Provider Trust

JULY 26, 2023

Their report from the third round of reviews found that of the 108 providers selected from 52 Medicare Advantage Organizations (MAO) directories, 48.7% Their report from the third round of reviews found that of the 108 providers selected from 52 Medicare Advantage Organizations (MAO) directories, 48.7%

Medicaid 52

Medicaid Medicaid Compliance Medicare 52

Hall Render

FEBRUARY 20, 2023

More than one year after its effective date, the Centers for Medicare and Medicaid Services (“CMS”) has started investigating consumer complaints alleging provider violations of the No Surprises Act. For a more in-depth review of the various requirements under the No Surprises Act, please review our previous articles here.

Compliance 40

Compliance Medicaid Medicaid Medicare 40

AIHC

JANUARY 5, 2022

Written by: Joanne Byron , BS, LPN, CCA, CHA, CHCO, CHBS, CHCM, CIFHA, CMDP, COCAS, CORCM, OHCC, ICDCT-CM/PCS As a result of the 2021 Consolidated Appropriations Act, several No Surprises Billing Act regulations went into effect on January 1, 2022, for providers, facilities and air ambulance services.

Medical Billing 52

Medical Billing Health Insurance Hospitals Medicare 52

Medval Compliance Blog

MARCH 10, 2022

The Regulation Identifier Numbers for “Medicare Secondary Payer and Future Medicals” (0938-AT85) and “Medicare Secondary Payer and Certain Civil Money Penalties” (0938-AT86) were advanced to the Office of Management and Budget (OMB) for review of the final rule. 0938-AT85 – Medicare Secondary Payer and Future Medicals (CMS-6047).

US Department of Health and Human Services 52

US Department of Health and Human Services Medicare Medicare Medicaid 52

MedTrainer

OCTOBER 29, 2023

California has the most rules of any state, so it’s no surprise that there is additional complexity when it comes to managing healthcare compliance in California. To effectively manage compliance, healthcare organizations must establish a robust system for monitoring and interpreting these changes and swiftly implement necessary adjustments.

Compliance 52

Compliance COVID-19 HIPAA Governance 52

Health Populi

JULY 1, 2019

Get a cup of coffee and sit back, because this is a long one – not the usual short and sweet entry that each of us endeavors to craft on our respective blogs. Get a cup of coffee and sit back, because this is a long one – not the usual short and sweet entry that each of us endeavors to craft on our respective blogs.

Health Insurance 86

Health Insurance Pharmaceutical Industry HIPAA Bioethics 86

AIHC

FEBRUARY 16, 2024

As health care organizations review and update current compliance programs to adapt from the CPG to the newer GCPG, remember to archive previous compliance documents according to effective dates. One of the seven items, #5 is “Enforcing Standards: Consequences and Incentives.” Within item #5 are directives from the OIG related to incentives.

Compliance 52

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