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.

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Nurses Hospitals Health Insurance Medicaid 84

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.

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ACA Medicaid Medicaid Compliance 105

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?

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Medical Billing Health Insurance Hospitals Medicare 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.

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COVID-19 Telemedicine Compliance Informed Consent 59

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.

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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.

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Medical Billing Compliance Health Insurance Hospitals 52

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.

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Compliance Compliance Officers Licensing Regulatory Compliance 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.

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Compliance Licensing Compliance Officers Informed Consent 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”). and 422.107).

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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.

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Public Health Compliance Hospitals Health Insurance 95

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

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 78

HIPAA Compliance Health Insurance Medicaid 78

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

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.

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Compliance HIPAA FDA Due Diligence 40

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,

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Licensing Medicaid Medicaid Nurses 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

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. Actuarial Soundness.

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Medicaid Medicaid Medicare Medicare 40

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.

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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.

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Medicaid Medicaid Medicare Medicare 54

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

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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”.

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COVID-19 Medicaid Medicaid Medicare 52

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

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?

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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. .

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COVID-19 Medicare Medicare Health Insurance 98

Verisys

FEBRUARY 1, 2022

An NPI number is shared with other providers, employers, health plans, and payers for billing purposes. CMS.gov’s Administrative Simplification provisions of the Health Insurance Portability and Accountability Act of 1996 ( HIPAA ) mandated the adoption of a standard, unique health identifier for each healthcare provider.

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Fraud Medicare Medicare HIPAA 52

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?

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COVID-19 ADA Public Health Nursing Homes 144

Hall Render

OCTOBER 27, 2023

Here’s why Grady Health System recognized as health care I.T. Million Health Care Fraud Conspiracy in Idaho Orthopedic activity in the 5 most underserved states St.

US Department of Health and Human Services 40

US Department of Health and Human Services Nurses Nursing Homes Hospitals 40

Health Law RX

SEPTEMBER 27, 2023

On September 21, 2023, the Centers for Medicare & Medicaid Services (CMS) posted a new notice on its website : Effective September 21, 2023, the Departments have directed certified IDR entities to resume processing all single and bundled disputes already submitted to the IDR portal and assigned to a certified IDR entity.

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Medical Billing Hospitals Medicaid Medicaid 52

Hall Render

AUGUST 4, 2023

1 CMS final rule boosts Medicare hospice payments by 3.1% 1 CMS final rule boosts Medicare hospice payments by 3.1% Will Nemours’ Medicaid move leave 10,000 special-needs kids behind? to settle Medicare fraud claims Maine in top 10 for health care, No. To Address SDOH Needs U.S. To Address SDOH Needs U.S.

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COVID-19 Hospitals Nursing Homes Nurses 40

Hall Render

DECEMBER 22, 2023

health care spending hits $4.5 health care spending hits $4.5 fraud scheme UConn Health is in financial trouble. Accused Of Filing False Claims Settles For $14.7M

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Nursing Homes Nurses Hospitals COVID-19 40

Redox

FEBRUARY 7, 2019

As you might expect, this being healthcare and all, there isn’t one definition of “telemedicine”. Mobile health (mHealth) : health care and public health information provided through mobile devices. My only tweak to the ONC’s definition would be to ignore the focus on “video conferencing”. Original Source.

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Telemedicine Public Health Medicaid Medicaid 40

Hall Render

AUGUST 12, 2022

Hawaii ranks low in child economic well-being, worse mental health after pandemic. 5 Things Hawaii: COVID testing profits, Nursing workforce, Medicare physician fees. Hawaii Health Information Exchange expands electronic resources for health care providers. Luke’s launches nonprofit health insurance plan.

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COVID-19 Nurses Nursing Homes Hospitals 40

Bill of Health

MAY 12, 2023

Frequently, in these low-wage positions, workers earn just enough to pay for their health insurance premiums and sometimes the associated cost-sharing requirements. And if a person’s employer offers insurance benefits which exclude IVF, she does not qualify for premium subsidies on the exchanges.

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ACA Medicaid Medicaid Health Insurance 241

CMS.gov

OCTOBER 22, 2018

New State Relief and Empowerment Waiver Guidance Gives States Tools to Help Fix Broken Health Insurance Markets. Administrator, Centers for Medicare & Medicaid Services. million Americans remain without health insurance. keya.joy-bush@…. Mon, 10/22/2018 - 16:57. Seema Verma. Affordable Care Act.

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Health Insurance ACA Medicaid Medicaid 55

Jane Sarashon

DECEMBER 13, 2021

Financial stress is integral to overall health and well-being based on consumers’ own definition of “health.” Galen Growth identified in its latest report on digital health ecosystem trends at least 500 active private digital health ventures globally, nearly all mobile applications.

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COVID-19 Public Health Governance Medicaid 60

Hall Render

APRIL 28, 2023

on EHR upgrade New SSM Health children’s developmental center opening today Illinois Capitol bills would give more money to community health centers Illinois physician selected for year-long NASA Mars simulation HSHS St. renovation Police: Man facing arson charges after setting 3 fires inside Florida hospital St.

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Nurses Nursing Homes COVID-19 Hospitals 40

Hall Render

SEPTEMBER 8, 2023

Elias Specialty Hospital Accredited for Medical Rehab How much 3 hospitals are paying for Cerner ARIZONA Arizona Covid-19 cases double since July, as virus rebounds nationwide Arizona Home Health Aide kickback scheme results in $4.25 for Chemotherapy Study US Awards $1.3M

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