Healthcare Law Blog

JANUARY 26, 2024

On December 13, 2022, the Centers for Medicare and Medicaid Services (“CMS”) issued a proposed rule, titled Advancing Interoperability and Improving Prior Authorization Processes (“Proposed Rule”), to improve patient and provider access to health information and streamline processes related to prior authorizations for medical items and services.

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C&M Health Law

DECEMBER 23, 2022

Most of the Proposed Rule’s provisions will be effective on January 1, 2026. The payer must make that determination using objective, verifiable criteria that are applied fairly and consistently across all apps and developers through which patients seek to access their electronic health information. (ii) Patient Access API. (i)

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Hall Render

JULY 14, 2023

However, agencies will not see a 3.0% Agencies that fail to submit their quality data will have an additional 2% deducted from their reimbursement. Every year the rates in the final rule change slightly as CMS utilizes more current data, but agencies need to begin planning for yet another rate reduction in 2024. in June 2022.

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Health Care Law Brief

APRIL 3, 2023

health condition, age, gender, dual eligibility status, and demographics information) based off a risk score from CMS’s hierarchical condition category (HCC). All ICD codes are grouped into diagnostic groups with similar medical conditions and then condition categories based on clinical profiles and expected costs (e.g.,

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SQA

FEBRUARY 15, 2023

Eudralex, Volume 4: GMP Guidelines and Annexes Revision of the EU GMP Guide Annex 11 “Computerized Systems” – Presentation of Concept Paper, 18 November 2022 On 16 November 2022, the European Medicines Agency EMA published a concept paper on the planned revision of Annex 11 “Computerized Systems.”

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Hall Render

NOVEMBER 28, 2023

Agencies that fail to submit their quality data will have an additional 2% deducted from their reimbursement as indicated below. Under PDGM, CMS must “annually determine the impact of differences between assumed behavior changes… and actual behavior changes on estimated aggregate expenditures” every year from 2020 to 2026.

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HIPAA Journal

APRIL 23, 2024

Many Americans are scared their private medical information will be shared, misused, and disclosed without permission. Wade, which removed the federal right to an abortion, fears have grown that the HIPAA Rules are not sufficiently strong to prevent disclosures of reproductive health care information that could prove harmful to individuals.

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