HIPAA Journal

NOVEMBER 17, 2022

Caroline Cook, Privacy Consultant, GDH Government Consulting Services, has shared her thoughts. As a teenager, I volunteered in hospitals and nursing homes. That led to my serving as the Privacy Officer for the hospital beginning with the implementation of the Privacy Rule. I’ve worked in healthcare for over 30 years.

Governance 84

Governance HIPAA Compliance Nursing Homes 84

Health Populi

FEBRUARY 18, 2020

There are 1,844 rural hospitals operating in the U.S. That number is down by 19 in the 2019 calendar year, the worst year of rural hospital closings seen in the past decade. That hockey-stick growth of closures is shown in the first chart, where 34 rural hospitals shut down in the past 2 years.

Hospitals 103

Hospitals Medicaid Medicaid Health Care Reform 103

Healthcare Law Blog

FEBRUARY 3, 2023

Part 521 governing the implementation and operation of effective compliance programs for certain “required providers,” including, now for the first time, Medicaid managed care organizations (MMCOs). [1] New Subpart 521-1: Compliance Programs The adopted regulations represent substantial changes to 18 N.Y.C.R.R.

Medicaid 52

Medicaid Medicaid Compliance Overpayments 52

C&M Health Law

APRIL 21, 2022

Department of Justice (DOJ) to resolve allegations that it had made donations in order to improperly inflate the funding four of its hospitals received from the federal Medicaid program. Florida Medicaid is administered by the state but jointly funded by both the state and federal governments.

Medicaid 52

Medicaid Medicaid Governance Fraud 52

Hall Render

FEBRUARY 10, 2023

billion dollar hospital in Detroit with 877 beds and a medical research center with MSU. University of Utah is moving forward with its $800 million hospital and health care campus in West Valley City, Utah. CommonSpirit operates 140 hospitals and more than 1,500 care sites in the U.S. Henry Ford Health announced a massive $2.5

Medicaid 40

Medicaid Medicaid Hospitals Governance 40

Kaiser Health News

FEBRUARY 8, 2022

The federal government has penalized 764 hospitals — including more than three dozen it simultaneously rates as among the best in the country — for having the highest numbers of patient infections and potentially avoidable complications.

Medicare 123

Medicare Medicare Hospitals COVID-19 123

HIT Consultant

APRIL 21, 2022

What You Should Know: – Centers for Medicare & Medicaid Services’ (CMS) payment adjustments did not adequately address hospitals increased costs for FY 2021, according to new data from Premier. – The data reveals this discrepancy has resulted in hospitals receiving only a 2.4 PINC AI™ Data Analysis.

Hospitals 52

Hospitals COVID-19 Payment Systems Medicaid 52

Healthcare It News

DECEMBER 12, 2022

Within the HITRUST-certified ecosystem, providers across sectors identify social care needs, make and receive referrals, report on results and manage payments from paid social care programs, government funding, grants, philanthropic investments and hospital community benefit dollars, according to the company's website.

Medicaid 235

Medicaid Medicaid Governance Hospitals 235

Hall Render

DECEMBER 4, 2023

The Centers for Medicare & Medicaid Services (“CMS”) finalized significant updates to the Hospital Price Transparency regulation for the first time since the rule took effect on January 1, 2021. All hospital MRFs must now comply with a CMS template, a markedly more prescriptive approach than previously allowed.

Hospitals 52

Hospitals Compliance Patient Advocacy Medicare 52

The Health Law Firm Blog

NOVEMBER 18, 2023

Supreme Court said the federal government improperly cut more than $1 billion a year in Medicare reimbursements to hospitals. Indest III, J.D., Board Certified by The Florida Bar in Health Law On June 15, 2022, the U.S. This came in a ruling that limits regulators’ power to control what the program pays for certain [.]

Medicare 40

Medicare Medicare Hospitals Governance 40

Hanys

MARCH 1, 2024

Standing membership call on state and federal issues March 5 2024 Healthcare Advocacy Day March 6 Hospital clinical staffing committees: Operational best practices March 7 Long-term Care Infection Control and Prevention Educational Series March 13 Spring 2024 HIM user group meeting March 14 Benefits of New York state's Medicaid doula services March (..)

Medicaid 40

Medicaid Medicaid Governance Hospitals 40

Health Populi

JULY 16, 2020

The median charge for hospitalizing a patient with COVID-19 ranged from $34,662 for people 23 to 30, and $45,683 for people between 51 and 60 years of age, according to FAIR Health’s research brief, Key Characteristics of COVID-19 Patients published July 14th, 2020. They used two ICD-10-CM diagnostic codes for this research: U07.1,

COVID-19 145

COVID-19 Hospitals Health Insurance Medicare 145

Health Care Law Brief

FEBRUARY 8, 2024

billion to fund Medicaid, $4.8 In addition to those provisions that look to extend current government programs, the HMH Bill proposes the following new initiatives: Provider Specific Provisions : Transforming Safety Net Hospitals. The HSNT Program would authorize the issuance of grant funds to safety net hospitals.

Medicaid 52

Medicaid Medicaid Nurses Licensing 52

Healthcare IT News - Telehealth

MAY 30, 2023

This change is yet another signal that the country is working to move past the pandemic, which falls in line with recent moves by the federal government to move the pandemic to a more controlled phase. Further, what should CIOs and other health IT leaders at hospitals and health systems be doing to address new telemedicine challenges?

Telemedicine 184

Telemedicine COVID-19 Governance Medicare 184

The Health Law Firm Blog

AUGUST 23, 2022

Supreme Court said the federal government improperly cut more than $1 billion a year in Medicare reimbursements to hospitals. Indest III, J.D., Board Certified by The Florida Bar in Health Law On June 15, 2022, the U.S. This came in a ruling that limits regulators’ power to control what the program pays for certain [.].

Medicare 52

Medicare Medicare Hospitals Governance 52

Verisys

FEBRUARY 9, 2024

Here is a round up of bad actors: Physician Fraud Glastonbury Psychologist Admits Defrauding Medicaid of More Than $1.6 Here is a round up of bad actors: Physician Fraud Glastonbury Psychologist Admits Defrauding Medicaid of More Than $1.6 Million Civil Judgment and Drug Treatment Center Enters Settlement to Pay $2.2

Fraud 52

Fraud Medicaid Medicaid Medicare 52

Healthcare It News

OCTOBER 31, 2022

Through the secure collection, documentation, reporting, access and use of data across provider types, ONC aims to address health inequities that have their root causes in poverty and racism. Andrea Fox is senior editor of Healthcare IT News. Email: afox@himss.org.

Licensing 273

Licensing Health Outcomes Medicaid Medicaid 273

Hall Render

JUNE 20, 2022

Is housing health care and should Medicaid pay the rent? States are using Medicaid programs to cover rent, security deposits and furniture per The New York Times. Hall Render looked at a number of new hospital projects announced in 2022. State and local governments are stepping up to save facilities on the brink of closure.

Medicaid 40

Medicaid Medicaid Hospitals Nurses 40

Bill of Health

MARCH 15, 2022

During the early months of the pandemic, disabled people became unemployed at disproportionate rates , likely related to substantial employment declines in certain industries, such as retail and hospitality, where disabled people are overrepresented. In July 2021, the U.S.

COVID-19 246

COVID-19 ADA Medicaid Medicaid 246

HIT Consultant

AUGUST 17, 2023

The declining birth rate is especially a problem for rural hospitals, many of which aren’t meeting the required number of deliveries per year to meet safety standards. Hospitals in under-resourced areas have less to offer new doctors in terms of equipment, support, and quality of life. Incentivizing Medicaid capture.

Medicaid 98

Medicaid Medicaid Doctors Telemedicine 98

HIT Consultant

JUNE 26, 2023

The HDU will function through the local government to be used by healthcare professionals to enhance patient care, public health officials to support the community, and the Medicaid agency to treat vulnerable individuals. Why It Matters OHIT Director Michelle M.

US Department of Health and Human Services 52

US Department of Health and Human Services Local Policy Governance Medicaid 52

Verisys

FEBRUARY 14, 2024

Governance, Risk Management, and Compliance (GRC) in healthcare is an integrated approach that helps healthcare organizations manage their overall governance, enterprise risk management, and comply with regulatory requirements in a cohesive and aligned manner. What is healthcare data governance? What is GRC in Healthcare?

Governance 52

Governance Compliance Regulatory Compliance Compliance Framework 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. The policy issuer for malpractice insurance verifies insurance coverage.

Governance 52

Governance Licensing Malpractice Medicaid 52

Provider Trust

JANUARY 25, 2024

Ensuring the Financial Integrity of HHS Programs In fiscal year (FY) 2022, improper payments within healthcare programs like Medicare, Medicaid, and Children’s Health Insurance Program (CHIP) were estimated at a staggering $131.6 With Medicaid, the challenges are equally formidable.

Fraud 52

Fraud Medicaid Medicaid Medicare 52

Healthcare IT Today

APRIL 5, 2024

The acquisition advances Healthy Together’s mission to improve collective health and make government and enterprises more efficient. About Healthy Together Healthy Together is a health technology company that builds SaaS technology for government, education, and enterprise. 5 star rating.

Public Health 63

Public Health Medicaid Medicaid Governance 63

HIT Consultant

JULY 17, 2023

Cessation of PHE telehealth, prescribing, and mental health access exceptions could impact the Medicaid population the most. Twenty-one percent of Medicaid enrollees have mild, moderate, or severe SUD, compared to 16% of commercially insured individuals. And as of the latest data, 7.3% And as of the latest data, 7.3%

Public Health 98

Public Health Medicaid Medicaid Electronic Medical Records 98

MedTrainer

NOVEMBER 27, 2023

Ohio Healthcare Compliance Resources Let’s start with the important state government agencies you’ll need to work with: The Ohio Department of Health (ODH) is key to safeguarding and enhancing the health of Ohio residents. For over a century, OHA has been dedicated to assisting member hospitals in addressing community health needs.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

HIT Consultant

MARCH 8, 2022

Under the PHE, states must keep Medicaid enrollees continuously covered, irrespective of their circumstances. . By December 2021, enrollment in Medicaid and CHIP (Children’s Health Insurance Program) grew to a record high of more than 83 million individuals, primarily due to the continuous coverage requirements of the PHE.

Public Health 98

Public Health Medicaid Medicaid Health Insurance 98

Healthcare IT News - Telehealth

NOVEMBER 8, 2021

National Nurses United and the California Nurses Association released a joint statement this past week criticizing Kaiser Permanente's aims to expand advanced hospital services into patients' homes. "The Advanced Care at Home Program does not limit the role of nurses in hospitals." WHY IT MATTERS.

Nurses 180

Nurses Patient Satisfaction COVID-19 Hospitals 180

MedTrainer

NOVEMBER 30, 2023

Like other regions in the United States, Wisconsin is characterized by its unique blend of rules and mandates that govern healthcare compliance within the state. Medicaid Telehealth Services For healthcare providers and compliance professionals in Wisconsin, the Medicaid Telehealth Expansion is an important policy to consider.

Compliance 52

Compliance Medicaid Medicaid Licensing 52

HIT Consultant

NOVEMBER 8, 2021

Due to numerous variances in state populations including income, education and health status, as well as the mix and geographic location of doctors, hospitals and clinics, and the level of insurer competition, there truly is no one-size-fits-all federal solution when it comes to operating a health insurance exchange.

Health Insurance 98

Health Insurance Medicaid Medicaid Governance 98

Health Law Advisor

JULY 5, 2023

Entitled the Healthcare Accountability & Consumer Protection Act (the “Act”), this legislation includes Introduction 844, which establishes an Office of Healthcare Accountability, whose work would allow patients to see through a website what they would be charged for procedures at hospitals throughout New York City.

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

Health Law Advisor

NOVEMBER 23, 2021

On November 12, 2021, the Centers for Medicare and Medicaid Services (“CMS”) released final guidance confirming that hospitals can be co-located with other hospitals or healthcare providers. The latter exclusion raises questions as to how hospitals co-located with physician offices in multi-tenant buildings will be surveyed.

Hospitals 40

Hospitals Compliance Medicare Medicare 40

Healthcare IT News - Telehealth

OCTOBER 2, 2020

Department of Health and Human Services to issue guidance to states about how to increase access to telehealth under Medicaid and the Children’s Health Insurance Program. Examples of states that have used waivers under the Medicaid program to test expanded access to telehealth. WHY IT MATTERS. healthcare system."

US Department of Health and Human Services 147

US Department of Health and Human Services COVID-19 Medicaid Medicaid 147

Hanys

MAY 20, 2022

HANYS government relations update call. 2019 Medicaid DSH audit kick-off webinar. Making sense of public hospital quality ratings for healthcare trustees. Making sense of public hospital quality ratings for healthcare trustees. HANYS government relations update call. Standing membership call. June 8 – Dec.

Governance 40

Governance Medicaid Medicaid Hospitals 40

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. Senate HELP Committee Chair Sen. Lamar Alexander, R-Tenn., Meanwhile, U.S. Butterfield, D-N.C., and Glenn Thompson, R-Pa.,

US Department of Health and Human Services 195

US Department of Health and Human Services COVID-19 Telemedicine Medicare 195

Compliancy Group

APRIL 17, 2024

OIG Medicare compliance audits help ensure that hospitals, clinics, and other medical facilities use program funds efficiently and in accordance with federal and state laws. Findings from OIG audits can identify compliance areas needing improvement. and cybersecurity threats. .): Organizations using M.A.

Compliance Officers 52

Compliance Officers Compliance Medicare Medicare 52