Healthcare IT News - Telehealth

SEPTEMBER 20, 2021

billion of that loss involved allegedly fraudulent claims related to telemedicine. "We have seen all too often criminals who engage in health care fraud – stealing from taxpayers while jeopardizing the health of Medicare and Medicaid beneficiaries," said Deputy Inspector General for Investigations Gary L.

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Fraud Telemedicine Medicare Medicare 161

Healthcare IT News - Telehealth

MARCH 2, 2023

To explore the efficacy of primary care telehealth, a recent Epic Research study examined the frequency of in-person physician visits that followed 18,636,522 primary care telemedicine appointments. "We found that patients covered by Medicaid and Medicare had the highest in-person follow-up rates," they said.

Doctors 149

Doctors Telemedicine Medicaid Medicaid 149

Healthcare IT News - Telehealth

JUNE 30, 2020

Signers pointed out that the authorities granted to the Department of Health and Human Services and the Centers for Medicare and Medicaid Services are restricted to the public health emergency period triggered by COVID-19. introduced legislation earlier this month to codify Medicare reimbursement of virtual care at FQHCs and RHCs.

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US Department of Health and Human Services COVID-19 Telemedicine Medicare 194

Healthcare IT News - Telehealth

DECEMBER 13, 2021

The bill, the Telehealth Extension Act , would also end geographic and site restrictions on approved telemedicine services for Medicare beneficiaries. Despite being broadly popular on both sides of the aisle , the geographic- and site-related Medicare provisions the new bill would establish have yet to be enshrined by Congress.

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COVID-19 Telemedicine Medicare Medicare 133

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. For such patients, an audio-only connection with a doctor is the only feasible option. and Tony Cardenas (D-Cal.)

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Telemedicine COVID-19 Vaccine COVID-19 Public Health 52

Health Populi

MAY 21, 2020

Doctors maintain their top status as U.S. However, as patients continue to be concerned about exposure to COVID-19, 3 in 5 are concerned about being at-risk to the virus in their doctor’s office, according to research from the Alliance of Community Health Plans (ACHP) and AMCP , the Academy of Managed Care Pharmacy.

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COVID-19 Doctors Health Insurance Medicare 159

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 orders that he signed for durable medical equipment for Medicare beneficiaries caused Medicare to be billed more than $6.2

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Fraud Medicaid Medicaid Telemedicine 59

HIT Consultant

AUGUST 17, 2023

FINANCIAL DISPARITIES Even if physician numbers were at replacement levels, the cost of education and massive student loan debts encourage new doctors to pursue higher-salaried positions, which are more typical at hospitals that serve wealthier communities. Incentivizing Medicaid capture. So what can be done? Education reform.

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Medicaid Medicaid Doctors Telemedicine 96

Healthcare IT News - Telehealth

SEPTEMBER 13, 2021

hospitals via telemedicine, has sued the U.S. Despite HHS instituting waivers making tele-ICU services payable under Medicare, RICU says it has been unable to expand its services to more hospitals – because the agency disallows payment for critical-care telemedicine if the physician is located outside the United States.

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COVID-19 Doctors Medicare Medicare 109

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

Healthcare IT News - Telehealth

JUNE 29, 2020

The hurdles to implementing telemedicine programs among smaller practices are fourfold, said Nate Lacktman, chair of the national telemedicine and digital health industry team at Foley and Lardner. For smaller practices looking to prepare for ongoing telemedicine needs, Lacktman says there are opportunities to think creatively.

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Telemedicine HIPAA Medicaid Medicaid 216

Healthcare IT News - Telehealth

JUNE 3, 2020

The challenge now, says Dr. Joe Kvedar, president-elect of the American Telemedicine Association, will be integrating in-person care back into these reshaped clinical workflows. " The ATA is pushing for lasting policy initiatives, he said, such as Medicare payouts for non-rural patients and strengthening interstate licensure options.

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Telemedicine COVID-19 HIPAA Medicare 208

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.

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Medicare Medicare Fraud Compliance 45

Healthcare IT News - Telehealth

APRIL 23, 2020

The 2018 survey had indicated that telemedicine use among physicians was more prominent among younger doctors. “One positive result of the pandemic is that barriers to accessing physician services through telemedicine may be reduced, which will be critical as the nation deals with a growing physician shortage.”

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COVID-19 Telemedicine Medicaid Medicaid 162

Healthcare IT News - Telehealth

JULY 16, 2020

House of Representatives on Thursday aims to ensure telehealth is able to continue to build on its potential in the years ahead, by making permanent some policies enacted during the pandemic and protecting Medicare beneficiaries' ability to engage in virtual care. WHY IT MATTERS. ON THE RECORD. Schweikert in a statement.

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COVID-19 Medicare Medicare Public Health 160

Healthcare IT News - Telehealth

DECEMBER 14, 2021

Caravan Health President and CEO Tim Gronniger previously was chief of staff and director of delivery system reform at the Centers for Medicare and Medicaid Services. In 2019 and 2020, its partners earned $300 million in Medicare savings, more than $120 million in shared savings, and quality scores exceeding 97%, the company reported.

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Medicare Medicare COVID-19 Telemedicine 167

Healthcare IT News - Telehealth

SEPTEMBER 2, 2021

Department of Justice announced this week that a Florida laboratory owner had pleaded guilty for his role in a $73 million Medicare kickback scheme. According to the agency , the conspiracy involved paying a telemedicine company to arrange for doctors to authorize medically unnecessary genetic testing. ON THE RECORD.

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COVID-19 Medicare Medicare Public Health 121

Healthcare IT News - Telehealth

SEPTEMBER 16, 2020

"But primary care doctors are the front line of healthcare in this country, and their patients still needed care." At the same time, the researchers noted, several hurdles remain for primary care providers when it comes to integrating telemedicine. " If the U.S.

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COVID-19 Public Health Malpractice Telemedicine 199

Healthcare IT News - Telehealth

SEPTEMBER 14, 2020

As with other providers, Kaiser Permanente says it saw a huge uptick in telehealth use since the start of the pandemic; according to the company, it was one of the first healthcare organizations to deliver the majority of care via telemedicine. THE LARGER TREND.

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Telemedicine Medicaid Medicaid Nurses 167

Healthcare It News

FEBRUARY 28, 2023

UPMC Central Pennsylvania, a hospital that in 2021 achieved Stage 7, the top of the HIMSS Electronic Medical Record Adoption Model, has been a leader in telemedicine, with more than two dozen robust virtual care programs. " MARKETPLACE There are many vendors of telemedicine technology and services on the health IT market today.

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Electronic Medical Records Telemedicine Health Insurance Health Outcomes 219

Healthcare IT Today

APRIL 19, 2024

During the COVID-19 pandemic, patients learned quickly that care at home, delivered via telemedicine (phone, video, email) could efficiently and effectively address many of their clinical needs. If an anomaly was discovered or an alert sent to the physician, the patient would need to go to the doctor’s office to address the alert.

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Telemedicine COVID-19 Nurses Nursing Homes 124

HIT Consultant

SEPTEMBER 14, 2023

Doctors have no access to data about the social determinants of health, hampering their ability to tailor care to patients. It’s not a stretch to say that your phone knows more about many of these key factors than your doctor. Telemedicine connects underprivileged populations with remote, real-time care.

Doctors 109

Doctors Telemedicine Medicaid Medicaid 109

AIHC

AUGUST 30, 2023

Have you thought of Telemedicine or Telehealth ? 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. Medical Exemption “Medical practices” still follow all CMS regulations.

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Compliance Fraud Medicare Medicare 52

Healthcare IT Today

NOVEMBER 15, 2023

Their platform combines pharmacogenomics and medical history analytics to determine the risks of medications, which can be raised by interactions with other medications (perhaps unnoticed by the doctor doing the prescribing), and patient vulnerabilities related to age and medication conditions. offering in-home treatment.

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Medicare Medicare Hospitals Compliance 90

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? The American Telemedicine Association maintains a US bills related to telemedicine and their status. Packing more billable work into doctors’ time.

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COVID-19 Doctors Telemedicine Medicare 93

Healthcare IT News - Telehealth

SEPTEMBER 9, 2020

"On the doctor side, they're also finding it very convenient." "If we do a remote written second opinion delivered from consulting doctor to treating doctor, the physician in-state can discuss it with their patient," he said. "COVID-19 has forced people into virtual mediums," Flannery continued.

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COVID-19 Doctors HIPAA Telemedicine 104

Healthcare IT News - Telehealth

JUNE 17, 2020

advocated for two particular policy changes to be made permanent: the originating site rule, allowing physicians to be reimbursed for telehealth appointments wherever a patient is located, including a patient's home, and the expansion of Medicare- and Medicaid-reimbursable telehealth services. Lamar Alexander, R-Tenn.,

US Department of Health and Human Services 156

US Department of Health and Human Services Telemedicine COVID-19 Doctors 156

Healthcare IT News - Telehealth

JULY 22, 2020

" This past week, a bipartisan group of House representatives introduced the Protecting Access to Post-COVID-19 Telehealth Act , which would eliminate most geographic and originating site restrictions on the use of telehealth in Medicare.

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COVID-19 HIPAA Medicare Medicare 109

Healthcare IT Today

SEPTEMBER 24, 2023

News and Studies The American Telemedicine Association released three tools aimed at addressing disparity and inequity in care : Digital Infrastructure Disparities Score and Map, Economic and Social Value-Added Calculator, and a toolkit including all previously released resources.

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Medical Billing Department of Veterans Affairs Medicare Medicare 103

Healthcare IT News - Telehealth

OCTOBER 5, 2022

What is news to many is the different ways various telemedicine technologies are being used to help chip away at the mental health-staffing problem. As Iris Telehealth's chief medical officer, Dr. Tom Milam manages a team of clinicians and guides them in telemedicine and industry best practices.

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Licensing Telemedicine Hospitals Nursing Homes 155

Health Populi

JUNE 3, 2020

There’s been a flurry of research into this question since the hockey-stick growth of telemedicine visits were evident in March 2020, just days after the World Health Organization uttered the “P-word:” pandemic. Three recent reports (among many others!) 24% of all office visits and outpatient encounters, plus.

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COVID-19 Hospitals Medicaid Medicaid 149

Health Populi

JUNE 6, 2021

Telemedicine is, in fact, the top area where health care organizations are investing to improve the patient care experience: 75% of providers are investing in telemedicine to improve patient care in 2021 compared with 42% in 2019.

Patient Satisfaction 81

Patient Satisfaction COVID-19 Telemedicine Medicaid 81

HIT Consultant

DECEMBER 14, 2021

To solve this problem, Ophelia has created a digitally native clinical model, called the Ophelia Care Model, which adapts the widely successful Massachusetts Collaborative Care Model to telemedicine. Ophelia treated its first patient in early 2020 and has since seen rapid adoption by both patients and clinicians.

Licensing 98

Licensing Governance FDA Telemedicine 98

Health Populi

MAY 20, 2020

34% “thought twice” before asking their doctor for a prescription when they felt sick. People with complex chronic conditions also adjusted these personal medical work-flows: 35% skipped annual physicals and well visits. 23% skipped recommended lab tests or screenings. 21% skipped elective procedures.

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COVID-19 Telemedicine Hospitals Doctors 73

Healthcare IT Today

JANUARY 6, 2023

The past two years have taught us that telemedicine is a highly scalable and successful way to deliver quality healthcare across the United States. Finding time to get to the doctor is a challenge. The rise of telehealth (or telemedicine) during the pandemic has proven that virtual care can still be quality care.

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US Department of Health and Human Services Doctors Telemedicine Public Health 97

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. " MARKETPLACE There are many vendors of telemedicine technology and services on the health IT market today.

COVID-19 113

COVID-19 COVID-19 Vaccine Telemedicine Medicaid 113

HIT Consultant

OCTOBER 6, 2021

It doesn’t even take you to the Centers for Medicare & Medicaid Services (CMS) website. Add to this the fact that patients with multiple chronic illnesses see multiple doctors – all creating care plans and prescribing medications to address their specialized areas. Try Googling the word “caregiving.”

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COVID-19 Doctors Health Outcomes Licensing 93