MedTrainer

NOVEMBER 29, 2023

For example, Indiana requires prescribing providers to use a prescription drug monitoring program (PDMP) and meet certain continuing education requirements to obtain a Controlled Substance Registration (CSR). This article provides an overview of the important aspects to healthcare compliance specific to Indiana State.

Compliance 52

Compliance Licensing Governance Public Health 52

AIHC

MAY 31, 2022

To combat fraud and abuse, all levels within a medical practice, hospital or health care organization must know how to protect the organization from engaging in abusive practices and violations of civil or criminal laws. Qui tam claims involving Medicaid/Medicare healthcare vary, depending on the level of care needed and provided.

Fraud 52

Fraud Compliance Officers Compliance Medicare 52

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. Service Provider: New London Hospital , a 25-bed facility in New London, New Hampshire.

ACA 106

ACA Doctors Medical Billing Hospitals 106

AIHC

APRIL 5, 2022

Written by: AIHC Blogger This article provides educational information related to mitigating the risk of an unwarranted payer investigation. Audit Coding, Billing and Documentation for Accuracy Insurance carriers and government contractors have the authority to review any claims at any time. Detect a Problem?

Fraud 52

Fraud Compliance Medicare Medicare 52

HIPAA Journal

MARCH 31, 2023

These generally fall into two categories – HIPAA medical records retention and HIPAA records retention requirements. The distinction between the two categories is that there are no HIPAA medical records retention requirements, but requirements exist for other documentation.

HIPAA 125

HIPAA Medicare Medicare Compliance 125

Health Populi

JUNE 20, 2019

And, the food chain’s retail provider, The Little Clinic, gained Joint Commission accreditation last July. Note that the findings on how people know they are eating well fall into four categories: health, enjoyment, mindfulness, and their budget. Health benefits are sought by 6 in 10 people.

Doctors 69

Doctors Governance FDA Medicaid 69

Hall Render

JULY 14, 2023

On Friday, June 20, 2023, the Centers for Medicare & Medicaid Services (“CMS”) posted a pre-publication copy of the Calendar Year (“CY”) 2024 Home Health Prospective Payment System Rate Update (“PPS Rule”), which has since been published in the Federal Register and is currently open for comment. in June 2022.

Medicare 52

Medicare Medicare Payment Systems Governance 52

C&M Health Law

FEBRUARY 16, 2021

On November 13, 2020, the Centers for Medicare & Medicaid Services (“CMS”) published a final rule , demonstrating long-awaited efforts to streamline the regulatory framework governing the Medicaid and Children’s Health Insurance Program (“CHIP”) managed care programs.

Medicaid 40

Medicaid Medicaid Medicare Medicare 40

Bill of Health

SEPTEMBER 9, 2022

Consider, for example, the Coronavirus State and Local Fiscal Recovery Funds Program (SLFRF) — enacted as part of the American Rescue Plan Act — which provided $350 billion in flexible aid to state, local, tribal, and territorial governments. This precludes rebuilding the decimated public health workforce.

Public Health 362

Public Health COVID-19 Public Health Professionals Governance 362

AIHC

FEBRUARY 16, 2024

The GCPG is a reference guide for the health care compliance community and other health care stakeholders and provides information about relevant Federal laws, compliance program infrastructure, OIG resources, and other information useful to understanding health care compliance. Indian citizens started breeding cobras for the cash reward.

Compliance 52

Compliance US Department of Health and Human Services COVID-19 Hospitals 52

AIHC

FEBRUARY 16, 2024

The GCPG is a reference guide for the health care compliance community and other health care stakeholders and provides information about relevant Federal laws, compliance program infrastructure, OIG resources, and other information useful to understanding health care compliance. Indian citizens started breeding cobras for the cash reward.

Compliance 52

Compliance US Department of Health and Human Services COVID-19 Hospitals 52

Kaiser Health News

JULY 6, 2022

And, if you get a bill from a physician, clinic, or hospital that you think might qualify for no cost sharing, call your insurer to inquire or dispute the charge. The federal government currently lists 22 broad categories of coverage for adults, an additional 27 specifically for women, and 29 for children.

ACA 80

ACA Medicare Medicare Medicaid 80

HIPAA Journal

MAY 12, 2023

An example of this is a patient’s journey from a physician’s office to a hospital, then to a care home, then to a home health service. One of the permissible disclosures of PHI in this category is for “case management and care coordination”.

HIPAA 62

HIPAA Compliance Health Services Administration Medicare 62

AIHC

MARCH 28, 2022

Written by: AIHC Blogger This article provides educational information related to fighting unreasonable denials by working through a complex payer appeals process. Government Accountability Office (GAO), improper payments have been estimated to total almost $1.7 trillion government-wide from fiscal years 2003 through 2019.

Medicare 52

Medicare Medicare Compliance Governance 52

Hall Render

MARCH 25, 2022

Dr. Lorna Breen Health Care Provider Protection Act becomes law. Hospital stays for nursing home residents down nearly 9%, federal data shows. What’s holding up hospital at home? Vertically integrated payer-provider groups raise antitrust concerns. New rural hospital model could preserve communities, jobs.

COVID-19 40

COVID-19 US Department of Health and Human Services Nursing Homes Nurses 40

HIPAA Journal

JANUARY 2, 2023

The section below provides 10 common HIPAA violation examples. The healthcare provider was investigated following the discovery that a physician had accessed the medical records of celebrities and other patients without authorization. Metro Community Provider Network – $400,000 penalty for risk management failures.

HIPAA 106

HIPAA Compliance Hospitals Medicare 106

Health Law Advisor

AUGUST 10, 2023

Introduction Hardly a day goes by when we don’t see some media report of health care providers experimenting with machine learning, and more recently with generative AI, in the context of patient care. But the question is, to what extent do health care providers need to worry about FDA requirements as they use AI?

FDA 98

FDA Licensing Hospitals Medicaid 98

Jane Sarashon

DECEMBER 13, 2021

This big number is comprised by personal care and beauty (which had various shifts within the category in the pandemic – less color cosmetics and more skin health and hygiene), health eating and nutrition and weight loss, physical activity, and wellness tourism, among other categories.

COVID-19 60

COVID-19 Public Health Governance Medicaid 60

Kaiser Health News

JUNE 6, 2022

Instead, the family moved to Seattle 10 years ago to be near Seattle Children’s Hospital, where specialists can manage Julia’s nutritional needs well. It’s a category in which the government says it will defer trying to deport someone so they can deal with a severe illness.

Health Insurance 73

Health Insurance Doctors Governance Licensing 73

Kaiser Health News

NOVEMBER 22, 2022

More than 300 workers at Sequoia Hospital in Redwood City received a similar message after going on strike in mid-July as contract negotiations stalled. ” According to Covered California spokesperson Kelly Green, eligible workers will have their premiums covered as if their incomes were just above the Medicaid eligibility level.

Health Insurance 58

Health Insurance Medicaid Medicaid Nurses 58

C&M Health Law

NOVEMBER 7, 2022

CMMI has broad statutory authority not only to test, design, and implement health care payment and delivery models for Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP) but in certain instances, can implement such models without Congressional action. would disincentivize providers to prescribe higher-cost drugs.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

HIPAA Journal

JANUARY 9, 2023

Changing the Privacy Rule to make sharing PHI with other providers mandatory rather than permissible. Changing the maximum time to provide access to PHI from 30 days to 15 days. Stating when individuals should be provided with ePHI without charge. The Proposed HIPAA Changes Will Create Challenges for Healthcare Providers.

HIPAA 107

HIPAA COVID-19 COVID-19 Vaccine Compliance 107

Health Populi

AUGUST 16, 2021

adults favor increased government funding allocated to lowering the out-of-pocket costs for patients. adults favor increased government funding allocated to lowering the out-of-pocket costs for patients. health care system from which other nations and governments are not burdened. Given our political chasms in the U.S.

COVID-19 129

COVID-19 Nurses Doctors Medicaid 129

Health Populi

DECEMBER 25, 2018

This bill would create a government-run drug company to produce and distribute generic medicines. In 2018, we also saw a response to high drug costs in the form of CivicaRx, a consortium of hospitals coming together to manufacture drugs in short supply at hospitals.

Health Insurance 104

Health Insurance Hospitals Doctors Medicaid 104

Kaiser Health News

JANUARY 12, 2023

Still to be determined is whether Medicare — which provides insurance to most people with Alzheimer’s — will cover the drug. You know, it occurs to me that in addition to the small-business money, hospitals got a whole lot of money as part of these programs. I Will Always Protect His Legacy. What are we expecting out of that?

US Department of Health and Human Services 52

US Department of Health and Human Services FDA Medicare Medicare 52

Kaiser Health News

FEBRUARY 9, 2023

Biden’s calls for bipartisanship to extend health programs like pandemic-era subsidies for Affordable Care Act health plans are expected to clash with conservative demands to slash federal government spending. And last year’s Senate fights demonstrate that sometimes the opposition comes from within the Democratic Party.

US Department of Health and Human Services 52

US Department of Health and Human Services Medicare Medicare FDA 52

Drug & Device Law

JANUARY 16, 2022

It concern’s the Supreme Court’s 6-3 decision to permit the government to continue enforcement of its requirement that healthcare workers (at least those in facilities that accept Medicare/Medicaid, which is most of them) be vaccinated to avoid infecting themselves and their patients with COVID-19. Critical Access Hospitals (CAHs).

Compliance 40

Compliance COVID-19 Medicaid Medicaid 40