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Important Resources to Ensure Medicare Compliance

Compliancy Group

depend on Medicare to get the healthcare they need. Remaining in good standing with Medicare has several advantages. 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.

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2024 Final Rule: CMS Announces More Changes to Medicare Advantage but Declines to Reform the “60 Day Rule”

Health Care Law Brief

On April 5, the Centers for Medicare & Medicaid Services (“CMS”) released the 2024 Medicare Advantage and Prescription Drug Benefit Programs Final Rule (“Final Rule”), which will be codified at 42 C.F.R. The SRFs include low-income subsidy, dual eligibility (meaning eligible for Medicare and Medicaid) and disability.

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Study Reveals Current Landscape of FHIR Apps

HIT Consultant

“In fact, the core asset of many FHIR apps is to take information out of an electronic health record and do useful things with it, such as identify trends, provide clinical decision support or handle a niche area not covered by a commercial electronic medical record system.”. PhD, a co-author on this study.

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Prior Authorization Takes a Leap Forward in CMS Regulation

Healthcare IT Today

The Centers for Medicare & Medicaid Services (CMS) have taken a bold step by mandating a standard for prior authorization. The standardization of documentation for prior authorization also enables physicians to submit requests within their familiar electronic medical record systems, reducing the burden on providers.

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Legislators and healthcare orgs rally in favor of bipartisan telehealth bill

Healthcare IT News - Telehealth

Wolf also pointed out that the recent bloom in telehealth is rooted, in part, in the government's electronic health record incentive program and meaningful use.

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Capital Region Medical Center and Labette Health Announce Potential PHI Breaches

HIPAA Journal

CRMC said at this stage of the investigation it does not appear that the attackers gained access to its electronic medical record database; however, the files accessed or potentially accessed by the attackers included information such as patient names, addresses, birth dates, medical information, and health insurance information.

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The SDOH Reality Check: Coding, Claims and Value-Based Care

HIT Consultant

The newest value-based payment program purposely designed to address SDOH is the ACO Realizing Equity, Access, and Community Health (ACO REACH) model, launched by the Centers for Medicare & Medicaid Services (CMS). million people enrolled in Medicare that year, less than 2% had claims that incorporated Z codes.