Medicare ACO participation grows in 2024: CMS
Healthcare Dive
JANUARY 30, 2024
However, growth in Medicare's flagship shared savings model has plateaued over the past five years, according to government data.
Budget 2024: Private hospitals tapped to provide psychiatric telehealth amid crisis
Healthcare IT News - Telehealth
MAY 21, 2024
The Australian government claims it has been committed to addressing the supply and demand crisis in the sector by pursuing reforms and making significant investments in both workforce training and retention and filling gaps in and raising mental healthcare access. Interview responses have been edited for brevity's sake.
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Home care industry group sues to block 2023, 2024 Medicare payment cuts it claims are unlawful
Fierce Healthcare
JULY 6, 2023
Days after the Biden administration proposed hundreds of millions in 2024 pay cuts for home health providers, an industry association is suing the government over similar adjustments at the heart o | The National Association for Home Care and Hospice alleges that CMS "arbitrarily and capriciously" set payment adjustments in the Home Health (..)
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January 2024 Bad Actors Roundup
Verisys
FEBRUARY 9, 2024
January 2024 Bad Actor Roundup By Verisys Each month we will give a roundup of recent healthcare fraudsters and compliance busters. The post January 2024 Bad Actors Roundup appeared first on Verisys. Here is a round up of bad actors: Physician Fraud Glastonbury Psychologist Admits Defrauding Medicaid of More Than $1.6
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Handling an OIG Audit with Confidence: Focus Areas for 2024
Compliancy Group
APRIL 17, 2024
Office of Inspector General (OIG) in the Department of Health and Human Services (DHHS) oversees efforts in the healthcare sector to identify, reduce, and prevent incidents of fraud, waste, and abuse of funds from programs like Medicare. Medicare Advantage (M.A.): and cybersecurity threats. Organizations using M.A.
Value Based Care – 2024 Health IT Predictions
Healthcare IT Today
JANUARY 5, 2024
As we kick off 2024, we wanted to start the new year with a series of 2024 Health IT predictions. Major players in the healthcare industry from governments to organizations will invest in training and integrating community health workers to help transition to more patient-centered healthcare services.
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Navigating the 2024 CPT Code Updates
Medisys Compliance
MARCH 7, 2024
In 2024, the AMA introduced 349 changes to the CPT code set, comprising 230 new codes, 49 deletions, and 70 revisions. Staying abreast of these 2024 CPT code updates is essential for healthcare professionals to ensure precise coding and proper financial reimbursement.
How a Government Shutdown Impacts Your Healthcare Business
MedTrainer
NOVEMBER 14, 2023
While federal operations are slowed, reduced, or put on pause during a government shutdown, healthcare services must continue to operate. What Is a Government Shutdown? Without budget authorization from Congress, a variety of government services and operations come to a halt. The advance appropriation for FY 2024 allocates $5.1
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Bonus Features – March 10, 2024 – Only 36% of CEOs have assessed how to govern the risks of AI, Emory Healthcare is deploying Epic on MacBook Air, plus 27 more stories
Healthcare IT Today
MARCH 10, 2024
Studies Only 36% of healthcare CEOs have assessed how to govern the risks unique to AI , according to the EY CEO Outlook Pulse Survey. Customers of payment accuracy vendor Lyric can now access Medicare Coordination of Benefits capabilities from Strout. Safe travels to HIMSS 2024, everyone!
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Look Up Your Hospital: Is It Being Penalized By Medicare?
Kaiser Health News
AUGUST 3, 2023
Under programs set up by the Affordable Care Act, the federal government cuts payments to hospitals that have high rates of readmissions and those with the highest numbers of infections and patient injuries. For the readmission penalties , Medicare cuts as much as 3 percent for each patient, although the average is generally much lower.
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The Cost of Medical Care, Long-Term Care, and Prescription Drugs Top Older Americans’ Health-Related Concerns – With Social Security and Medicare Top of Mind
Jane Sarashon
MAY 7, 2024
The University of Michigan’s National Poll on Healthy Aging engaged NORC at the University of Chicago to field the study in February and March 2024, conducted among 3,379 U.S. adults between 50 and 101 years of age. The study was conducted online and by phone.
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Uses of AI in Healthcare – 2024 Health IT Predictions
Healthcare IT Today
JANUARY 17, 2024
As we kick off 2024, we wanted to start the new year with a series of 2024 Health IT predictions. 2024 will likely see continued hype regarding A.I. With the clinician shortage expected to continue – and possibly even worsen – in 2024, automation is key from the start of the clinician’s staffing journey (i.e.
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2024 HHS-OIG Top Areas of Focus
Provider Trust
JANUARY 25, 2024
Though HHS has made efforts to address the challenges outlined in this year’s report, there are still many opportunities for improvement in 2024. We’ve broken down the report’s primary themes and how they affect healthcare organizations moving forward in 2024.
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Democrats Didn’t Achieve All Their Goals, but Inflation Reduction Act Makes Historic Medicare Changes
Kaiser Health News
AUGUST 12, 2022
First, it would give the federal government the ability to negotiate prices of some drugs purchased by Medicare beneficiaries, a tool that has long been opposed by the drug industry. The drug pricing provision, estimated to save the government nearly $100 billion over 10 years, would require the U.S. “It’s historic.
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Hundreds of orgs ask Congress to extend telehealth waivers through 2024
Healthcare IT News - Telehealth
FEBRUARY 1, 2022
"When the COVID-19 pandemic began exposing gaps in our healthcare system, telehealth enabled critical access to high-quality care for patients and providers alike," said Tom Leary, senior vice president and head of government relations at HIMSS, in a statement. healthcare system. THE LARGER TREND. This past week, dozens of U.S.
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KFF Health News' 'What the Health?': Waiting for SCOTUS
Kaiser Health News
MAY 30, 2024
Also awaiting resolution is a case that could dramatically change how the federal government makes health care (and all other types of) policies by potentially limiting agencies’ authority in interpreting the details of laws through regulations. Abortion — Again — At the Supreme Court Apr 24, 2024 KFF Health News' 'What the Health?':
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President Biden Signs End-of-Year Legislation Including Telehealth, Medicare & Medicaid, Mental Health, Pandemic Preparedness, and Other Health Care Provisions
C&M Health Law
JANUARY 25, 2023
trillion spending package, which consists of all 12 fiscal year (FY) 2023 appropriations bills and funds the federal government through September 30, 2023, provides additional assistance to Ukraine, and makes numerous health care policy changes. 117-164 ) (the “Act”)—an approximately $1.7
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Health IT – 2024 Health IT Predictions
Healthcare IT Today
JANUARY 18, 2024
As we kick off 2024, we wanted to start the new year with a series of 2024 Health IT predictions. In 2024, this will be a continued shift toward seeking an increased level of health literacy and proactive health choices that will reduce preventable conditions.
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ViVE 2024 – What Unexpected Surprise Will Happen in Healthcare in the Next 6 Months?
Healthcare IT Today
MAY 17, 2024
So while at ViVE 2024 we thought we could do our own friendly little predictions for healthcare. Karl Ulfers, Co-Founder and CEO at DUOS We spend most of our time at DUOS working with Medicare Advantage Plans and working directly with the older adults that are a part of those plans and their caregivers.
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Health Data Analytics Firm Reports 1.1-Million Record MSP Data Breach
HIPAA Journal
APRIL 29, 2024
Berry, Dunn, McNeil & Parker, LLC (BerryDunn) provides health data analytics services to healthcare providers, health insurers, and government regulatory and healthcare policy agencies and its clients provide BerryDunn with personal and health data to allow the firm to perform its contracted services.
InterSystems cloud integration service comes to NZ and more briefs
Healthcare It News
NOVEMBER 23, 2023
Victoria to complete Altera EMR rollout across Gippsland The state government of Victoria has committed to finishing the deployment of an integrated EMR system across the rural region of Gippsland. It recently announced A$12 million in funding over four years to support health services in the region to upgrade their systems.
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Medicare Advantage Plans Must Follow the Two-Midnight Rule
Hall Render
NOVEMBER 17, 2023
The Centers for Medicare and Medicaid Services (“CMS”) Medicare Advantage final rule for 2024 (“Final Rule”) clarified that Medicare Advantage plans must adhere to the “two-midnight rule” when making coverage determinations for inpatient services. 1395w-22(a) ). d)(2) ).
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HTI-1 Final Rule: Implications for Healthcare Providers – Focus on DSI and Algorithmic Transparency
Healthcare IT Today
MAY 13, 2024
Director at NTT DATA On February 8, 2024, the Office of the National Coordinator for Health Information Technology (ONC) published the Health Data, Technology, and Interoperability (HTI-1) Final Rule in the Federal Register, which took effect on March 11, 2024. Governance and Monitoring: Set up a governance model to monitor compliance.
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Home Health PPS Proposed Rule for CY 2024: Broad Rule Has Something for Everyone
Hall Render
JULY 14, 2023
On Friday, June 20, 2023, the Centers for Medicare & Medicaid Services (“CMS”) posted a pre-publication copy of the Calendar Year (“CY”) 2024 Home Health Prospective Payment System Rate Update (“PPS Rule”), which has since been published in the Federal Register and is currently open for comment. in June 2022.
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8 Common Physician Credentialing Mistakes to Watch in 2024
HIT Consultant
FEBRUARY 5, 2024
Under Charlie’s guidance, Verisys has positioned itself as the leading provider of governance, risk and compliance data in the industry, contributing to the safety and integrity of the healthcare system. 8: Failing to take peer review activity seriously.
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Artificial Intelligence, Extinction-Level Threat or Solution?
AIHC
MARCH 12, 2024
Written by the AIHC Education Department This article provides an overview of how the media and government are reacting to the potential of artificial intelligence (AI) and potential threats associated with this advanced technology. A Government-Commissioned Report Released February 2024 The U.S.
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Sharing of imaging reports to Australia's MHR to be made default and more briefs
Healthcare IT News - Telehealth
MAY 9, 2024
The department claimed that this change, which follows the recommendations made by the Strengthening Medicare Taskforce , will make it easier for healthcare providers to coordinate care and access information and empower patients to participate in their healthcare. million ($5.2 million) to establish this model.
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Bonus Features – July 23, 2023 – Number of people impacted by data breaches up 56% compared to last year, CMS keeps temporary telehealth expansion in 2024 Medicare fee schedule, and more
Healthcare IT Today
JULY 23, 2023
News and Studies The 2024 Medicare Physician Fee Schedule Proposed Rule from CMS would continue many of the public health emergency telehealth flexibilities, such as an expanded definition of telehealth practitioners, continued payments to rural health centers and FQHCs, and the expansion of originating sites. 17 to 23.
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Upcoming events
Hanys
APRIL 12, 2024
How student loan debt forgiveness counseling can help attract and retain employees April 15 Medicare post-acute care and inpatient psychiatric facility proposed rules April 15 HANYS' events during the AHA 2024 Annual Meeting in Washington April 15-16 SOGI data best practices April16 Standing membership call on state and federal issues April 16 Improve (..)
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Artificial Intelligence, Extinction-Level Threat or Solution?
AIHC
MARCH 12, 2024
Written by the AIHC Education Department This article provides an overview of how the media and government are reacting to the potential of artificial intelligence (AI) and potential threats associated with this advanced technology. A Government-Commissioned Report Released February 2024 The U.S.
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CMS’ Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs
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”). Enrollee Participation in Plan Governance (§ 422.107). and 422.107).
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Where telemedicine is headed now that the PHE has ended
Healthcare IT News - Telehealth
MAY 30, 2023
This change is yet another signal that the country is working to move past the pandemic, which falls in line with recent moves by the federal government to move the pandemic to a more controlled phase. Cozen O’Connor is a research and consulting firm with practices in litigation, business law and government relations.
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Here are the healthcare IT spending priorities in President Biden's new budget
Healthcare IT News - Telehealth
MARCH 14, 2023
"These critical capabilities are necessary to ensure that CDC and our nation are well positioned to prevent and address current and emerging public health threats," according to an HHS announcement about the proposed 2024 budget. 425 million to improve internal cybersecurity and analytical capabilities.
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Buyer Beware: CMS Finalizes Ownership Disclosure Requirements for Medicare Skilled Nursing Facilities and Medicaid Nursing Facilities
Hall Render
DECEMBER 20, 2023
As summarized below, the Final Rule finalizes these proposed revisions to take effect on January 16, 2024. Finalized Revisions to Form CMS-855A For SNFs, the aforementioned data would be reported by completing the Form CMS-855A Medicare enrollment application (“CMS-855A” or “Form”).
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Weekly Health Care Real Estate Briefing: Our Predictions for 2024 – A Mixed Bag of Optimism Tempered by Regulatory Headwinds
Hall Render
DECEMBER 28, 2023
We thought it would be more interesting (and more fun) to produce an article that includes some of the major trends we covered over the past year, along with our predictions for 2024. Here are our top 5 predictions for the health care real estate industry in 2024. In 2024, we expect relatively minor loosening in the capital markets.
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What the Telehealth Expansion Act means for tackling social determinants and boosting health equity
Healthcare It News
AUGUST 7, 2023
The passing of the Telehealth Expansion Act of 2023 shows the federal government’s commitment to health equity, emphasizing the importance of increasing access to quality healthcare for all citizens, regardless of location or socioeconomic status.
ONC launches SDOH interoperability pilot
Healthcare It News
OCTOBER 31, 2022
Through the secure collection, documentation, reporting, access and use of data across provider types, ONC aims to address health inequities that have their root causes in poverty and racism. Andrea Fox is senior editor of Healthcare IT News. Email: afox@himss.org.
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DOJ Announces $2.68 Billion in False Claims Act Recoveries
Hall Render
FEBRUARY 23, 2024
On February 22, 2024, the Department of Justice (“DOJ”) announced that it recovered over $2.68 Whistleblowers continue to be one of the federal government’s greatest assets in FCA cases, with qui tam actions accounting for over $2.3 Health Care Fraud Actions Medicare Advantage. billion of the $2.68
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CMS Issues CY2024 Proposed Rule for Medicare Advantage Organizations and Part D Sponsors
Healthcare Law Blog
JANUARY 5, 2023
Just in time for the holidays, the Centers for Medicare and Medicaid Services (“CMS”) issued the Contract Year 2024 Proposed Rule for Medicare Advantage organizations (“MAOs”) and Part D sponsors (the “Proposed Rule”). Health Equity in Medicare Advantage.
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HIMSS promotes key policies on telehealth expansion, maternal health
Healthcare It News
OCTOBER 25, 2022
With those flexibilities due to sunset 151 days after the federal Public Health Emergency expires, HIMSS is calling on its members to contact their senators and representatives and urge them to extend coverage of telehealth services under Medicare until at least December 31, 2024.
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2023 Benchmark Report: Healthy Bottom Lines are Reliant on Cross-Functional Team Collaboration, Technology, & AI Investments
Healthcare IT Today
JANUARY 17, 2024
Additionally, going into 2024 operational excellence is the table stakes for healthcare organizations to improve bottom lines, and where AI and automation can provide a boost in productivity and costs. Those are the high-level findings of MDaudit’s 2023 Benchmark Report on the trends, challenges, and opportunities encountered by U.S.
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115 New CMS Final Rule Provides Medicare Beneficiaries with Greater Surgical Options and Expands Coverage for Certain Surgical Procedures
Health Law Attorney
DECEMBER 18, 2020
The Centers for Medicaid & Medicare Services ( CMS ) recently released the 2021 Outpatient Prospective Payment System ( OPPS ) and Ambulatory Surgical Center ( ASC ) Final Rule, which may be accessed here. CMS Administrator Seema Verma indicated there would be less micromanagement from the government regarding such decisions.
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Navigating Mental Health Credentialing
MedTrainer
MAY 10, 2024
Credentialing confirms the providers’ eligibility to bill for services under government and accreditation regulations. It can also be a prerequisite for enrolling with an insurance network or Medicare for the first time. Effective Jan.
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Medical Device Cybersecurity Provisions Included in Omnibus Appropriations Bill
HIPAA Journal
DECEMBER 22, 2022
trillion omnibus appropriations bill has been released by the House and Senate Appropriations Committees which, if passed, will ensure that the government remains funded until September 30, 2023. The bill must be signed by the president on Friday this week, when government funding is set to expire. The text of a $1.7
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