Verisys

NOVEMBER 8, 2023

Providers, employers, health plans, and payers use these numbers for billing purposes. CMS.gov The Administrative Simplification provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) required the creation of a standard, unique health identifier for healthcare providers, which the NPI satisfies.

Fraud 97

Fraud HIPAA Medicare Medicare 97

Healthcare IT News - Telehealth

FEBRUARY 3, 2022

Rates of video-enabled telehealth services were lower among historically underserved populations, including those with lower incomes; adults without a high school degree; Black, Latinx and Asian respondents; and those without health insurance, the report found. Although telehealth use rates were similar – ranging from 21.1%

Telemedicine 129

Telemedicine COVID-19 Health Insurance Medicaid 129

Healthcare IT Today

AUGUST 28, 2022

The latest survey from Definitive Healthcare found that about 40% of healthcare professionals plan to incorporate AI and machine learning into their daily operations in the next two years , while 73% of organizations already using AI plan to expand their use.

Nurses 76

Nurses Hospitals Health Insurance Medicaid 76

AIHC

JANUARY 5, 2022

A news release from November 22, 2021, entitled New HHS Report Highlights How the No Surprises Act Will Prevent Surprise Medical Bills Faced by Millions of Americans highlights that millions of Americans with private health insurance experience some kind of surprise medical billing. Track results – are your processes working?

Medical Billing 52

Medical Billing Health Insurance Hospitals Medicare 52

MedTrainer

DECEMBER 7, 2023

The Medicaid and Health program of Idaho provides health coverage to eligible low-income adults, children, pregnant women, elderly adults, and people with disabilities in the state, offering a range of medical and health-related services.

Compliance 52

Compliance Licensing Compliance Officers Informed Consent 52

Verisys

JANUARY 19, 2022

As the number of satellite facilities per provider increases and the definition of healthcare expands, it adds to healthcare organizations’ burdens–not just in providing care, but also in terms of the administrative burden and costs necessary to maintain a practice. Human Resources. Medical Staffing Services.

US Department of Health and Human Services 52

US Department of Health and Human Services Hospitals Malpractice Compliance Officers 52

HIT Consultant

JUNE 16, 2022

Yet, even if the hospital is in your insurance network, if the surgeon or anesthesiologist who performs the surgery happens to be out of network, you could receive a medical bill of $35,000 or more, even though you have great health insurance. It is business as usual for all other components of the No Surprises Act.

Medical Billing 52

Medical Billing Compliance Health Insurance Hospitals 52

Healthcare Law Blog

JANUARY 26, 2023

The PHS Act requires post-graduate physician training programs that do not perform induced abortions to be deemed accredited and protects governmental payments provided as reimbursement for carrying out health related activities. Medicaid and Medicare The Balanced Budget Act of 1997, Public Law 105–33, 111 Stat.

ACA 105

ACA Medicaid Medicaid Compliance 105

HIT Consultant

SEPTEMBER 10, 2021

Doctors often refer to the “golden hour,” which is the concept that a patient needs to receive definitive care within an hour of injury to increase their chances of survival. visited an HRSA health center. of residents lacking health insurance. Social Determinants of Health. Trauma Center Deserts.

Hospitals 98

Hospitals COVID-19 Health Insurance Medicaid 98

MedTrainer

MARCH 28, 2024

The answer has as many layers as the definition of compliance itself. But that’s only one aspect of this complex – and sometimes confusing – process. Just as perplexing is who is responsible for compliance in healthcare organizations.

Compliance 52

Compliance Compliance Officers Licensing Regulatory Compliance 52

AIHC

SEPTEMBER 5, 2023

Medicare covers many telebehavioral and telemental health services including audio-only services. Most private insurers and Medicaid cover telebehavioral health care, but check for reimbursement restrictions and obtain professional coding and billing guidance to avoid overpayment situations.

Telemedicine 59

Telemedicine COVID-19 Compliance Informed Consent 59

Healthcare Blog

OCTOBER 19, 2023

There are public health policies on a legislative level you are sure to recognize. These include The Affordable Care Act, which helps give Americans access to affordable health insurance, or The Clean Water Act and Safe Drinking Water Act, which ensures access to clean water and clean air. 2021, May 6). Columbia University.

Public Health 95

Public Health Compliance Hospitals Health Insurance 95

HIPAA Journal

JANUARY 12, 2024

The Genetic Information Nondiscrimination Act of 2008 (GINA) made it an offence for health insurance companies and employers to discriminate against individuals based on genetic information. The addition of standards to account for the passage of the GINA Act 2008.

HIPAA 82

HIPAA Compliance Health Insurance Medicaid 82

AIHC

APRIL 10, 2024

Checklist for Individual & Small Group Practices Written by: Nancie Lee Cummins, CFE, CHA, CIFHA, OHCC, CHCM, CHCO, CORCM This article provides an overview of Health Information Technology for Economic and Clinical Health Act (HITECH) and basic checklist of policies and procedures for compliance of smaller health care organizations.

Compliance 99

Compliance US Department of Health and Human Services HIPAA Electronic Medical Records 99

Healthcare Law Blog

MARCH 7, 2023

The Centers for Medicare & Medicaid Services (“CMS”), on behalf of the U.S. Department of Health and Human Services (“HHS”), recently issued a proposed rule to adopt standards under the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) for “health care attachment” transactions (the “Proposed Rule”).

US Department of Health and Human Services 52

US Department of Health and Human Services HIPAA Medicaid Medicaid 52

New Jersey Healthcare Blog

JANUARY 12, 2022

1791(c), the Department of Human Services, Division of Aging Services, Office of the State Health Insurance for the Aged and Disabled, readopted a rule regarding the Senior Gold Prescription Program Manual. The Manual extends Medicaid eligibility to certain persons not eligible under the provisions at N.J.A.C. Definitions and 4.1,

Licensing 40

Licensing Medicaid Medicaid Nurses 40

Hall Render

JANUARY 11, 2023

Federal Food, Drug, and Cosmetic (“FD&C”) Act – If an app includes a software function that meets the definition of a medical device under section 201(h) of the FD&C Act, the app may be subject to regulatory oversight by the FDA.

Compliance 40

Compliance HIPAA FDA Due Diligence 40

Health Blawg

FEBRUARY 19, 2018

The practices get information to help address social determinants of health via the platform as well. Four years in, the company is seeing positive results in terms of gaps in care closed, across the domains of both behavioral health and physical medicine.

Public Health 113

Public Health Health Insurance Medicaid Medicaid 113

C&M Health Law

FEBRUARY 16, 2021

On November 13, 2020, the Centers for Medicare & Medicaid Services (“CMS”) published a final rule , demonstrating long-awaited efforts to streamline the regulatory framework governing the Medicaid and Children’s Health Insurance Program (“CHIP”) managed care programs. Actuarial Soundness. Risk-Sharing Mechanisms.

Medicaid 40

Medicaid Medicaid Medicare Medicare 40

AIHC

APRIL 10, 2024

Checklist for Individual & Small Group Practices Written by: Nancie Lee Cummins, CFE, CHA, CIFHA, OHCC, CHCM, CHCO, CORCM This article provides an overview of Health Information Technology for Economic and Clinical Health Act (HITECH) and basic checklist of policies and procedures for compliance of smaller health care organizations.

Compliance 52

Compliance US Department of Health and Human Services HIPAA Electronic Medical Records 52

Health Populi

MAY 6, 2018

Over time, America’s approach to health care provision fragmented by plan sponsor, whether U.S. government (which offers several flavors of plans through the VA, Tricare for active military, Medicare for aging people and Medicaid for people with low-incomes) or private sector employers, unions, and other insurance-conveners.

Medicaid 54

Medicaid Medicaid Medicare Medicare 54

Health Populi

JUNE 14, 2018

Early intervention is a critical success factor: public sector programs help even before birth, during a mother’s pregnancy, for pre-natal and then post-natal care that deliver health and social services direct-to-citizens at home to address transportation, stigma, and other barriers.

Medicaid 76

Medicaid Medicaid Health Insurance Public Health 76

HIT Consultant

OCTOBER 7, 2021

Value-based care, a model that rewards better patient health outcomes, has experienced a surge in interest amid heightened consumer awareness and among payers seeking to lower costs and stabilize reimbursement. Michael Pattwell is the Principal Consultant of Value-Based Care at Edifecs , a global health IT company.

COVID-19 93

COVID-19 Nurses Nursing Homes Health Insurance 93

Health Blawg

FEBRUARY 19, 2018

The practices get information to help address social determinants of health via the platform as well. Four years in, the company is seeing positive results in terms of gaps in care closed, across the domains of both behavioral health and physical medicine.

Public Health 60

Public Health Health Insurance Medicaid Medicaid 60

Health Blawg

FEBRUARY 19, 2018

The practices get information to help address social determinants of health via the platform as well. Four years in, the company is seeing positive results in terms of gaps in care closed, across the domains of both behavioral health and physical medicine.

Public Health 60

Public Health Health Insurance Medicaid Medicaid 60

Health Blawg

FEBRUARY 19, 2018

The practices get information to help address social determinants of health via the platform as well. Four years in, the company is seeing positive results in terms of gaps in care closed, across the domains of both behavioral health and physical medicine.

Public Health 60

Public Health Health Insurance Medicaid Medicaid 60

Health Blawg

FEBRUARY 19, 2018

The practices get information to help address social determinants of health via the platform as well. Four years in, the company is seeing positive results in terms of gaps in care closed, across the domains of both behavioral health and physical medicine.

Public Health 60

Public Health Health Insurance Medicaid Medicaid 60

Health Blawg

FEBRUARY 19, 2018

The practices get information to help address social determinants of health via the platform as well. Four years in, the company is seeing positive results in terms of gaps in care closed, across the domains of both behavioral health and physical medicine.

Public Health 60

Public Health Health Insurance Medicaid Medicaid 60

Health Blawg

FEBRUARY 19, 2018

The practices get information to help address social determinants of health via the platform as well. Four years in, the company is seeing positive results in terms of gaps in care closed, across the domains of both behavioral health and physical medicine.

Public Health 60

Public Health Health Insurance Medicaid Medicaid 60

Health Blawg

FEBRUARY 19, 2018

The practices get information to help address social determinants of health via the platform as well. Four years in, the company is seeing positive results in terms of gaps in care closed, across the domains of both behavioral health and physical medicine.

Public Health 60

Public Health Health Insurance Medicaid Medicaid 60

Hall Render

SEPTEMBER 1, 2023

ALABAMA American Family Care opens new health care center in Northeast Birmingham doctors secure $13.9M operating margin, $1B net gain halfway through its first year Illinois public health officials warn of “rising COVID-19 activity” St. million to Resolve False Claims Act Allegations Michigan Pain Center Owner Pays $6.5M

COVID-19 40

COVID-19 Nurses Nursing Homes Hospitals 40

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

C&M Health Law

JANUARY 20, 2023

Definition of Electronic Signature : CMS proposes defining the term “electronic signature” as an electronic sound, symbol, or process, attached to or logically associated with attachment information and executed by a person with the intent to sign the attachment information.

HIPAA 52

HIPAA US Department of Health and Human Services Compliance Health Insurance 52

Healthcare Law Blog

JANUARY 6, 2023

In addition to funding, the Act modifies certain telehealth provisions, expands and extends components of the Medicare and Medicaid programs, and supports initiatives within the behavioral health and substance use treatment spaces. Definition of “Originating Site”. Definition of “Practitioner”. Medicaid Improvement Fund.

COVID-19 52

COVID-19 Medicaid Medicaid Medicare 52

AIHC

NOVEMBER 3, 2021

With the advancement of technology, the emergence of advanced cyber threats has escalated, which hinders the privacy and security of health information systems such as EHRs. This definition applies to “access” as used in this subpart, not as used in subpart E of this part [the HIPAA Privacy Rule]).” Is This Really a Problem?

HIPAA 52

HIPAA Compliance Electronic Medical Records Governance 52

HIT Consultant

JULY 24, 2022

For example, while Medicare only accounts for approximately 20% of the country’s population, data from the Centers for Medicare and Medicaid Services (CMS) detailing utilization for this small segment of Americans have not only served as the foundation for regulatory decisions but has also become the industry proxy for other population segments. .

COVID-19 96

COVID-19 Medicare Medicare Health Insurance 96

Bill of Health

SEPTEMBER 30, 2022

Similarly, private employers have expressed concerns about potential costs associated with everything from group health insurance, to disability accommodations related to COVID and long COVID. Why Haven’t Interests Converged During the COVID-19 Pandemic?

COVID-19 144

COVID-19 ADA Public Health Nursing Homes 144