MedTrainer

JANUARY 10, 2024

Download a toolkit with everything you need to know about USP <800> compliance. Centers for Medicare and Medicaid Services (CMS) requires nursing homes and ambulatory surgery centers (ASCs) to have an individual who is qualified by experience and training to serve as an infection control preventionist.

Compliance 94

Compliance Fraud HIPAA Compliance Officers 94

Healthcare IT Today

JANUARY 5, 2024

The proceeds from the financing will support PursueCare’s ongoing collaborative care initiatives with health systems across 11 states, as well as expansion into value-based care with Medicaid managed care and other health plans. Patients can also seek treatment without a referral by downloading the app from Google Play or the Apple Store.

FDA 93

FDA Medicaid Medicaid Hospitals 93

MedTrainer

MAY 16, 2024

Download the Ultimate List of Training Requirements for Ambulatory Surgery Centers to see a full list of federal and accreditation training requirements for ASC staff broken down by role, with the applicable standard, CMS violation category, and frequency. Staff should review the requirements for their specific state to remain in compliance.

Compliance 52

Compliance HIPAA Health Insurance Medicaid 52

AIHC

FEBRUARY 7, 2024

Medicaid policies on this issue vary from state to state. Download the 1-Page “ A Framework for Defining Telehealth ” Fact Sheet. 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.

HIPAA 59

HIPAA Medicaid Medicaid Telemedicine 59

Health Care Law Brief

FEBRUARY 8, 2024

billion to fund Medicaid, $4.8 In addition to the 1115 Waiver, which funds the Medicaid Hospital Global Budget for financially distressed safety net hospitals transitioning from volume-based reimbursement models to value-based models, the HMH Bill would also establish the Healthcare Safety Net Transformation Program (“HSNT Program”).

Medicaid 52

Medicaid Medicaid Nurses Licensing 52

Medval Compliance Blog

MARCH 18, 2022

The Centers for Medicare & Medicaid Services (CMS) will be hosting an overview of the new “Go Paperless” feature available in the Medicare Secondary Payer Recovery Portal (MSPRP) on Thursday, April 13 at 1:00 pm ET. The webinar will feature opening remarks and a presentation, followed by a question and answer session.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

MedTrainer

MAY 10, 2024

1, 2024 , mental health counselors can enroll with Medicare as part of The Centers for Medicare and Medicaid Services ( CMS ) plan to bring approximately 400,000 marriage and family therapists (MFT) and mental health counselors (MHC) into their network. Effective Jan.

Licensing 52

Licensing ACA Medicare Medicare 52

AIHC

FEBRUARY 7, 2024

Medicaid policies on this issue vary from state to state. Download the 1-Page “ A Framework for Defining Telehealth ” Fact Sheet. 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.

HIPAA 52

HIPAA Medicaid Medicaid Telemedicine 52

Medval Compliance Blog

FEBRUARY 8, 2022

The Centers for Medicare & Medicaid Services (CMS) announced yesterday that it will be hosting a Workers’ Compensation Medicare Set-Aside (WCMSA) webinar next Thursday, February 17, 2022 at 1:00 pm ET. Check back following the webinar for a recap, where we will share key takeaways and highlights from the session.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

MedTrainer

MAY 6, 2024

Download Now Aetna Provider Enrollment Guidelines Aetna requires that all providers meet standard credentialing criteria to become a healthcare professional in its network. Download our guide – Tools to Conquer Provider Enrollment – for valuable tips on speeding up the time from credentialing to enrollment approval.

Licensing 52

Licensing Malpractice Health Insurance Medicaid 52

MedTrainer

APRIL 11, 2024

Download Now Culture of Collaboration Developing a culture of compliance within healthcare extends beyond meeting legal obligations; it is a cornerstone for delivering safe, ethical, and top-tier care. Get tips and tricks for effective compliance training.

Compliance Officers 52

Compliance Officers Compliance Medicaid Medicaid 52

MedTrainer

JULY 28, 2023

Earlier this year, an in-depth OIG investigation resulted in a six-day trial of a former Louisiana health clinic CEO , who was ultimately convicted of Medicaid fraud and sentenced to 82 months in federal prison. Download “Compliance Reports You Can’t Live Without” for OIG reporting templates and tips. What Prompts an OIG Inspection?

Fraud 98

Fraud Compliance Medicaid Medicaid 98

MedTrainer

JANUARY 12, 2024

Here are some of the key organizations involved in regulating healthcare compliance: Centers for Medicare & Medicaid Services (CMS): CMS is a federal agency within the U.S. Department of Health and Human Services responsible for administering and regulating healthcare programs such as Medicare and Medicaid.

Compliance 52

Compliance Fraud Medicaid Medicaid 52

Healthcare IT News - Telehealth

AUGUST 12, 2021

Since so few people actually downloaded it, I don't know if there was a great deal of success to it. She cited utilization rates as evidence of telemedicine's popularity, noting that yearly Medicaid expenditures on telemedicine services jumped from $27 million pre-pandemic to $612 million during the pandemic.

Telemedicine 157

Telemedicine COVID-19 Medicaid Medicaid 157

MedTrainer

JANUARY 30, 2024

The professionals who manage compliance are the front lines of preventing medical errors, deterring fraud, and staying in good standing with federal payers like the Centers for Medicare and Medicaid Services (CMS). Download Now The post Healthcare Compliance Certification Is Within Your Reach appeared first on MedTrainer.

Compliance 52

Compliance Compliance Officers Fraud Medicaid 52

Verisys

NOVEMBER 8, 2023

The NPI improves the Medicare and Medicaid programs, other federal and private health programs, and the overall effectiveness and efficiency of the healthcare industry by simplifying administration and enabling the efficient electronic transmission of health information. Learn More About NPIs When Did NPI Numbers Begin?

Fraud 97

Fraud HIPAA Medicare Medicare 97

Healthcare Law Blog

NOVEMBER 2, 2023

According to the Congressional Research Service, which analyzed data from the Centers for Medicare & Medicaid Services (“CMS”) National Health Expenditure Accounts (“NHEA”) on the personal health expenditures for LTSS by payer, in 2021, an estimated $467.4 billion was spent on LTSS. This represents 13.2% of LTSS spending. [5]

Nursing Homes 52

Nursing Homes Medicaid Medicaid Medicare 52

Natalia Mazina

JULY 20, 2022

Our firm has prepared policies and procedures (and patient notices) that comply with the above requirements, available for download here. Many Medicaid programs have similar restrictions. Basically, California law mirrors Part D requirements.

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

Health Populi

OCTOBER 22, 2021

Holding health care back is the lack of digitization in general, and then the under-investment in user-centered design to engage and then retain patients beyond an initial download or visit to a patient portal. Claims — that’s the paper-based workflow that eats up some of the $billion U.S. It still does.

Electronic Medical Records 174

Electronic Medical Records Health Insurance Medicaid Medicaid 174

Healthcare IT Today

OCTOBER 12, 2023

The Centers for Medicare & Medicaid Services (CMS) have taken a bold step by mandating a standard for prior authorization. In 2021, the Patient Access API, which allows patients to download their data through their preferred third-party app, became available to healthcare beneficiaries.

Electronic Medical Records 97

Electronic Medical Records Doctors Governance Medicaid 97

HIPAA Journal

JANUARY 30, 2023

Tennant, MA The full schedule for the event can be downloaded here – HIPAA Summit Schedule (PDF). The pre-conference basic training day is included in the basic HIPAA Summit registration and includes 8 training sessions, followed by a HIPAA Workforce Training Faculty Q&A.

US Department of Health and Human Services 81

US Department of Health and Human Services HIPAA Compliance Medicaid 81

MedTrainer

APRIL 11, 2024

Download Now Strategies to Prevent Healthcare Credentialing Challenges Credentialing issues are pervasive, but there are several steps organizations can take to prevent them. Both should review licensing, insurance billing, and Centers for Medicare and Medicaid Services requirements.

Licensing 52

Licensing Medicaid Medicaid Medicare 52

MedTrainer

MARCH 14, 2024

Download Now What are Provider Privileges? As the Centers for Medicare and Medicaid Services outlines, privileging isn’t required for every healthcare provider but is a requirement for those conducting medical services within a hospital or ambulatory surgery center (ASC). Look for these 10 attributes in a credentialing specialist.

Malpractice 52

Malpractice Licensing Hospitals Compliance 52

HIT Consultant

FEBRUARY 27, 2024

When it comes to clinical policies that a typical state Medicaid publishes, on average, there are more than 5,000 documents that a clinician must first sample and then evaluate for relevancy. Each relevant section must be read before deciding if it applies to very specific rules and edits.

Medicaid 111

Medicaid Medicaid Compliance 111

Verisys

DECEMBER 5, 2023

The Centers for Medicare & Medicaid Services (CMS) Medicare and state Medicaid lists show practitioners who have opted out of those programs. Delivery of data ranges from a print-out sent by mail, a spreadsheet sent through email, a CSV download from a secure server, or an online searchable database. Unpublished Data.

Governance 52

Governance Licensing Malpractice Medicaid 52

MedTrainer

DECEMBER 4, 2023

The Mississippi Division of Medicaid administers health coverage programs to eligible residents, providing vital healthcare services to underserved and vulnerable populations in the state. Health insurance plans must cover telemedicine services to the same extent that services would be covered if they were provided in-person.

Compliance 52

Compliance Telemedicine Licensing Public Health 52

Healthcare Law Blog

AUGUST 11, 2022

The FQHC served predominantly low-income individuals [3] including Medicare and Medicaid beneficiaries and offered telehealth services to its patients through a telehealth application, which could be downloaded onto a smartphone. . The Arrangement. OIG Analysis. The Federal Anti-Kickback Statute.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

MedTrainer

MAY 4, 2023

CMS Burden Reduction Final Rule (84 FR 51732) The Centers for Medicare & Medicaid Services (CMS) permanently extended changes made to the Burden Reduction Final Rule. Download this free toolkit for resources to update your disaster preparedness plan. Outpatient testing requirements have decreased.

Public Health 52

Public Health Compliance COVID-19 COVID-19 Vaccine 52

MedTrainer

MARCH 22, 2024

Additional training will be required if your organization is accredited and accepts Medicare, Medicaid, or other federal funding. Download Now The Need For An Advanced Compliance Training Program Traditional compliance training methods fail to engage healthcare professionals.

Compliance 52

Compliance Compliance Officers Medicaid Medicaid 52

MedTrainer

APRIL 22, 2024

The Centers for Medicare and Medicaid imply that a compliance committee is in place and participates in reporting to the governing board. Download Now Implement Technology To Simplify Compliance There are many ways that software can aid the compliance committee in upholding high compliance standards.

Compliance 52

Compliance Compliance Officers Governance Medicaid 52

MedTrainer

APRIL 18, 2024

Download Now Common Challenges in Behavioral Health Credentialing Where behavioral health credentialing diverges from typical provider credentialing is Medicare enrollment. Get the tools you need to eliminate delays in your provider enrollment process.

Medicare 52

Medicare Medicare Licensing Compliance 52

Innovaare Compliance

JUNE 28, 2022

The Centers for Medicare & Medicaid Services (CMS) launched a new cycle of CMS program audits in February 2022. Download 2022 ODAG Audit Universe Changes . Even though we’re six weeks from the end of the 2022 cycle, there’s still time to review the new and changed features of the CMS audit protocol (CMS 10717) for CY 2022.

Overpayments 52

Overpayments Overpayment Compliance Medicare 52

HIPAA Journal

MARCH 10, 2022

The malware was detected on or around August 9, 2021, with the investigation confirming the malware was downloaded onto its systems on July 27, 2021. The malware was removed and unauthorized access to its systems was prevented on August 11, 2021. Dr. Douglas C.

Ransomware 123

Ransomware Licensing Health Insurance Hospitals 123

HIT Consultant

NOVEMBER 10, 2021

– Downloads of medical apps increased 65% last year. Centers for Medicare and Medicaid Service (CMS) approved dozens of new telehealth services last year, and payers are beginning to offer virtual-first health plans, where patients first see a virtual provider before making an in-person appointment.

COVID-19 105

COVID-19 Telemedicine Medicaid Medicaid 105

MedTrainer

MARCH 28, 2024

Download Now Ready to learn more about all-in-one compliance software? Law by law, regulations were added, increasing the complexity of maintaining compliance for healthcare organizations. Admins: Create multiple report templates to collect the information you need to handle incidents and gather data to identify trends quickly.

Compliance 52

Compliance Compliance Officers Licensing Regulatory Compliance 52

YouCompli

APRIL 12, 2022

LCDs/NCDs Health and Human Services Centers for Medicare and Medicaid Federal Trade Commission Securities and Exchange Commission OSHA All state regulators And more. Download these legally-validated model procedures and customize them for your own organization. Manage your feed.

Compliance 40

Compliance Medicaid Medicaid Medicare 40

HIPAA Journal

DECEMBER 31, 2022

You can download a complaint form , complete it, send it to OCR by mail or as an email attachment. Consequently, it is not possible to report a HIPAA violation anonymously via the OCR Complaints Portal. There are Other Ways of Filing a Complaint with OCR. The Complaints Portal is not the only way to file a complaint with OCR.

HIPAA 93

HIPAA Medicaid Medicaid Medicare 93