medicaid 52

Hall Render

DECEMBER 30, 2022

Medicare payment policy changes established under the CMS CY 2023 Medicare Physician Fee Schedule (“MPFS”) Final Rule , issued on November 1, 2022, become effective January 1, 2023. Below is a high-level summary of significant changes established for 2023. Behavioral Health Services. Split/Shared E/M Visits.

Medicare 40

Medicare Medicare Licensing Health Services Administration 40

MedTrainer

MAY 4, 2023

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. There are plenty of compliance implications for the end of the Public Health Emergency on May 11, 2023 , and an assessment is a great place to start.

Public Health 52

Public Health Compliance COVID-19 COVID-19 Vaccine 52

Healthcare Law Today

JANUARY 10, 2023

about what is in store for digital health in the new year. Will venture funding trickle or will 2023 see more liquidity in the markets? And how will the end of the Public Health Emergency (PHE) waivers affect telemedicine services and patient care? With 2022 closed, there is growing anticipation (trepidation?)

Telemedicine 93

Telemedicine Medicare Medicare Licensing 93

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. An end to the Public Health Emergency (PHE) is likely to be announced and end mid-January followed by a grace period of approximately 5 months. With the market downturns we’ve seen in 2022, that trend will shift.

US Department of Health and Human Services 115

US Department of Health and Human Services Doctors Telemedicine Public Health 115

Health Law Advisor

APRIL 13, 2023

On March 22, 2023, the U.S. Department of Health and Human Services’ Office of Inspector General (“OIG”) updated its Frequently Asked Questions (“FAQs”), drafting 13 FAQs aimed at easing the transition from COVID-era flexibilities to the end of the Public Health Emergency (“PHE”) on May 11, 2023.

Public Health 52

Public Health Fraud COVID-19 Medicaid 52

HIPAA Journal

JANUARY 9, 2023

Updates to HIPAA are long overdue but steps were finally made to update HIPAA in December 2020, when the HHS issued a notice of Proposed Rulemaking that detailed several proposed changes to the HIPAA Privacy Rule, and a Final Rule is now due which will likely see those HIPAA changes implemented in 2023. HIPAA Changes in 2023.

HIPAA 112

HIPAA COVID-19 COVID-19 Vaccine Compliance 112

HIPAA Journal

MAY 23, 2023

Largest Healthcare Data Breaches Reported in April 2023 As previously mentioned, April saw a major data breach reported that affected 3,037,303 individuals – The third largest breach to be reported by a single HIPAA-covered entity so far this year, and the 19 th largest breach to be reported by a single HIPAA-regulated entity to date.

Ransomware 100

Ransomware HIPAA Medicaid Medicaid 100

Healthcare IT News - Telehealth

DECEMBER 5, 2022

Despite innovations, a new study from the Yale School of Public Health finds the nation is losing ground on access to healthcare, with more barriers now than 20 years ago. Unite Us is a technology company that builds coordinated care networks of health and social service providers. What will this look like?

US Department of Health and Human Services 175

US Department of Health and Human Services Medicaid Medicaid Department of Veterans Affairs 175

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.

Nursing Homes 52

Nursing Homes COVID-19 Fraud Medicaid 52

Medisys Compliance

APRIL 8, 2022

In this article, we briefly discussed these Medicare telehealth billing guidelines. Due to the provisions of the Consolidated Appropriations Act of 2021, the CMS continues to evaluate the inclusion of telehealth services that were temporarily added to the Medicare telehealth services list during the COVID-19 PHE (Public Health Emergency).

Medicare 59

Medicare Medicare Medical Billing Outsourcing Medical Billing 59

C&M Health Law

DECEMBER 13, 2022

In 2023, we expect to see health care policy developments in the following key domains: reproductive rights and gender discrimination, health data privacy, telehealth, and price transparency. . 4040 ), which modifies the extension of certain Medicare telehealth flexibilities (i.e., Price Transparency .

COVID-19 98

COVID-19 Medicare Medicare Hospitals 98

Health Populi

APRIL 3, 2023

public does not want politicians to “up-end” government-funded health programs, according to the Kaiser Family Foundation’s March 2023 Health Tracking Poll. adults between March 14-23, 2023. Most health citizens, cross party affiliation, are worried about the future of Medicare.

Medicaid 62

Medicaid Medicaid Medicare Medicare 62

Healthcare IT Today

JULY 29, 2023

Read more… Public Health Transparency Improves Outcomes in San Bernardino County. Earlier this month, we highlighted Colin Hung’s conversation with San Bernardino County Department of Public Health about embracing GIS technology.

Public Health 89

Public Health Medicare Medicare Compliance 89

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. By James G. And that’s where they are wrong. Some victories came easy.

COVID-19 176

COVID-19 Public Health COVID-19 Vaccine Governance 176

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.

HIPAA 96

HIPAA Compliance Due Diligence COVID-19 96

HIPAA Journal

DECEMBER 14, 2022

The CARES Act also allows SUD information to be shared with a public health authority if it is de-identified in accordance with HIPAA Rules. The Notices of Enforcement Discretion are as follows: Good Faith Telehealth Remote Communications During the COVID-19 Nationwide Public Health Emergency.

HIPAA 128

HIPAA COVID-19 COVID-19 Vaccine Compliance 128

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”).

Medicare 52

Medicare Medicare Medicaid Medicaid 52

HIT Consultant

APRIL 4, 2023

What You Should Know: 2023 started off with the hallmarks of a rebound year. 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. digital health funding closed with $3.4B and Q3 2022’s $2.2B

FDA 52

FDA Medicaid Medicaid COVID-19 52

Healthcare Law Blog

FEBRUARY 22, 2023

The Rebate Programs are administered as part of the prescription drug affordability provisions of the Inflation Reduction Act (the “IRA”), which is aimed at “lower[ing] out-of-pocket drug costs for people with Medicare and improv[ing] the sustainability of the Medicare program for current and future generations.” [1]

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Hall Render

MARCH 28, 2023

On January 30, 2023, the Biden Administration announced the COVID public health emergency (“PHE”) will expire and end on May 11, 2023. There are several key areas of focus for SNFs to assess what will change and what will not change as May 11, 2023 approaches. When the PHE ends, the hotlines will be shut down.

Public Health 40

Public Health Nurses Nursing Homes COVID-19 40

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.

Public Health 163

Public Health COVID-19 Medicare Medicare 163

Healthcare Law Blog

NOVEMBER 30, 2022

During the COVID-19 pandemic, Medicare coverage expanded to include a vast arsenal of tools that help patients access medical services while keeping patients and practitioners safe. Department of Health & Human Services (“HHS”) declared a Public Health Emergency (the “PHE”). When does the PHE current expire?

Medicare 52

Medicare Medicare COVID-19 Fraud 52

Healthcare Law Blog

JANUARY 6, 2023

On December 29, 2022 , President Biden signed the Consolidated Appropriations Act, 2023 (the “Act”). In addition to funding, the Act modifies certain telehealth provisions, expands and extends components of the Medicare and Medicaid programs, and supports initiatives within the behavioral health and substance use treatment spaces.

COVID-19 52

COVID-19 Medicaid Medicaid Medicare 52

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). See 42 U.S.C.

Medicare 52

Medicare Medicare COVID-19 Public Health 52

Hall Render

MAY 2, 2023

CMS expects all providers to be in compliance with the requirements for PASARR with all admissions taking place after May 11, 2023. The CMS Memo provides that this means that all new SNF stays beginning on or after May 12, 2023 will require a qualifying hospital stay before Medicare coverage. Benefit Period Blanket Waiver.

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Nursing Homes Public Health Nurses COVID-19 40