YouCompli

APRIL 5, 2023

Let’s revisit the seven elements and how they can help you shape the patient experience. Reviewing operations in the context of the seven elements can help you ensure that your organization has a smooth transition back to pre-pandemic operations. Be sure to implement ongoing staff education programs.

Compliance Officers 52

Compliance Officers COVID-19 Compliance COVID-19 Vaccine 52

YouCompli

JULY 26, 2023

Fraud, waste, and abuse (FWA) associated with telehealth services existed before COVID-19, but it significantly increased during the pandemic. The audit also identified 1,714 providers whose billing for telehealth services during the first year of the pandemic posed a high risk to Medicare. An audit by the U.S.

Fraud 52

Fraud Compliance Medicare Medicare 52

Jane Sarashon

DECEMBER 12, 2022

The companies shared insights in a session on Building Relationships with the Modern Healthcare Consumer l ast week, warning that hospitals are facing economic challenges with implications on how they should engage and interact with patients in the coming months and years.

Hospitals 56

Hospitals Telemedicine 56

YouCompli

AUGUST 29, 2023

Fraud, waste, and abuse (FWA) associated with telehealth services existed before COVID-19, but it significantly increased during the pandemic. The audit also identified 1,714 providers whose billing for telehealth services for about a half million beneficiaries during the first year of the pandemic posed a high risk to Medicare.

Fraud 52

Fraud Medicare Medicare COVID-19 52

YouCompli

OCTOBER 11, 2022

Healthcare compliance officers know the value their work and regulatory change management bring to their organization. You can keep them aware of regulatory changes, you provide tools to adapt to the changes, and you help them demonstrate they took the proper steps. Providing a better patient experience.

Compliance 52

Compliance Compliance Officers HIPAA Hospitals 52

YouCompli

AUGUST 9, 2023

An opportunity to reframe, regroup, and refocus  Now that the COVID-19 Public Health Emergency (PHE) is well behind us, we have an opportunity to reframe patient expectations – and regroup and refocus on compliance-related patient care needs. There are three key components of a “reframe, regroup, and refocus” strategy in practice.

Compliance 52

Compliance COVID-19 ACA Fraud 52

Hall Render

JUNE 22, 2022

Although the industry always has some trepidation about the PPS Rule each year, the approach of this year’s rule was of greater concern, due to the potential for the promised Patient-Driven Groupings Model (“PDGM”) behavioral adjustments. CMS anticipates this change will result in an overall 4.2% These are only the proposed rates.

COVID-19 40

COVID-19 Payment Systems Medicare Medicare 40

YouCompli

MARCH 29, 2023

CMS Updates to beneficiary PHE waivers that matter to healthcare compliance Sharon Parsley, JD, MBA, CHC, CHRC, contributes regularly to the YouCompli blog. These were designed to expand access to care and to create additional healthcare capacity to optimize care for COVID-19 positive patients.

Public Health 52

Public Health COVID-19 COVID-19 Vaccine Medicare 52

Hall Render

MAY 31, 2022

This legislative effort comes on the heels of South Carolina making a big push to change its CON program. South Carolina legislators didn’t get the support that was needed to make any changes. The article points out that CON laws haven’t kept up with changes in technology and health care delivery systems.

Nurses 40

Nurses Hospitals Governance 40

Kaiser Permanente

MARCH 9, 2022

As we move from a pandemic to an endemic, the hardships caused by food insecurity persist in our country. Kaiser Permanente, and the health care sector in general, is uniquely positioned to stand up FIM interventions and help change an individual’s health trajectory. . By Pam Schwartz, interviewed by Renee Gross.

Federal Policy 52

Federal Policy Governance 52

YouCompli

JANUARY 4, 2022

This recap of their remarks looks at how their Compliance teams responded to COVID and have continued to partner with their organizations to manage regulatory change. It also looks at regulatory changes they are planning for in 2022. Lerner had a similar experience. “We Read a summary. Initial COVID response.

Compliance Officers 40

Compliance Officers Public Health Compliance COVID-19 40

YouCompli

SEPTEMBER 13, 2023

Enforcement agencies are prioritizing efforts to deter FWA as more individuals enroll in government healthcare programs like Medicare and Medicaid, and telehealth services continue to evolve post-pandemic. This three-pronged strategy focuses on educating patients and staff about how to avoid misconduct.

US Department of Health and Human Services 52

US Department of Health and Human Services Compliance Officers Compliance Fraud 52

Kaiser Permanente

NOVEMBER 17, 2021

I am often struck by a caller’s willingness to share their life experiences and struggles, and desire for human connection as part of their path forward. . Informed by this experience, I was interested to learn that these services would soon be readily available to more people in crisis. With change also comes challenge.

COVID-19 52

COVID-19 52

YouCompli

JANUARY 4, 2022

Her office has seen an increase in elder abuse reports since the beginning of the pandemic. She noted that the balance is moving toward 50-50 as evidence of fraudulent activity during the pandemic surfaces. We want to be sure the decisions providers are making are what’s best for the patients. COVID related investigations.

Fraud 40

Fraud Compliance Elder Abuse Medicaid 40

Provider Trust

APRIL 14, 2023

Verifying a provider’s education, qualifications, and experience ensures that healthcare organizations remain compliant with regulatory requirements set out by the Department of Health and Human Services (HHS), the Office of Inspector General (OIG), and other ruling entities.

Licensing 52

Licensing Compliance Malpractice Medicaid 52

AIHC

JANUARY 5, 2022

This article is a follow up to the August 17, 2021, Sending “Surprise” Medical Bills to Patients? Think Again blog post related to the January 1, 2022, implementation of the Interim Final Rule (IFR) of the No Surprises Act. In other words, patients who are part of an outpatient encounter are exempt from these EMTALA regulations.

Medical Billing 52

Medical Billing Health Insurance Hospitals Medicare 52

HIT Consultant

NOVEMBER 17, 2022

Throughout the pandemic, digital health companies have seen significant growth, with one study finding that U.S.-based When it comes to stakeholders, building mutual trust is a critical move, while also ensuring digital healthcare tools and platforms provide seemingly effortless access and promote the best quality of patient care.

52

52

SQA

MARCH 7, 2023

Specifically, leadership/management through a pandemic. I wanted someone that was super technical and that had experience with sophisticated manufacturing projects under high stress. I wanted someone very different than me, someone more patient and with a different style and approach.

Hospitals 52

Hospitals 52

SQA

JUNE 10, 2021

Due to the COVID-19 pandemic, there was an increase of 39.2% NMPA Announcement on Issuing the Provisions for the Change Management of Post-approval Drugs (Interim), 13 January 2021. ” Sartans are a class of drugs used to treat patients with high blood pressure to help prevent heart attacks and stroke.

FDA 52

FDA COVID-19 COVID-19 Vaccine Compliance 52

MedTrainer

FEBRUARY 16, 2023

Even as people and roles change, compliance guidelines stay the same, and serve to help healthcare organizations adhere to legal, ethical, and regulatory standards. Almost always, it results in negative consequences for patients and the organization alike. Here are the primary reasons why: Aging Nursing Population.

Compliance 98

Compliance Nurses Compliance Officers Licensing 98

HIT Consultant

AUGUST 2, 2022

Exacerbated by pandemic-induced burnout, resignations, and even terminations 1 , chronic coding and revenue cycle management (RCM) staffing shortages have healthcare organizations struggling to find ways to keep revenue flowing despite a lack of qualified professionals to handle critical processes. The Technology Factor. About Cheryl Cruver.

Hospitals 97

Hospitals Compliance COVID-19 HIPAA 97

Hall Render

NOVEMBER 28, 2023

The 2024 Final Rule was the subject of a significant amount of advocacy by the industry due to CMS’s proposed significant rate cut to offset behavioral changes under the Patient-Driven Groupings Model (“PDGM”). CMS implemented a -4.36% adjustment at the beginning of PDGM in anticipation of the projected behavioral change under PDGM.

Medicare 40

Medicare Medicare Payment Systems Medicaid 40

AIHC

FEBRUARY 16, 2024

Even well-meaning changes and upgrades to policies can make a previously compliant industry noncompliant. a day for psychiatric patients. This led to 80% of the misdiagnosed children reporting that they underwent a traumatic experience between the ages of 7 and 18, and over 50% said they underwent physical, mental, or sexual abuse.

Compliance 52

Compliance US Department of Health and Human Services COVID-19 Hospitals 52

AIHC

FEBRUARY 16, 2024

Even well-meaning changes and upgrades to policies can make a previously compliant industry noncompliant. a day for psychiatric patients. This led to 80% of the misdiagnosed children reporting that they underwent a traumatic experience between the ages of 7 and 18, and over 50% said they underwent physical, mental, or sexual abuse.

Compliance 52

Compliance US Department of Health and Human Services COVID-19 Hospitals 52

YouCompli

NOVEMBER 16, 2022

Sharon Parsley, JD, MBA, CHC, CHRC’s writes a monthly series on compliance officer effectiveness for the YouCompli blog. Most of us have had the experience of preparing for an important conversation or interaction, only to leave it feeling defeated, misunderstood and not even really heard. Discriminative Listening: .

US Department of Health and Human Services 52

US Department of Health and Human Services Compliance Officers Compliance Public Health 52

YouCompli

NOVEMBER 18, 2023

Most of us have had the experience of preparing for an important conversation or interaction, only to leave it feeling defeated, misunderstood, and not even really heard. This type of listening relies more on tone, changes in sound and other non-verbal cues. The obstacles to good listening skills are many. That is a lot to unpack.

Compliance Officers 52

Compliance Officers Compliance US Department of Health and Human Services Public Health 52

Healthcare Law Blog

JANUARY 13, 2023

About 1 in 4 adult Americans have behavioral health conditions, which cost the economy about $900 billion annually – and that was looking at statistics from immediately before the COVID-19 pandemic. McKinsey & Company, “Behavioral health crisis in the United States: The fallout from the COVID-19 pandemic” (September 1, 2020).

COVID-19 98

COVID-19 Medicaid Medicaid Nurses 98

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”).

Medicare 98

Medicare Medicare COVID-19 Medicaid 98

Healthcare Law Blog

JANUARY 11, 2022

For those of you who know me, I like to have fun with my Zoom backgrounds – choosing photos of interesting scenery or changing them mid-call to reflect my mood or negotiating strategy. Morgan Conference – COVID-19, the jittery stock market, the future of Medicare Advantage and recent industry changes. Dueling Risk Models.

COVID-19 52

COVID-19 Medicare Medicare COVID-19 Vaccine 52

Health Law Advisor

MAY 8, 2023

The Wall Street Journal recently reported on these apps, crediting their rise to nurses retiring or leaving the field after burn out from the COVID-19 pandemic, from which hospitals are still struggling to recover. For more information on the McLaren Macomb decision, please look to Epstein Becker Green’s previous blog post.

Nurses 59

Nurses Hospitals COVID-19 Compliance 59

SQA

SEPTEMBER 2, 2022

Brazil’s ANVISA Repeals Medical Device Regulations Related to The Coronavirus Pandemic, 20 May 2022. ANVISA published the RDC 702/2022, which repeals some requirements that were instituted to speed market approval of devices needed to treat patients during the height of the COVID-19 pandemic.

FDA 91

FDA COVID-19 Nursing Homes Compliance 91

SQA

AUGUST 8, 2023

If outsourcing the manufacture of sterile drugs, the MAH’s Responsible Person for Quality and Qualified Person (QP) is required to have at least five years of experience in drug production and quality management, of which at least three years should be for sterile drugs. Health Canada Non-Compliant Rating for TJP Labs, Inc., mt and 0.5

FDA 40

FDA Compliance COVID-19 World Health 40

New Jersey Healthcare Blog

JULY 22, 2022

The proposed new rules will ensure that any prescription processing functions performed at a remote location (that is, other than on the premises of a pharmacy) are performed by qualified and appropriately trained individuals pursuant to safeguards designed to protect the confidentiality of prescription and patient information. through 48.4,

COVID-19 Vaccine 40

COVID-19 Vaccine Licensing COVID-19 Public Health 40

SQA

DECEMBER 16, 2022

The changes will serve to strengthen the country’s medical device registration regulations upon their effective date of 01 March 2023. NMPA’s record filing changes under Announcement No. It may have a significant impact on patient care by causing medicine rationing and delay of critical treatments.

FDA 40

FDA Compliance COVID-19 Licensing 40

Jane Sarashon

DECEMBER 19, 2022

One way to deal with the scale and sheer physical experience of CES is to have a context for filtering the thousands of offerings, a sort of sensual overload. Withings expanded remote patient monitoring earlier in 2022, and began to collaborate on clinical trial data connections between consumers and researchers.

COVID-19 52

COVID-19 FDA Public Health Telemedicine 52

Hall Render

APRIL 14, 2023

NATIONAL 94% of Organizations Experienced a Cyberattack in 2022 AHA blog: Strengthening crisis management in rural health care Biden signs bill ending Covid-19 national emergency Cancer drug shortages are creating dire circumstances for some patients CMS Releases FY24 IPPS Proposed Rule, Seeks to Boost Rates by 2.8%

Nursing Homes 40

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

Jane Sarashon

DECEMBER 13, 2021

This feels especially apt right “now” as we enter 2022, Year 3 of the COVID-19 pandemic, with people mentally stressed, anxious, and shrugging off the Omicron variant – while taking on more DIY life-flows, self-care and desire for (more) control.

COVID-19 60

COVID-19 Public Health Governance Medicaid 60