YouCompli

MARCH 15, 2023

Project Management Methodologies for Healthcare Compliance Sharon Parsley, JD, MBA, CHC, CHRC contributes a regular post on compliance officer effectiveness for the YouCompli blog. It definitely wasn’t in any of mine! It definitely wasn’t in any of mine! Conducting annual compliance training is a project.

Compliance 40

Compliance Compliance Officers Medicare Medicare 40

Healthcare Law Today

NOVEMBER 9, 2022

Starting January 1, 2023, Medicare will cover telehealth-based treatment services delivered by federally-accredited opioid treatment programs (OTPs), commonly referred to as “methadone clinics.” Background and History of Medicare Telehealth Coverage of SUD Treatment. New Changes to Medicare OTP Telehealth Services.

Medicare 52

Medicare Medicare COVID-19 Telemedicine 52

C&M Health Law

OCTOBER 18, 2023

Section 504 covers all health care and human services programs and activities funded by HHS, from providers, like hospitals and doctors that accept Medicare or Medicare, to state child welfare programs, as well as Medicare Advantage Plans, and Medicaid Managed Care Plans. Web and mobile accessibility.

ADA 98

ADA COVID-19 Medicare Medicare 98

Healthcare Law Today

JANUARY 11, 2023

As part of a deferred prosecution agreement, which must be approved by the court, Jet Medical admitted that it distributed misbranded devices and agreed to implement enhanced compliance measures. violated the False Claims Act by causing medical providers to submit false claims to Medicare. and Martech Medical Products Inc.,

FDA 59

FDA Governance Medicare Medicare 59

Innovaare Compliance

MARCH 4, 2024

Until the enactment of the Medicare Modernization Act (MMA) in 2006 [1] , the Centers for Medicare & Medicaid Services does not cover most outpatient prescription drugs under Part B (“Part B drugs”). However, some drugs self-administered by Medicare beneficiaries at home are Part B eligible.

Medicare 52

Medicare Medicare Nurses Medicaid 52

Healthcare IT Today

NOVEMBER 12, 2023

News The 2024 Medicare Physician Fee Schedule continues many telehealth flexibilities first adopted during the public health emergency, such as an expanded scope of originating sites an expanded definition of qualified practitioners. As a result, these flexibilities will be in place until at least Dec. 1, 2024.

Payment Systems 106

Payment Systems Public Health Medicare Medicare 106

Healthcare Law Blog

JANUARY 26, 2023

The provisions also prohibit entities that receive federal funds from denying admission or discriminating against any applicant for training or study based on their reluctance or willingness to counsel, recommend, perform, or assist in certain health services or research activities because of their religious beliefs or moral convictions.

ACA 105

ACA Medicaid Medicaid Compliance 105

AIHC

SEPTEMBER 5, 2023

Compliance Considerations for Best Outcomes Written in collaboration with the AIHC Volunteer Education Committee Delivering mental health services via telehealth has increased since the COVID-19 pandemic. Medicare covers many telebehavioral and telemental health services including audio-only services.

COVID-19 59

COVID-19 Telemedicine Compliance Informed Consent 59

Verisys

JUNE 13, 2023

A big thanks to our compliance team, who monitors state, federal, and international updates. Changes include: Definition updates. June Regulatory Update – The best resource for monthly updates. Here is our monthly regulatory update. See below for changes from several states introducing legislation.

COVID-19 Vaccine 52

COVID-19 Vaccine US Department of Health and Human Services COVID-19 Licensing 52

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”). Refining Definitions for Fully Integrated and Highly Integrated D-SNPs (§§ 422.2

Medicare 98

Medicare Medicare COVID-19 Medicaid 98

AIHC

FEBRUARY 16, 2024

Lessons Learned about Consequences & Incentives Submitted by the AIHC Education Department Introduction The Office of Inspector General has released the new General Compliance Program Guidance or “GCPG” in late 2023. One of the seven items, #5 is “Enforcing Standards: Consequences and Incentives.”

Compliance 52

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

AIHC

FEBRUARY 16, 2024

Lessons Learned about Consequences & Incentives Submitted by the AIHC Education Department Introduction The Office of Inspector General has released the new General Compliance Program Guidance or “GCPG” in late 2023. One of the seven items, #5 is “Enforcing Standards: Consequences and Incentives.”

Compliance 52

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

AIHC

NOVEMBER 3, 2023

Diagnostic error, as defined by the National Academy of Medicine , is “ the failure to (a) establish an accurate and timely explanation of the patient’s health problem(s) or (b) communicate that explanation to the patient.” One of the major challenges in effectively deploying AI in health care is managing implementation and maintenance costs.

Department of Veterans Affairs 59

Department of Veterans Affairs Hospitals Compliance Nurses 59

YouCompli

NOVEMBER 18, 2023

This overly simplistic definition fails to address the inherent challenges that keep many people from being a good listener in life and, more particularly, in the workplace. In this article, we will examine four essential listening skills that help compliance officers be more effective within their organizations.

Compliance Officers 52

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

Healthcare Law Blog

JUNE 22, 2023

The Office of Health Strategy (“OHS”) will continue to be required to prepare a list of 10 outpatient prescription drugs that are determined to be provided at substantial cost to the state, considering the net cost, or critical to public health.

Hospitals 52

Hospitals Nursing Homes Health Insurance Public Health 52

Healthcare It News

APRIL 28, 2023

Department of Health and Human Services, who outlined the ways HHS is tailoring its approach to better serve consumers with increased cross-departmental and interdepartmental cooperation. How are we thinking about the way Medicare and Social Security work together?" " And it's not just within HHS. " asked Palm.

US Department of Health and Human Services 235

US Department of Health and Human Services Medicaid Medicaid Governance 235

Health Law Advisor

MARCH 7, 2023

The proposed rules also clarify that a telemedicine encounter that results in a controlled substance prescription requires the health care professional treating the patient to use an interactive telecommunications system, and directly refers to the Medicare definition of that term at 42 C.F.R. 1301.28.

Telemedicine 52

Telemedicine COVID-19 FDA Compliance 52

Hall Render

SEPTEMBER 1, 2023

ALABAMA American Family Care opens new health care center in Northeast Birmingham doctors secure $13.9M ALABAMA American Family Care opens new health care center in Northeast Birmingham doctors secure $13.9M million to Resolve False Claims Act Allegations Michigan Pain Center Owner Pays $6.5M

COVID-19 40

COVID-19 Nurses Nursing Homes Hospitals 40

Hall Render

NOVEMBER 28, 2023

On November 1, 2023, the Centers for Medicare & Medicaid Services (“CMS”) posted a pre-publication copy of the Calendar Year (“CY”) 2024 Home Health Prospective Payment System Rate Update Final Rule (“2024 Final Rule”), which has since been filed in the Federal Register. Even developing this data may not be sufficient.

Medicare 40

Medicare Medicare Payment Systems Medicaid 40

YouCompli

NOVEMBER 16, 2022

Strengthen your listening skills to improve your effectiveness as a healthcare compliance officer. Sharon Parsley, JD, MBA, CHC, CHRC’s writes a monthly series on compliance officer effectiveness for the YouCompli blog. Others were about privacy or another compliance matter. The obstacles to good listening skills are many.

US Department of Health and Human Services 52

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

HIPAA Journal

MAY 16, 2023

Some define PHI as patient health data (it isn´t), as the 18 HIPAA identifiers (it´s not those either), or as a phrase coined by the HIPAA Act of 1996 to describe identifiable information in medical records (close – except the term Protected Health Information was not used in relation to HIPAA until 1999).

HIPAA 55

HIPAA Compliance Health Insurance Public Health 55

Redox

DECEMBER 4, 2020

As an aside, I definitely enjoyed Pfizer’s bump from 90% to 95% efficacy after Moderna’s announcement …yay for capitalism? Lisa is an excellent health tech policy follow, by the way). Even in jurisdictions with laws requiring children to be inoculated, places such as Alaska were seeing as high as 30% non-compliance.

Public Health 52

Public Health Governance Doctors Medicare 52

Healthcare Law Blog

MARCH 3, 2023

This surge was facilitated, in part, by certain flexibilities authorized by the Centers for Medicare & Medicaid Services in its response to the public health emergency (“PHE”) declared in March of 2020 and which was repeatedly renewed until now. including the home of an individual. [2] including the home of an individual. [2]

Fraud 52

Fraud Nurses Telemedicine COVID-19 52

Hall Render

JANUARY 6, 2022

Nursing homes face possible citations, civil monetary penalties, denial of payments and—as a final measure—termination of participation from the Medicare and Medicaid programs by the Centers for Medicare & Medicaid Services (“CMS”) as they embark on complying with the new CMS COVID-19 vaccine requirements for their staff.

COVID-19 Vaccine 40

COVID-19 Vaccine COVID-19 Nurses Compliance 40

AIHC

JUNE 22, 2022

This is where the provider is enrolled into the health plans that they would like to accept from their patients. If the provider is not enrolled in the plan, you will not be able to bill for services rendered, ESPECIALLY with Medicare and Medicaid. Code of Federal Regulations (CFR) comprising the Public Health Service Act.

Medicaid 52

Medicaid Medicaid Due Diligence Medicare 52

New Jersey Healthcare Blog

JULY 22, 2022

509(a), Governor Murphy issued an Executive Order updating and clarifying timeframes for requiring covered workers at health care facilities and high-risk congregate settings to be up-to-date with their COVID-19 vaccinations, including having received a booster shot. Following a thorough review in compliance with Executive Order No.

COVID-19 Vaccine 40

COVID-19 Vaccine Licensing COVID-19 Public Health 40

Total Medical Compliance Resources

APRIL 14, 2023

Diagnosis code education: The Centers for Medicare and Medicaid developed educational materials for providers so they can use the new ICD-10 code for Long COVID.

Governance 59

Governance COVID-19 Department of Veterans Affairs COVID-19 Vaccine 59

Health Law Advisor

AUGUST 10, 2023

4] This definition has been remarkably durable, because instead of focusing on a particular technology, it focuses on how products are intended to be used. 4] This definition has been remarkably durable, because instead of focusing on a particular technology, it focuses on how products are intended to be used. Very brief.

FDA 98

FDA Licensing Hospitals Medicaid 98

HIPAA Journal

DECEMBER 14, 2022

The CARES Act also allows SUD information to be shared with a public health authority if it is de-identified in accordance with HIPAA Rules. The compliance date for the CMS rule was July 1, 2021. The current definition is when harm is “serious and imminent.”. A definition has been added for electronic health records.

HIPAA 124

HIPAA COVID-19 COVID-19 Vaccine Compliance 124

Hall Render

OCTOBER 20, 2023

Luke’s sign definitive agreement, close in on merger How Mayo Clinic Is Approaching Generative AI Risk Mitigation St. joint venture Hospitalist Companies Agree To Pay Nearly $4.4

COVID-19 Vaccine 40

COVID-19 Vaccine Nursing Homes COVID-19 Nurses 40

HIPAA Journal

JANUARY 9, 2023

Such major HIPAA updates placed a significant burden on HIPAA-covered entities and considerable time and effort were required to introduce new policies and procedures to ensure continued HIPAA compliance. A definition has been added for electronic health records. It is now 10 years since the last major HIPAA update took effect.

HIPAA 107

HIPAA COVID-19 COVID-19 Vaccine Compliance 107

Health Populi

APRIL 27, 2023

The COVID-19 pandemic re-shaped European Union leaders to reimagine healthcare, public health, and health citizenship in the EU. Nonetheless, VP Schinas enthused, “Never before in the history of the EU are we able to do so much in the area of public health,” he explained. political climate.

Pharmaceutical Industry 62

Pharmaceutical Industry Public Health COVID-19 Governance 62

Drug & Device Law

JANUARY 16, 2022

It concern’s the Supreme Court’s 6-3 decision to permit the government to continue enforcement of its requirement that healthcare workers (at least those in facilities that accept Medicare/Medicaid, which is most of them) be vaccinated to avoid infecting themselves and their patients with COVID-19.

Compliance 40

Compliance COVID-19 Medicaid Medicaid 40