Compliancy Group

JANUARY 3, 2024

Medical billing compliance ensures that providers and administrators engage in ethical and accurate billing practices. It pays to know the law and avoid temptations to cut corners.

Medical Billing 52

Medical Billing Compliance ACA Health Insurance 52

MedTrainer

JUNE 28, 2023

The primary goal of a Certified Fraud Examiner in healthcare is to safeguard the integrity of healthcare systems and protect patients, insurance providers, and government programs from financial losses due to fraudulent activities. Health Insurance Portability and Accountability Act (HIPAA). Anti-Kickback Statute (AKS).

Fraud 52

Fraud Compliance Governance Compliance Officers 52

MedTrainer

MARCH 28, 2024

Establishes a governance structure, reviews compliance reports, and ensures the organization operates ethically and within legal boundaries. Law by law, regulations were added, increasing the complexity of maintaining compliance for healthcare organizations. Cons: Limited focus on other aspects of compliance beyond their specific areas.

Compliance 52

Compliance Compliance Officers Licensing Regulatory Compliance 52

Medisys Compliance

APRIL 25, 2023

It is crucial to verify that the billing company is adhering to industry standards, such as HIPAA (Health Insurance Portability and Accountability Act) regulations, which protect patients’ medical information.

Regulatory Compliance 52

Regulatory Compliance Compliance ACA Medical Billing Outsourcing 52

Health Populi

MARCH 7, 2018

There’s an old saw that the US government is an insurance company with an army” quips @PaulKrugman @HIMSS #HIMSS18 #HX360 #Healthinsurance #Medicare #Healthcare #Healthcosts. The post Tweets at Lunch with Paul Krugman – Health IT Meets Economics appeared first on HealthPopuli.com.

ACA 48

ACA Governance Nurses Medicare 48

Healthcare Law Blog

MARCH 20, 2023

1] In addition to the challenges presented by provider shortages, even when patients are able to locate an available mental health provider, many are hesitant to engage in treatment due to cost uncertainties, which often arise due to limited availability for in-network care and the subsequent need to seek out-of-network care. [2]

Medicaid 52

Medicaid Medicaid Licensing ACA 52

MedTrainer

NOVEMBER 15, 2023

In the United States, there are several compliance frameworks and entities that govern requirements for the healthcare industry. Each governing body oversees a different aspect of regulatory compliance. To understand which compliance frameworks govern which requirements, we need to break it down entity by entity.

Compliance Framework 52

Compliance Framework Governance Compliance Medicaid 52

Kaiser Health News

JULY 6, 2022

. “There are still some gaps that need to be filled,” said Katie Keith, a researcher at the Center on Health Insurance Reforms at Georgetown University. The federal government currently lists 22 broad categories of coverage for adults, an additional 27 specifically for women, and 29 for children.

ACA 80

ACA Medicare Medicare Medicaid 80

Health Populi

MAY 6, 2018

.” At the time, this was one of the world’s biggest public-sector financed health plan. Over time, America’s approach to health care provision fragmented by plan sponsor, whether U.S.

Medicaid 54

Medicaid Medicaid Medicare Medicare 54

MedTrainer

AUGUST 2, 2023

Federal Government Audits These audits are performed by government agencies such as the Centers for Medicare and Medicaid Services (CMS). They aim to ensure compliance with federal healthcare programs like Medicare and Medicaid, reviewing claims, billing practices, and overall adherence to program requirements.

Compliance 52

Compliance ACA Medicaid Medicaid 52

Healthcare Law Blog

APRIL 6, 2022

On April 1, 2022 , the Centers for Medicare & Medicaid Services (“CMS”) announced states may seek to extend Medicaid postpartum coverage from 60 days to one year through a new state plan option offered by the American Rescue Plan Act (“ARPA”). In states that have not expanded Medicaid, however, many postpartum women lose coverage.

Medicaid 52

Medicaid Medicaid ACA Public Health 52

Health Populi

AUGUST 16, 2019

Co-pay accumulators are being discussed across health plan types, including government-sponsored plans like Medicare along with commercial health insurance programs. Federal government Blueprint for reducing prescription drug costs. Across party identification, U.S. Much now depends on the U.S.

Governance 74

Governance Health Care Reform FDA ACA 74

Hall Render

AUGUST 19, 2022

Connecticut ditches $20M health information exchange software. Two Health Insurers Grilled for Proposing Rate Increases of 20 and 25 Percent. HCA Florida Fort Walton-Destin Hospital, Okaloosa school district to build health academy. Two Georgia health systems to receive $300M in federal funds. CVS Health makes $18.9M

COVID-19 40

COVID-19 Nursing Homes US Department of Health and Human Services Nurses 40

Hall Render

OCTOBER 27, 2023

Here’s why Grady Health System recognized as health care I.T. Million Health Care Fraud Conspiracy in Idaho Orthopedic activity in the 5 most underserved states St. with historic building purchase MICHIGAN Bronson raises capital campaign goal to $4.5M

US Department of Health and Human Services 40

US Department of Health and Human Services Nurses Nursing Homes Hospitals 40

Healthcare Law Blog

MAY 17, 2022

On January 5, 2022, we discussed the Notice of Benefit and Payment Parameters for 2023 proposed rule released by the Centers for Medicare & Medicaid Services (CMS). The 2023 NBPP final rule makes regulatory changes in the individual and small group health insurance markets and establishes requirements for the 2023 benefit year.

ACA 52

ACA Health Insurance Medicaid Medicaid 52

Health Populi

FEBRUARY 4, 2018

Health care ranks highest among working Americans as the top critical issue facing the country, well above terrorism, the role of the Federal government, unemployment and jobs, education, immigration and taxes. This is “today,” but looking to the future, health consumers will be faced with even more cost challenges.

Medicare 56

Medicare Medicare Health Insurance Doctors 56

Health Populi

MAY 14, 2018

Seniors and government programs over-paying for drugs. High and rising out-of-pocket costs for health consumers. Foreign governments’ “free-riding” Americans’ investment in innovation. health consumers/voters want to see, shown in the second graph.

Prescription Drug Pricing 48

Prescription Drug Pricing Governance ACA Medicare 48

Health Law Gurus

DECEMBER 19, 2018

Created as a response to the President’s October 12 th executive order on health care, the report criticizes laws and regulations that govern the health care industry and describes how they stifle competition, and as a result, lead to ever-growing health care spending.

Nurses 52

Nurses Licensing Hospitals Health Insurance 52

Kaiser Health News

JANUARY 27, 2022

million Americans have signed up for health insurance under the Affordable Care Act for 2022. But many millions of those newly insured could face significantly higher premiums for 2023 unless Congress extends the temporary subsidies it passed last year. The Biden administration announced that 14.5 Patty Murray (D-Wash.)

ACA 71

ACA COVID-19 Public Health Governance 71

Health Populi

MARCH 27, 2019

Health insurance was on the collective minds of American voters in the 2018 midterm elections. Health care, broadly defined, drove many people to the polls voting with feet and ballots to protect their access to a health plan covering a pre-existing condition or to protest the cost of expensive prescription drugs.

Health Insurance 93

Health Insurance ACA Governance Medicare 93

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. Most health citizens, cross party affiliation, are worried about the future of Medicare. We are all health citizens at the end of the day.

Medicaid 62

Medicaid Medicaid Medicare Medicare 62

Kaiser Health News

DECEMBER 23, 2021

million Americans have signed up for health coverage for 2022 on the Affordable Care Act marketplaces, with nearly a month remaining to enroll in most states, the Biden administration announced Wednesday. They also said enhanced personal assistance and outreach helped connect more people to health insurance plans. A record 13.6

Health Insurance 96

Health Insurance ACA Medicaid Medicaid 96

Hall Render

MAY 12, 2023

Cloud Hospital names Chief Quality Officer Tampa’s Lions Eye Institute adopts new name Troubled Cano Health records $60.6M Holcomb signs bill allowing pharmacists to prescribe contraception How 1 Indiana hospital rebuilt after a ransomware attack ‘I just love delivering babies’ | Meet Ascension St. billion state budget.

COVID-19 40

COVID-19 US Department of Health and Human Services Nurses Hospitals 40

Health Populi

FEBRUARY 6, 2020

Among all Americans, the most popular approach for improving the health care in the U.S. isn’t repealing or replacing the Affordable Care Act or moving to a Medicare-for-All government-provided plan. Addressing employer-sponsored health insurance. Reducing system-wide health care costs.

Health Insurance 76

Health Insurance Medicare Medicare Medicaid 76

Health Populi

JUNE 27, 2019

[This, the impact of social determinants of health beyond health care, is the underlying theme of my book, HealthConsuming: From Health Consumer to Health Citizen ]. Elizabeth Warren assertively and transparently backed Bernie Sander’s Medicare for All proposal.

Medicare 85

Medicare Medicare Health Insurance Public Health 85

Health Populi

JANUARY 24, 2019

The first chart notes important nuances under the majority support for a national health plan which, in this case, asked whether people favored a plan “sometimes called ‘Medicare for all.'” ” I note that note all national health plan designs would need to be tied to Medicare. from a low of 10.9

ACA 62

ACA Medicare Medicare Health Insurance 62

Health Populi

NOVEMBER 4, 2019

Americans are roughly split — and/or equally confused — about the differences between three major health reform approaches: Medicare -for-All, improving the existing Affordable Care Act, or replacing the ACA with state-run health plans. has the best health care system in the world. The split across U.S.

ACA 52

ACA Health Care Reform Medicare Medicare 52

Health Populi

NOVEMBER 7, 2018

While we have a divided government via split legislature, one winner in the 2018 midterm outcome is Medicaid. As I wrote about yesterday (about learning from Governor Kasich), people keen on healthcare should pay attention to the states, which are laboratories for health reform. pharma costs on reference pricing].

Prescription Drug Pricing 39

Prescription Drug Pricing Medicaid Medicaid Medicare 39

Health Populi

MAY 3, 2019

.” I note that, by the time Americans voted in the 2018 mid-term elections, it was no surprise that lower-income Americans were highly concerned about paying higher premiums, most people earning over $75,000 a year were also very worried about covering the costs of health insurance. health care system , Gallup learned.

ACA 72

ACA Doctors Health Care Reform Health Insurance 72

Kaiser Health News

JANUARY 12, 2023

Unlike McMorris Rodgers, Smith has little background in health issues and has mostly focused on tax issues in his public talking points. But Medicare is likely to be on the agenda, which will require the input of the chairs of both committees. One thing is certain: The new GOP-controlled House will do a lot of investigations.

US Department of Health and Human Services 52

US Department of Health and Human Services FDA Medicare Medicare 52

Health Populi

JUNE 28, 2019

Harris and VP Biden on race, busing, and segregation — which in the larger public health context continue to have a direct impact on health equity, health disparities, and socio-economic status. Sanders explained that the vast majority of people will pay significantly less for health care than they do right now.

Medicare 70

Medicare Medicare Health Insurance Governance 70

Kaiser Health News

FEBRUARY 9, 2023

He took a victory lap on recent accomplishments like capping prescription drug costs for seniors on Medicare. He urged Congress to do more, including making permanent the boosted insurance premium subsidies added to the Affordable Care Act during the pandemic. But first, this week’s health news.

US Department of Health and Human Services 52

US Department of Health and Human Services Medicare Medicare FDA 52