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These are the compliance issues providers should be preparing for, post-PHE

Healthcare IT News - Telehealth

based attorney in the health law practice of Baker, Donelson, Bearman, Caldwell & Berkowitz about what providers should be doing to ensure compliance when the PHE finally sunsets. What do you see as the primary compliance issues providers will have to contend with? If Medicare coverage requirements for telehealth services (e.g.,

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Avoiding Red Flags: Finding the Right Productivity Balance

Healthcare IT Today

After all, more patients should generate more billable services—and thus, more payments. But as organizations balance productivity goals with payer policies, sometimes their version of “enough” patient volume is actually too much. The number of Medicare TPEs and commercial payer take-back audits alone is skyrocketing.

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Navigating the Intersection of Payment Integrity and Provider Relations in Healthcare

Innovaare Compliance

The Centers for Medicare & Medicaid Services (CMS) reported that in the fiscal year 2020, they recovered $3.1 A survey by the American Medical Association found that 92% of physicians reported that prior authorization requirements had a negative impact on patient clinical outcomes.

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Introduction to Telebehavioral Health

AIHC

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.

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Health Provider News

Hall Render

To qualify, facilities must close their beds Amazon’s physician acquisition strategy As Many Hospitals Continue to Face Significant Financial Challenges, MedPAC Recommends Highest Ever Medicare Payment Update Change competitors step in but breaking up may be hard to do CMS to launch new primary care ACO program Congress unveils $1.2T