Healthcare IT Today

OCTOBER 20, 2023

In rural areas, where it might be daunting either to travel to a doctor or to schedule an online visit with poor Internet access, home visits fill the gap. Another source of fresh foods for low-income people is FarmboxRx , often available through Medicaid and Medicare Advantage programs as part of SNAP or Healthy Food Card benefits.

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Medicaid Medicaid COVID-19 Doctors 123

Healthcare IT News - Telehealth

SEPTEMBER 9, 2020

A frequently discussed consequence of the COVID-19 crisis is the uptick in reliance on telehealth, with both patients and clinicians pivoting quickly to virtual care in order to minimize in-person contact. "On the doctor side, they're also finding it very convenient." Building a Solid Foundation for Transformation.

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COVID-19 Doctors HIPAA Telemedicine 106

Pharmacy Law Blog

MARCH 8, 2018

On December 6, 2017, three nurse practitioners and a doctor were arrested following an Alabama federal grand jury indictment accusing them of operating a “pill mill.” Additional arrests of co-conspirators, including other doctors and health providers, are forthcoming, according to the DEA. By George F. Indest III, J.D., Narea, Nicole.

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Nurses Doctors Licensing Medical Personnel 40

Kaiser Health News

NOVEMBER 11, 2021

Yet federal officials say complaints are rising from seniors tricked into buying policies — without their consent or lured by questionable information — that may not cover their drugs or include their doctors. To use the new option, beneficiaries should contact their state’s health insurance assistance program at www.shiphelp.org/.

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Medicare Medicare Doctors Fraud 140

American Medical Compliance

AUGUST 1, 2022

In Spring 2022’s Semiannual Report to Congress (SAR), the Department of Health and Human Services’ Office of Inspector General (HHS-OIG) reported that nearly $3 billion had been misspent on Medicare and Medicaid services. The report also included civil lawsuits and settlements. HHS Concerned About Quality of Nursing Homes.

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US Department of Health and Human Services Nursing Homes COVID-19 Medicare 52

Healthcare IT News - Telehealth

SEPTEMBER 16, 2020

With patients afraid to seek care in person and social distancing necessitating as little face-to-face contact as possible, many clinicians pivoted to telehealth – some with more success than others. "But primary care doctors are the front line of healthcare in this country, and their patients still needed care."

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COVID-19 Public Health Malpractice Telemedicine 202

Healthcare IT Today

APRIL 5, 2023

Rich Steinle, CEO of Carium , pointed out that medications often change, either because the patient has a new condition that needs treatment or simply because the doctor in the hospital preferred a different medicine. AristaMD helps doctors connect with specialists in more than 70 specialities and do online consultations.

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Hospitals Doctors Nurses Medicaid 100

AIHC

AUGUST 30, 2023

Is your engagement with the telemarketing firm include providing that firm with patient names and contact information? For companies that fall under the regulation of billing Medicare and Medicaid, which are not under a medical exemption, they will need to be Accredited by an approved Accreditation Organization.

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Compliance Fraud Medicare Medicare 52

Verisys

DECEMBER 5, 2023

For the medical staff services team at a hospital to properly verify a healthcare practitioner’s credentials, dozens of primary sources must be contacted directly, and those primary source organizations must then verify the credentials of the practitioner in question. What Is Considered a Primary Source? Unpublished Data.

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Governance Licensing Malpractice Medicaid 52

American Medical Compliance

AUGUST 1, 2022

In Spring 2022’s Semiannual Report to Congress (SAR), the Department of Health and Human Services’ Office of Inspector General (HHS-OIG) reported that nearly $3 billion had been misspent on Medicare and Medicaid services. The report also included civil lawsuits and settlements. HHS Concerned About Quality of Nursing Homes.

US Department of Health and Human Services 52

US Department of Health and Human Services COVID-19 Nursing Homes Medicare 52

Healthcare IT News - Telehealth

APRIL 24, 2020

The Alliance for Integrated Care of New York (AICNY) oversees the healthcare needs of roughly 6,200 dually eligible Medicare and Medicaid beneficiaries with intellectual and developmental disabilities (IDD). Many AICNY beneficiaries reside in group homes and use Federally Qualified Community Health Centers. THE PROBLEM. ” PROPOSAL.

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Telemedicine COVID-19 Medicaid Medicaid 154

Kaiser Health News

MAY 31, 2022

So when her primary care doctor suggested she be screened for colorectal cancer in September, Melville dutifully prepped for her colonoscopy and went to New London Hospital’s outpatient department for the zero-cost procedure. Cigna also researched the claim after being contacted by KHN.

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ACA Doctors Medical Billing Hospitals 103

Healthcare IT News - Telehealth

JUNE 3, 2020

" To prepare for the shift, Kvedar has been urging clinicians to consider how much of their work has to require physical contact. Though the ATA is not advocating for national licensure, he said, "We should have regional compacts" for doctors to practice over state lines. How do you knit these two care models together?"

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Telemedicine COVID-19 HIPAA Medicare 210

Compliancy Group

MARCH 22, 2024

Compliance Program A comprehensive way to avoid Medicare exclusion is to develop an organization-wide compliance program, one of the Centers for Medicare and Medicaid Services (CMS) requirements. An example is knowingly billing for services a doctor hasn’t provided. Waste is not always intentional.

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Medicare Medicare Compliance Compliance Officers 52

Healthcare IT Today

OCTOBER 18, 2023

Data can be spotty, according to Eye, who says for instance that data from Centers for Medicare & Medicaid Services (CMS) often lacks racial identifications. When they do, the doctor may be pressed for time and unable to consider SDoH. You might well have been handed one of these during a recent doctor’s visit.

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Doctors Public Health Medicare Medicare 123

Healthcare IT Today

NOVEMBER 9, 2022

Specifically, what if the Center for Medicare & Medicaid Services (CMS) rescinds the emergency orders it has put in place during the COVID-19 pandemic? Packing more billable work into doctors’ time. In our mostly fee-for-service model, visits are still what doctors get paid for. What if the trumpet shall sound?

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COVID-19 Doctors Telemedicine Medicare 108

Medisys Compliance

JULY 10, 2023

HP Modifier – Psychologist or Doctorate Level (PsyD or Ph.D.) The HP modifier is used to identify mental health services provided by psychologists or professionals with a doctorate-level degree (PsyD or Ph.D.). AH Modifier – Doctorate Level or Clinical Psychologist (Ph.D. or PsyD) in clinical psychology.

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Medical Billing Outsourcing Licensing Doctors Medicare 52

MedTrainer

JUNE 15, 2022

ACO stands for accountable care organization and is made up of care providers, doctors, and hospitals. The proposed reforms made by the Centers for Medicare & Medicaid Services (CMS) are more influential than ever before and would lead to $650 million in increased ACO shared saving payments. . Contact MedTrainer Today.

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Medicare Medicare Medicaid Medicaid 52

Medisys Compliance

MARCH 21, 2024

This allows doctors and staff to focus more on patient care. Contact us today to learn more about how we can help your practice thrive with integrated billing solutions. Patient information flows seamlessly from clinical encounters to billing, reducing administrative burdens and improving practice efficiency.

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Medical Billing Outsourcing Medical Billing Doctors Medical Billing Services 59

Verisys

DECEMBER 8, 2022

Additionally, many states have their own Medicaid exclusionary databases and/or state procurement debarment sources. Access to all of the state Medicaid exclusionary and state procurement debarment sources? Contact us for a demo of FACIS®, and discuss a staged rollout of screening, verifying and monitoring your entire workforce.

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Licensing Medicaid Medicaid Fraud 52

Medisys Compliance

DECEMBER 23, 2022

The finalized 2023 Medicare Physician Fee Schedule was announced by the Centers for Medicare & Medicaid Services (CMS) on November 1 2022. If you have any inquiries regarding the Final Rule, please get in contact with your DLA Piper relationship partner, the authors of this notice, or any other member of our healthcare sector group.

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Medicare Medicare Medical Billing Medical Billing Outsourcing 98

Health Populi

JUNE 6, 2021

On the consumer demand side, patients’ growing use of telehealth in the COVID-19 pandemic along with more frequent digital contacts with health plans bolstered member satisfaction, discovered by t he J.D. With more digital contact as well, J.D. Power 2021 U.S. Commercial Member Health Plan Study. Power has conducted the U.S.

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Patient Satisfaction COVID-19 Telemedicine Medicaid 81

Healthcare IT News - Telehealth

NOVEMBER 30, 2021

The New York State Health Home program is designed for the neediest Medicaid patients and aims to reduce overall healthcare costs by decreasing inpatient costs (and utilization) by addressing social determinants of health such as housing, transportation and food. THE PROBLEM. Sumir Sahgal, Essen Health Care.

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COVID-19 Hospitals HIPAA Telemedicine 159

Verisys

MARCH 1, 2022

For the medical staff services team at a hospital to properly verify a healthcare practitioner’s credentials, dozens of primary sources must be contacted directly, and those primary source organizations must then verify the credentials of the practitioner in question. What Is Considered a Primary Source? Unpublished Data.

Governance 52

Governance Licensing Malpractice Medicaid 52

HIT Consultant

OCTOBER 6, 2021

It doesn’t even take you to the Centers for Medicare & Medicaid Services (CMS) website. But there is rarely adequate time for discussion about possible barriers to carrying out these care recommendations or who to contact if there is confusion or a problem. Try Googling the word “caregiving.” In addition, President Biden’s $1.9

COVID-19 98

COVID-19 Doctors Health Outcomes Licensing 98

Medisys Compliance

APRIL 17, 2023

There are several types of insurance plans available including private insurance, Medicare, and Medicaid. Medicare is a federal health insurance program that primarily covers people who are 65 or older, while Medicaid is a joint federal-state program that provides health coverage to low-income individuals and families.

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Medical Billing Outsourcing Medical Billing ADA Medicaid 52

HIT Consultant

NOVEMBER 28, 2022

On July 1, 2021, the Centers for Medicare and Medicaid (CMS) issued its “Interim Final Rule on Requirements Related to Surprise Billing; Part I,” aka the No Surprises Act implementing regulations. They should contact their payor, who is now responsible for settling the claim with the provider.

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Doctors Medicaid Medicaid Medicare 97

Healthcare IT Today

JUNE 26, 2022

Officials said use was largely driven by people accessing COVID-19 vaccination records and test results – in fact, less that 2% of patients who went to the emergency department had doctors or nurses look at their records. Care coordination network CarePort released its 2021 growth numbers. Partnerships.

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COVID-19 Vaccine COVID-19 Hospitals Medicaid 78

Healthcare IT Today

APRIL 10, 2023

In my own family, my Uncle Roy struggled to manage his type 2 diabetes—he constantly missed doctor appointments, failed to take his medications, and never checked his blood sugars. Most things we “should do” don’t give us immediate gratification (eating right, exercising, taking medications, going to the doctor).

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Health Outcomes Hospitals ACA Doctors 100

Healthcare IT News - Telehealth

AUGUST 9, 2023

RTM, which is reimbursable , lets patients connect with their doctors and nurses via care management apps on their smartphones to report non-physiological data, ask questions, watch videos and report outcomes to get better – anytime, day or night. Now, telehealth has evolved to something more – remote therapeutic monitoring.

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Hospitals Doctors COVID-19 Health Outcomes 116

CMS.gov

MARCH 28, 2019

Early last year, the Centers for Medicare & Medicaid Services (CMS) published a roadmap outlining our efforts to address the national opioid epidemic. If so, the beneficiary and their doctor will have the right to appeal. Principal Deputy Administrator for Operations. Medicare Part D. New Part D Policies Address Opioid Epidemic.

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Medicare Medicare Doctors Medicaid 51

YouCompli

JANUARY 4, 2022

Unger, Chief of Medicaid Fraud Division, Office of the Massachusetts Attorney General; and Patrick Callahan, Healthcare Fraud Unit, US Attorney’s Office. To access the full session recording, please contact the Massachusetts Health and Hospital Association. Featured speakers: Toby R. Read a summary. Read a summary. Unger agreed.

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Fraud Compliance Elder Abuse Medicaid 40

Healthcare IT News - Telehealth

MAY 15, 2023

As an FQHC, 75% of patients are enrolled in Medicaid or Medicare; another 7% are uninsured. People wanted to see their doctor to figure out if they were infected and what they should do. We contacted eCW and started to explore their integrated telehealth solution. Patients wanted to hear from their provider, who they trust.

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COVID-19 COVID-19 Vaccine Telemedicine Medicaid 116

AIHC

FEBRUARY 7, 2023

With a focus on providing quality care, the responsibilities of a Community Primary Care Doctor change depending on the needs of those they are caring for and the communities they serve. They are often the first point of contact for people seeking healthcare services. They play a key role in connecting people to the care they need.

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Public Health Doctors Medicare Medicare 52

Hall Render

FEBRUARY 4, 2022

That figure does not include even more funds recovered for state Medicaid programs. These actions may include corrective actions like voluntary refunds to the MAC or Medicaid agency, self?disclosures Your primary Hall Render contact. Whistleblower cases remain a lucrative recovery tool, accounting for $1.6

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Fraud Governance Medicare Medicare 40

Healthcare IT News - Telehealth

AUGUST 25, 2020

The FCC Telehealth Program will help Parker reduce pressure on the already strained hospital system in the area by helping staff treat their residents in place and save the lives of their elderly patients by reducing in-person contact, Breuer said.

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COVID-19 Elder Care Nursing Homes Nurses 167

Healthcare Law Blog

SEPTEMBER 28, 2023

The Centers for Medicare & Medicaid Services (“CMS”) released the final rule on risk adjustment data validation (“RADV”) audits of Medicare Advantage (“MA”) organizations (the “Final Rule”) on January 30, 2023. In the meantime, please contact a member of the Sheppard Mullin Healthcare Team if you have any questions.

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Medicare Medicare Overpayments Overpayment 52