HIPAA Journal

NOVEMBER 21, 2022

million being defrauded from Medicaid, Medicare, and private health insurance programs. The payments were intended for hospitals for providing covered medical services. The arrests were related to a series of scams that spoofed hospital email accounts. million, and $6.4 million, and $6.4 Schrank of the U.S.

Medicaid 75

Medicaid Medicaid Medicare Medicare 75

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

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 It News

DECEMBER 12, 2022

Unite Us, which seeks to use software to address social determinants of health, will help PVA's Veterans Career Program assist transitioning service members, veterans, military spouses and their caregivers connect with essential resources, like housing, transportation, mental health and more. WHY THIS MATTERS.

Medicaid 231

Medicaid Medicaid Governance Hospitals 231

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

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

HIPAA Journal

OCTOBER 10, 2022

Wisconsin Department of Health Services: Accidental Disclosure of PHI via Email. The Wisconsin Department of Health Services (DHS) has recently confirmed that there has been an accidental disclosure of protected health information via email. Smith, Gambrell & Russell, LLP: Files Potentially Stolen in 2021 Data Breach.

Medicaid 55

Medicaid Medicaid Governance Fraud 55

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

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. Additionally, employers must finally embrace remote work as a reasonable accommodation.

COVID-19 246

COVID-19 ADA Medicaid Medicaid 246

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

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 272

Licensing Health Outcomes Medicaid Medicaid 272

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 185

Telemedicine COVID-19 Governance Medicare 185

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

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. And the list goes on.… The Primary Source Organizations.

Governance 52

Governance Licensing Malpractice Medicaid 52

HIT Consultant

JUNE 26, 2023

signed a Letter of Intent with CRISP Shared Services to participate in a health data interoperability pilot program that will lay the foundation for OHIT’s Health Information Exchange in the Territory. What You Should Know: U.S. Virgin Islands (USVI) Governor Albert Bryan Jr. 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

HIT Consultant

AUGUST 17, 2023

have been putting band-aids on the problem of maternity care deserts , propping up existing services for pregnant women and new mothers with temporary fixes. 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.

Medicaid 98

Medicaid Medicaid Doctors Telemedicine 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."

Nurses 191

Nurses Patient Satisfaction COVID-19 Hospitals 191

Provider Trust

JANUARY 25, 2024

Every year, the Department of Health and Human Services (HHS) and the Office of Inspector General (OIG) publish a summary of the Top Management and Performance Challenges Facing HHS. With Medicaid, the challenges are equally formidable. HHS estimated that over 15% of payments in FY 2022 were improper.

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. “This acquisition represents a significant investment in AI to expand the Kinsa service and predictive model. 5 star rating.

Public Health 68

Public Health Medicaid Medicaid Governance 68

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. WHY IT MATTERS. Senate HELP Committee Chair Sen. Lamar Alexander, R-Tenn., Meanwhile, U.S.

US Department of Health and Human Services 203

US Department of Health and Human Services COVID-19 Telemedicine Medicare 203

Healthcare IT News - Telehealth

OCTOBER 2, 2020

The Telehealth Improvement for Kids’ Essential Services, or TIKES, Act of 2020 would require the Secretary of the U.S. 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. WHY IT MATTERS.

US Department of Health and Human Services 153

US Department of Health and Human Services COVID-19 Medicaid Medicaid 153

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

Health Law Advisor

JULY 5, 2023

On June 8, 2023, the New York City Council passed a bill focused on healthcare accountability, with the goal of increasing access to healthcare services for New Yorkers. As part of the Act, this Office would also report on insurance and pharmaceutical pricing, as well as monitor the amount of money the City is spending on healthcare services.

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

MedTrainer

NOVEMBER 27, 2023

Organizations need to successfully navigate the regulatory landscape in order to provide efficient and ethical healthcare services, and to avoid consequences for non-compliance. For over a century, OHA has been dedicated to assisting member hospitals in addressing community health needs.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

Healthcare It News

JANUARY 18, 2022

Social determinants of health are major contributors to health inequity and rising healthcare costs in vulnerable populations such as Medicaid beneficiaries. That said, hospital social workers and nurse discharge planners are accustomed to having to help patients with these types of issues during an inpatient admission.

Health Outcomes 348

Health Outcomes Medicaid Medicaid Patient Satisfaction 348

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. These agencies help maintain the integrity and quality of healthcare services in Wisconsin , protecting the public and promoting patient safety.

Compliance 52

Compliance Medicaid Medicaid Licensing 52

MedTrainer

MARCH 14, 2024

Provider credentialing is how an organization verifies a healthcare provider’s qualifications and background to deliver medical services. Credentialing specialists employed at the healthcare organization or through a contracted credentialing service typically complete this process. However, not all providers need hospital privileges.

Malpractice 52

Malpractice Licensing Hospitals Compliance 52

Healthcare IT News - Telehealth

OCTOBER 27, 2020

Virtual care may be popular among patients, but if providers can't get paid for their services, it's unlikely they'll be able to continue to provide them. The government has signaled its support for reimbursing some telehealth services, at least in the short term.

COVID-19 198

COVID-19 Governance Medicare Medicare 198

HIT Consultant

MARCH 8, 2022

Under the PHE, states must keep Medicaid enrollees continuously covered, irrespective of their circumstances. . There has never been a greater need for state and federal health and human services agencies to collaborate and take decisive action nowto be prepared.

Public Health 98

Public Health Medicaid Medicaid Health Insurance 98

Verisys

MARCH 23, 2023

Abuse of government healthcare programs is a federal offense with severe penalties. government or a government contractor. The Most Common False Claims The FCA primarily combats healthcare fraud and abuse associated with Medicare and Medicaid.

Fraud 52

Fraud Medicaid Medicaid Medicare 52

Hall Render

MAY 10, 2024

Million CALIFORNIA California hospital dismisses CEO California physician pleads guilty to $2.5M Million CALIFORNIA California hospital dismisses CEO California physician pleads guilty to $2.5M Million CALIFORNIA California hospital dismisses CEO California physician pleads guilty to $2.5M million expansion ‘Very, very unusual.’

Nursing Homes 40

Nursing Homes Nurses Hospitals Medicaid 40

MedTrainer

DECEMBER 4, 2023

Kentucky Healthcare Compliance Resources Let’s start with the important state government agencies you’ll need to work with: The Kentucky Department for Public Health (DPH) plays a vital role in promoting and protecting the health and wellness of the citizens of Kentucky through various programs, initiatives, and health services.

Compliance 52

Compliance Licensing Medicaid 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

Healthcare Law Blog

JANUARY 26, 2023

Department of Health and Human Services (“HHS”) published a notice of proposed rulemaking entitled “Safeguarding the Rights of Conscience as Protected by Federal Statutes” (the “ Proposed Rule “). The Church Amendments In the 1970s, the federal government enacted the Church Amendments, 42 U.S.C. On January 5, 2023, the U.S.

ACA 105

ACA Medicaid Medicaid Compliance 105

Healthcare IT News - Telehealth

NOVEMBER 2, 2020

Located in the heart of North Philadelphia, Temple University Hospital serves one of the nation’s most economically challenged and diverse urban populations. More than 85% of the patients served by Temple are covered by government programs, including Medicare and Medicaid. MARKETPLACE.

Telemedicine 170

Telemedicine COVID-19 Nurses Medicare 170

MedTrainer

NOVEMBER 27, 2023

It’s essential for healthcare providers, facilities, and organizations within North Carolina to grasp and maneuver through this complex set of rules to provide ethical, high-quality healthcare services, while also avoiding legal and financial setbacks.

Compliance 52

Compliance Licensing Telemedicine Medicaid 52

MedTrainer

DECEMBER 7, 2023

The New Mexico Hospital Association (NMHA) is a non-profit organization that advocates for and supports hospitals and healthcare providers across New Mexico, focusing on improving healthcare delivery and patient care throughout the state.

Compliance 52

Compliance Licensing Medicaid Medicaid 52