MedTrainer

DECEMBER 7, 2023

State-specific governing bodies, such as the Bureau of Facility Standards , provide oversight with certain standards, adding a layer of complexity to successfully managing healthcare compliance in Idaho. Continue reading this overview for key aspects of healthcare compliance specific to the state of Idaho.

Compliance 52

Compliance Licensing Compliance Officers Informed Consent 52

MedTrainer

OCTOBER 4, 2023

To ensure organizations meet these standards, federal healthcare compliance requirements have been put in place. Let’s look at some of the key federal healthcare compliance requirements, state-specific variations, and accreditation standards healthcare organizations must adhere to. What Are Federal Healthcare Compliance Requirements?

Compliance 52

Compliance Fraud HIPAA Governance 52

Medisys Compliance

JANUARY 30, 2023

Let us discuss the top compliance issues in the medical billing industry, shall we? Medicare and Medicaid: Medicare and Medicaid are government-funded healthcare programs that provide coverage to millions of Americans. Data Security: Data security is an increasingly important compliance issue for the medical billing industry.

Compliance 52

Compliance Medical Billing Medical Billing Outsourcing HIPAA 52

Healthcare IT News - Telehealth

AUGUST 19, 2020

COVID-19 spurred Houston-based AccessHealth to quickly scale up its telemedicine offerings, just as it did with most other health systems nationwide. " Finally, prior to CMS loosening telemedicine policy for the pandemic, reimbursement was a concern. NextGen and Zoom for Healthcare both were proposed as telemedicine vendors.

COVID-19 175

COVID-19 Telemedicine Compliance HIPAA 175

Healthcare Compliance Blog

JANUARY 25, 2022

A Missouri woman who had previously pled guilty to Medicare and Medicaid fraud was sentenced in Federal Court to three years imprisonment and ordered to pay $7,620,779 in restitution. The DME companies would then submit the reimbursement claims to Medicare and Medicaid. General Legal Duties and Antitrust Laws.

Fraud 59

Fraud Medicaid Medicaid Medicare 59

Compliance Now

MARCH 15, 2022

This legislation permits sponsors of HDHPs to offer telemedicine services at no cost to participants, regardless of the plan’s annual deductible, without impacting participant HSA eligibility. The 2022 CAA reinstates these telemedicine protections for the period of April 1, 2022, through December 31, 2022.

COVID-19 189

COVID-19 Telemedicine Medicare Medicare 189

Verisys

FEBRUARY 23, 2022

As government agencies and national regulatory organizations pass more regulations and the need for healthcare services grows, healthcare compliance officers (HCOs) are more important than ever. Accordingly, maintaining compliance has become a key focus for healthcare facilities. Nine Responsibilities of Healthcare Compliance Officers.

Compliance Officers 52

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

The Health Law Firm Blog

JULY 20, 2023

Board Certified by The Florida Bar in Health Law On April 6, 2022, Florida's Governor signed into law legislation to remove the state's prior restrictions on telemedicine prescribing of controlled substances. The new law in Florida allows healthcare providers to prescribe many controlled substances via telemedicine. Indest III, J.D.,

Telemedicine 40

Telemedicine Licensing Fraud Nurses 40

Medisys Compliance

APRIL 8, 2022

In this article, we briefly discussed these Medicare telehealth billing guidelines. Due to the provisions of the Consolidated Appropriations Act of 2021, the CMS continues to evaluate the inclusion of telehealth services that were temporarily added to the Medicare telehealth services list during the COVID-19 PHE (Public Health Emergency).

Medicare 59

Medicare Medicare Medical Billing Outsourcing Medical Billing 59

Healthcare Compliance Blog

MARCH 2, 2022

The money laundering scheme involved the submission of false and fraudulent claims to Medicare for medically unnecessary genetic tests and durable medical equipment. Allegedly, between January 2020 and July 2021, the ten Florida defendants referred Medicare beneficiaries for medically unnecessary genetic tests and durable medical equipment.

Medicare 45

Medicare Medicare Fraud Compliance 45

The Health Law Firm Blog

APRIL 24, 2022

Board Certified by The Florida Bar in Health Law On April 6, 2022, Florida's Governor signed into law legislation to remove the state's prior restrictions on telemedicine prescribing of controlled substances. The new law in Florida allows healthcare providers to prescribe many controlled substances via telemedicine. Indest III, J.D.,

Telemedicine 52

Telemedicine Licensing Fraud Nurses 52

Health Law Advisor

MARCH 7, 2023

The proposed rules are more restrictive than the DEA emergency waivers under which providers conducted telemedicine prescribing for the last three years, but are less restrictive in comparison to the pre-PHE regulations applicable to telemedicine prescribing of controlled substances under the federal Controlled Substances Act (“CSA”).

Telemedicine 52

Telemedicine COVID-19 FDA Compliance 52

Healthcare IT Today

FEBRUARY 25, 2024

Roughly 83% of clinicians agree that telemedicine is effective for managing chronic conditions , according to a SteadyMD survey. Clearwater is partnering with 25m Health to develop a cybersecurity and compliance program for health tech startups. Provider network management vendor Medallion launched a one-day credentialing solution.

Telemedicine 85

Telemedicine Compliance FDA Hospitals 85

Medisys Compliance

JULY 27, 2023

The complex landscape of billing regulations, ever-evolving guidelines, and the need for compliance can be overwhelming. By addressing these concerns, we aim to showcase our expertise and demonstrate how our services can help healthcare providers streamline their billing processes, ensure compliance, and optimize reimbursement.

Medical Billing 52

Medical Billing Medicaid Medicaid Telemedicine 52

YouCompli

AUGUST 29, 2023

Health and Human Services Office of Inspector General (OIG) found that Medicare beneficiaries used 88 times more telehealth services during the first year of the pandemic than they did the previous year. million in Medicare fee-for-service payments. million in Medicare fee-for-service payments. It involved an estimated $1.2

Fraud 52

Fraud Medicare Medicare COVID-19 52

Healthcare IT News - Telehealth

JULY 18, 2022

The telemedicine program of the Charlottesville-based University of Virginia Health System was established in 1995 to enhance timely patient access to healthcare services, particularly for patients in rural regions of the Commonwealth of Virginia. "In 2019, UVA Health created a multi-stakeholder strategic plan for telemedicine."

COVID-19 157

COVID-19 Telemedicine Electronic Medical Records Hospitals 157

Med-Net Compliance

SEPTEMBER 23, 2022

A physician pleaded guilty in federal court to falsely certifying that products and tests were medically necessary for more than 2,000 Medicare and Medicaid patients in Missouri whom he never met or examined. The physician ordered durable medical equipment and genetic tests for 2,184 Medicare beneficiaries between March 2019 and April 2021.

Fraud 59

Fraud Medicaid Medicaid Telemedicine 59

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

YouCompli

JULY 26, 2023

Health and Human Services Office of Inspector General (OIG) found that Medicare beneficiaries used 88 times more telehealth services during the first year of the pandemic than they did the previous year. million in Medicare fee-for-service payments. billion in Medicare funds for orthotic braces in the 20 months that followed. 

Fraud 52

Fraud Compliance Medicare Medicare 52

YouCompli

JULY 12, 2022

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. This was more than two in five Medicare beneficiaries.

COVID-19 52

COVID-19 Medicare Medicare Telemedicine 52

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. Telemedicine is considered to be under the umbrella of telehealth and refers specifically to clinical services.

COVID-19 59

COVID-19 Telemedicine Compliance Informed Consent 59

Verisys

APRIL 2, 2024

March 2024 Bad Actor Roundup By Verisys Each month we will give a roundup of recent healthcare fraudsters and compliance busters. Million Medicare Fraud Scheme ( Full Story ) New York-Presbyterian/Brooklyn Methodist Hospital Settles Health Care Fraud Claims for $17.3

Fraud 52

Fraud Telemedicine Licensing Doctors 52

Health Law Gurus

DECEMBER 31, 2020

During the COVID-19 Public Health Emergency, the Centers for Medicare and Medicaid Services (the “CMS”) relaxed some rules to expand access to telehealth, including through audio-only communication platforms. The post New Audio-Only Telemedicine Bill to Expand Telehealth Beyond the Pandemic appeared first on Health Law Gurus.

Telemedicine 52

Telemedicine COVID-19 Vaccine COVID-19 Public Health 52

AIHC

FEBRUARY 7, 2024

Centers for Medicare & Medicaid Services (CMS) offers a 17-page PDF: “ Telehealth for Providers: What You Need to Know ”. It covers billing, Federal Medicare policies and State Medicaid policies. Download the 1-Page “ A Framework for Defining Telehealth ” Fact Sheet.

HIPAA 59

HIPAA Medicaid Medicaid Telemedicine 59

American Medical Compliance

MARCH 13, 2023

The fraudulent actions included telemedicine, cancer and cardiovascular testing, and fraudulent durable medical equipment. Many of these individuals targeted elderly patients who receive Medicare benefits. The Centers for Medicare & Medicaid Services investigates these cases and prioritizes protecting patients. course today.

Fraud 52

Fraud Medicare Medicare Compliance 52

Healthcare IT Today

NOVEMBER 15, 2023

The technique involves finding data from public sources such as Centers for Medicare & Medicaid Services (CMS). Jackleen Samuel, president and CEO, says that they analyze patient demographics, clinical information, and process indicators such as medication compliance and service utilization. offering in-home treatment.

Medicare 94

Medicare Medicare Hospitals Compliance 94

YouCompli

JUNE 29, 2022

With it, compliance officers have guided their healthcare organizations in complying with changing documentation, coding, and confidentiality requirements. As virtual care requirements for telehealth evolve, we explore how compliance officers can support patient care and help their organizations stay up to date. the end of COVID-19.

Compliance Officers 52

Compliance Officers Compliance Telemedicine COVID-19 52

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. We need to refine the Ryan Haight Act to develop a telemedicine registry that can safely prescribe controlled medication virtually.

US Department of Health and Human Services 108

US Department of Health and Human Services Telemedicine Hospitals Compliance 108

Healthcare IT News - Telehealth

APRIL 18, 2022

As outlined in the settlement agreement , PPOA is accused of using telemedicine during the COVID-19 pandemic to allegedly try and compensate for revenue lost from elective services. "Shortly thereafter, PPOA instructed medical providers to begin seeing patients by telemedicine twice a month." WHY IT MATTERS.

COVID-19 142

COVID-19 Telemedicine Fraud Public Health 142

AIHC

FEBRUARY 7, 2024

Centers for Medicare & Medicaid Services (CMS) offers a 17-page PDF: “ Telehealth for Providers: What You Need to Know ”. It covers billing, Federal Medicare policies and State Medicaid policies. Download the 1-Page “ A Framework for Defining Telehealth ” Fact Sheet.

HIPAA 52

HIPAA Medicaid Medicaid Telemedicine 52

Health Care Law Brief

JUNE 2, 2022

For the reasons discussed below, DTC telehealth platforms should re-visit their compliance plans and be prepared for increased state and federal regulatory scrutiny. How will data be used for marketing, in compliance with applicable laws, including HIPAA? Concerns Proliferate for Telehealth Platforms.

Public Health 52

Public Health Compliance COVID-19 Licensing 52

Healthcare IT News - Telehealth

DECEMBER 28, 2020

Prior to implementing the telemedicine technology supported by the FCC program funds, Sun River Health had relatively limited and targeted capacity to support remote visits. Mostly, Sun River Health's telemedicine services met the needs of the HIV, Medically Assisted Treatment patients. THE PROBLEM.

Telemedicine 173

Telemedicine COVID-19 Patient Satisfaction Public Health 173

American Medical Compliance

SEPTEMBER 25, 2022

During the COVID-19 pandemic, most medical providers transitioned into online consultations with patients using Telehealth with the help of Medicare. This will allow for the number of locations that people receive telemedicine to grow over time. On July 27th, 2022, the House implemented a bill to further expand Telehealth services.

COVID-19 52

COVID-19 Medicare Medicare Telemedicine 52

Med-Net Compliance

JULY 26, 2022

billion in alleged fraudulent telemedicine, cardiovascular and cancer genetic testing, and durable medical equipment (DME) schemes. Additionally, the Centers for Medicare & Medicaid Services (CMS), Center for Program Integrity (CPI), announced that it took administrative actions against 52 providers involved in similar schemes.

Fraud 59

Fraud Telemedicine Medicare Medicare 59

Medisys Compliance

APRIL 30, 2024

Eligible Services for Telehealth Billing The Centers for Medicare & Medicaid Services (CMS) maintains a list of services eligible for telehealth billing. Medicare, private insurance). This list is constantly evolving, and anesthesiologists should stay updated on the latest additions.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medicare Medicare Informed Consent 59

Healthcare IT News - Telehealth

JUNE 15, 2020

This past week, Centers for Medicare and Medicaid Services Administrator Seema Verma said she "can't imagine going back" to making beneficiaries return to in-person visits after the agency's relaxation of telehealth regulations in response to the coronavirus pandemic.

Telemedicine 191

Telemedicine Licensing HIPAA COVID-19 191

Medisys Compliance

OCTOBER 20, 2023

Insurance Reimbursement: Emergency medical services are typically covered by various insurance plans, including public programs like Medicare and Medicaid, as well as private insurance. Staying current with industry updates and regulatory changes is vital to ensure compliance and maximize revenue.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Compliance 59