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”).

Medicare 40

Medicare Medicare Compliance COVID-19 40

Medisys Compliance

APRIL 8, 2022

In this article, we briefly discussed these Medicare telehealth billing guidelines. CMS has finalized certain services added to the Medicare telehealth services list will remain on the list through December 31, 2023.This Reference: CY2022 Telehealth Update Medicare Physician Fee Schedule.

Medicare 59

Medicare Medicare Medical Billing Outsourcing Medical Billing 59

Bill of Health

JULY 15, 2022

A full posting of abstracts/summaries of these articles may be found on our? Government Patent Use to Promote Public Health in the United States: Overcoming Nonpatent Exclusivities. Am J Public Health. Potential Medicare Part D Savings on Generic Drugs From the Mark Cuban Cost Plus Drug Company. 2022 Jun 6.

Public Health 207

Public Health Medicare Medicare Governance 207

Jane Sarashon

FEBRUARY 27, 2024

In addition to highlighting the Patient’s Bill of Rights, NABIP’s keynotes and general sessions will speak to similar topics being brainstormed at VIVE this week — including mental health, maternal health, pharmacy and prescription drugs (pricing, PBMs), population health, and Medicare and Medicaid innovations.

ACA 113

ACA Prescription Drug Pricing Health Insurance Hospitals 113

Hall Render

MAY 2, 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. Hall Render blog posts and articles are intended for informational purposes only. The F-Tag associated with this regulation is F-884. Benefit Period Blanket Waiver.

Nursing Homes 40

Nursing Homes Public Health Nurses COVID-19 40

Healthcare IT Today

JULY 23, 2023

This article will be a weekly roundup of interesting stories, product announcements, new hires, partnerships, research studies, awards, sales, and more. Welcome to the weekly edition of Healthcare IT Today Bonus Features.

Medicare 97

Medicare Medicare Telemedicine Public Health 97

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. These services will be reported with three separate Medicare-specific G codes. Behavioral Health Services. Split/Shared E/M Visits.

Medicare 40

Medicare Medicare Licensing Health Services Administration 40

Healthcare IT News - Telehealth

JANUARY 11, 2023

This article was updated with additional comments. Guth also said that Medicaid program respondents also indicated that they are awaiting federal guidance to inform their long-term telehealth policy decisions, such as Medicare policies. Healthcare IT News is a HIMSS publication. WHY IT MATTERS. Email: afox@himss.org.

Medicaid 150

Medicaid Medicaid Medicare Medicare 150

Healthcare IT Today

OCTOBER 18, 2023

Previous articles in this series showed why social determinants of health (SDoH) are the hottest recent addition to data used by the medical industry. This article shows how organizations are collecting it. According to vice president Ted Hill, it can modernize how public health agencies serve today’s needs.

Doctors 123

Doctors Public Health Medicare Medicare 123

YouCompli

JANUARY 4, 2022

He was part of a team that looked at various waivers, platform security, privacy and other issues affected by the public health emergency to provide care safely. Subscribe to get the latest articles about healthcare regulatory changes. Lerner had a similar experience. “We I’ll try to do that at least once a quarter.”.

Compliance Officers 40

Compliance Officers Public Health Compliance COVID-19 40

Healthcare IT Today

NOVEMBER 12, 2023

This article will be a weekly roundup of interesting stories, product announcements, new hires, partnerships, research studies, awards, sales, and more. People Community health EHR maker CPSI announced Vinay Bassi as Chief Financial Officer , effective Jan. Welcome to the weekly edition of Healthcare IT Today Bonus Features.

Payment Systems 115

Payment Systems Public Health Medicare Medicare 115

Healthcare IT Today

APRIL 29, 2024

A Congressional bill would promote behavioral therapy for obesity and extend Medicare coverage for drugs treating obesity. This first article in the series lays out what the medical field currently knows about weight. It comes from a convergence of several trends, according to leading public health and medical investigators.

Medicare 113

Medicare Medicare Medicaid Medicaid 113

Medisys Compliance

APRIL 20, 2022

As Public Health Emergency (PHE) has extended beyond 16 th April 2022 by 90 days, various waivers are continued, making no change in billing guidelines in pandemic. In fact, concerned authority extended the current COVID-19 pandemic telehealth waivers for five months beyond the end of the public health emergency.

COVID-19 52

COVID-19 COVID-19 Vaccine Medical Billing Medicare 52

Hall Render

FEBRUARY 22, 2024

In the FY 2024 IPPS Final Rule (the “Final Rule”), the Centers for Medicare & Medicaid Services (“CMS”) incorporated certain social risk factors into the Hospital Value-Based Purchasing (“VBP”) Program (“the Program”).

Hospitals 66

Hospitals Medicare Medicare Medicaid 66

Medisys Compliance

APRIL 1, 2024

This article act as a comprehensive guide to understand and excel telehealth billing for your practice. Originating Site: During the COVID-19 public health emergency (PHE), location restrictions were relaxed. However, navigating the billing process for these virtual visits can be complex for primary care providers.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing COVID-19 Medicaid 59

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

YouCompli

JULY 12, 2022

This month’s article looks at telehealth actions. In fact, Medicare beneficiaries used telehealth to receive 12 percent of their services during the first year of the pandemic. An initial report from the OIG also notes that, “over 28 million Medicare beneficiaries used telehealth during the first year of the pandemic.

COVID-19 52

COVID-19 Medicare Medicare Telemedicine 52

Healthcare IT Today

MAY 7, 2023

This article will be a weekly roundup of interesting stories, product announcements, new hires, partnerships, research studies, awards, sales, and more. Studies Less than 1% of all medical claims include an ICD-10 Z code that documents a social determinant health, according to a data brief from LexisNexis Risk Solutions.

Hospitals 100

Hospitals Telemedicine Medicare Medicare 100

HIT Consultant

NOVEMBER 24, 2022

Health plans could, for example, consider covering OTC hearing devices as part of the hearing benefits package provided to their Medicare Advantage plan members. Instead of improving the hearing health of the consumer, the result may be additional hearing damage. Member satisfaction is key for health plans to stay competitive.

FDA 98

FDA Public Health Medicare Medicare 98

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”).

COVID-19 40

COVID-19 Medicaid Medicaid Medicare 40

Health Populi

MARCH 12, 2020

They are likely to stay there,” asserts “ The smartphone will see you now ,” an article in the March 7th 2020 issue of The Economist. The article returns to the advent of the SARS epidemic in China in 2003, which ushered in a series of events: people stayed home, and Chinese social media and e-commerce proliferated.

COVID-19 116

COVID-19 Telemedicine Medicare Medicare 116

Healthcare IT Today

JULY 29, 2023

Each week, we’ll be providing a look back at the articles we posted and why they’re important to the healthcare IT community. Read more… Public Health Transparency Improves Outcomes in San Bernardino County. Concierge care platform Gradia Health secured $4.2 Welcome to our Healthcare IT Today Weekly Roundup.

Public Health 97

Public Health Medicare Medicare Compliance 97

Health Populi

MARCH 11, 2021

[Note: I may be biased as a University of Michigan graduate of both the School of Public Health and Rackham School of Graduate Studies in Economics]. health care, patient assistance programs, Medicare Advantage plans, and the bundling of proven high-value preventive services into the Affordable Care Act. .”

Health Insurance 98

Health Insurance ACA Medicare Medicare 98

Healthcare IT Today

NOVEMBER 9, 2022

Specifically, what if the Center for Medicare & Medicaid Services (CMS) rescinds the emergency orders it has put in place during the COVID-19 pandemic? This article focuses on revenue, because I and other writers frequently cover impacts of televisits on access and care plans. The premise of this article embraces an irony.

COVID-19 111

COVID-19 Doctors Telemedicine Medicare 111

AIHC

OCTOBER 20, 2023

Part 1 in a Series of Leadership Articles on Value-Based Care Written by Joanne Byron, LPN, BS, CCA, CIFHA, CHA, COCAS, CORCM, CHCO, OHCC, CMDP, ICDCT-CM/PCS ​ Edited by Julie Rickman , MBA, CHC, CHPC, CHCO ​ This article is the first in a series sponsored by the American Institute of Healthcare Compliance (AIHC) Volunteer Education Committee.

Health Outcomes 59

Health Outcomes Medicare Medicare Governance 59

MedTrainer

DECEMBER 7, 2023

This article offers a summary of essential aspects of healthcare compliance specific to Hawaii. These agencies help maintain the integrity and quality of healthcare services in Hawaii , protecting the public and promoting patient safety.

Compliance 52

Compliance Compliance Officers Licensing Medicaid 52

Hall Render

OCTOBER 10, 2023

As nursing homes look for funds to allow them to improve care and train nursing home staff, Centers for Medicare & Medicaid Services (“CMS”) released QSO-23-23-NH (“CMS Memo”), which reopens and recasts the Civil Money Penalty Reinvestment Program (“CMPRP”).

Nursing Homes 40

Nursing Homes Nurses Medicaid Medicaid 40

YouCompli

APRIL 5, 2023

How Compliance Can Leverage the OIG’s 7 Elements and HHS Roadmap With the end of the COVID-19 Public Health Emergency (PHE) coming in May, many healthcare compliance leaders are in the process of slowly returning their organizations to normal. Let’s revisit the seven elements and how they can help you shape the patient experience.

Compliance Officers 52

Compliance Officers COVID-19 Compliance COVID-19 Vaccine 52

Healthcare IT Today

JULY 16, 2023

This article will be a weekly roundup of interesting stories, product announcements, new hires, partnerships, research studies, awards, sales, and more. When it comes to sharing data, patients are most comfortable doing it for reasons related to treatment (71%) as compared to payment (39%), operations (28%), or public health (23%).

HIPAA 98

HIPAA Hospitals Public Health Medicare 98

Health Populi

AUGUST 24, 2021

They conclude, “the US is consistently the wealthiest country in the world with subpar levels of coverage for a core set of health services; these findings provide additional evidence of the need to reduce disparities.” This research looked at enrollment in Medicare Advantage plans compared with traditional Medicare.

COVID-19 133

COVID-19 Health Care Inequity COVID-19 Vaccine Medicare 133

Bill of Health

FEBRUARY 28, 2024

By Hannah Rahim Food is Medicine interventions aim to prevent and treat diet-related chronic health conditions and reduce food insecurity by providing food to individuals and communities, in connection with the health care system. While Food is Medicine has been gaining prominence in recent years, it has also received some criticism.

Health Insurance 232

Health Insurance Medicaid Medicaid Health Care Reform 232

Healthcare Law Blog

JANUARY 26, 2023

Department of Health and Human Services (“HHS”) published a notice of proposed rulemaking entitled “Safeguarding the Rights of Conscience as Protected by Federal Statutes” (the “ Proposed Rule “). Medicaid and Medicare The Balanced Budget Act of 1997, Public Law 105–33, 111 Stat.

ACA 105

ACA Medicaid Medicaid Compliance 105

Healthcare IT Today

AUGUST 28, 2023

Mimi Winsberg, Co-Founder and Chief Medical Officer at Brightside Health We have been in an uncertain time for regulation around telemedicine, and there are a few key trends to watch. cut to physicians who treat the country’s most vulnerable patients through Medicare. We could not do this without your support.

US Department of Health and Human Services 117

US Department of Health and Human Services Telemedicine Hospitals Compliance 117

MedTrainer

NOVEMBER 20, 2023

This article offers a comprehensive guide to essential aspects of healthcare compliance pertinent to Texas. Texas Health and Human Services comprises hundreds of programs that work with federally qualified health clinics (FQHCs), medical associations, community partners, and local governments to help the public find the health care they need.

Compliance 52

Compliance Licensing Public Health Governance 52

Medisys Compliance

MARCH 19, 2024

Ultimately, accurate billing not only ensures fair compensation for services rendered but also underpins the sustained provision of life-saving MAT interventions, embodying the pivotal role of billing proficiency in advancing public health initiatives. Looking to streamline your billing process?

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Health Services Administration Public Health 59

AIHC

SEPTEMBER 5, 2023

This article is not intended as legal or consulting advice. If your practice is currently using a telebehavioral health approach for patient treatment, or if you organization is considering implementing this approach, we hope this article will give some food-for-thought on the topic.

COVID-19 59

COVID-19 Telemedicine Compliance Informed Consent 59

YouCompli

APRIL 6, 2022

enrolled in the Medicare program – almost 20 percent of the U.S. Under the revised rule, the goal is for value-based arrangements to shift financial risks from Medicare to the healthcare provider or organization. . Disclaimer: The opinions expressed in this article or blog are the author’s and do not represent the opinions of DMG.

Compliance Officers 52

Compliance Officers Compliance Medicare Medicare 52