Healthcare Law Blog

APRIL 13, 2022

However, the NSA does not explicitly indicate which states’ existing balance billing laws qualify as “specified State law[s]”—rather, each state must independently review the provisions of the NSA to determine if its existing balance billing laws qualify. The NSA refers to such qualifying laws as “specified State law[s]”.

Governance 52

Governance Medical Billing Licensing Medicare 52

Medisys Compliance

MARCH 14, 2023

Wound care is provided in various healthcare settings like inpatient hospital, outpatient clinics, long-term care facilities, home health settings, hospice and skilled nursing facilities. For example, patients who require ongoing wound care but do not need to be hospitalized can receive treatment in outpatient clinics.

Payment Systems 52

Payment Systems Medical Billing Medicare Medicare 52

Medisys Compliance

JULY 13, 2022

According to a recent survey by AKASA, more than 57 percent of healthcare practices and hospitals have more than 100 open roles to fill, with one in four finance leaders needing to hire more than 20-plus employees to fully staff their revenue cycle departments. Billing companies provide you flexibility of adjusting your workload.

Medical Billing 52

Medical Billing Medical Billing Outsourcing COVID-19 Fraud 52

The Health Law Firm

DECEMBER 2, 2021

Board Certified by The Florida Bar in Health Law On November 2, 2021, the University of Pittsburgh Medical Center (UPMC) urged a Pennsylvania federal court to dismiss allegations that its physician and star surgeon submitted false medical billings. Indest III, J.D.,

Medical Billing 40

Medical Billing Hospitals Governance 40

Health Populi

APRIL 12, 2024

Plainly put, we have 20 th Century laws governing 21 st century health care delivery. Hospital care is coming home. Most patients given the choice would rather receive acute, hospital-level care in the comfort, safety, and hygiene of their own homes. S 2016) and second, re-introduce and sign the Telehealth Modernization Act.

Doctors 77

Doctors Licensing Hospitals Governance 77

MedTrainer

MARCH 8, 2024

It educates employees on the laws, regulations, and policies governing their work and ensures they understand their responsibilities and obligations as healthcare professionals. Successful training is when team members understand and comply with various laws, regulations, and policies that govern the healthcare industry.

Compliance 52

Compliance Fraud Governance HIPAA 52

Medisys Compliance

MAY 19, 2022

The federal government, state Medicaid programs, and private insurers have expanded coverage for virtual health care services. During the COVID-19 public health emergency, any health care provider who is eligible to bill Medicare can bill for telehealth services regardless of where the patient or provider is located.

COVID-19 52

COVID-19 Medicare Medicare Medical Billing 52

Medisys Compliance

MARCH 31, 2023

Ohio Medicaid is a government-sponsored healthcare program that provides medical benefits to eligible individuals in Ohio. For example, hospitals and home health agencies may be subject to additional state and federal regulations, while individual practitioners may have fewer requirements to meet.

Medicaid 52

Medicaid Medicaid Licensing Medical Billing Outsourcing 52

AIHC

JUNE 6, 2023

We can all be hopeful that use of AI will improve disease diagnosis and monitoring, clinical workflow augmentation, and hospital optimization. Can AI Streamline Medical Coding & Billing Functions? This is certainly an area where advanced technology is needed to reduce overhead, improve compliance and reduce billing errors.

Compliance 59

Compliance Medical Billing HIPAA Due Diligence 59

Medisys Compliance

MAY 30, 2022

The Physician Certification Statement (PCS) is the written order certifying the medical necessity of non-emergency ambulance transports. The regulations governing PCS requirements are specified in the Code of Federal Regulations at 42 CFR 410.40(d). Defining Physician Certification Statement. Nurse practitioner (NP). Reference: [link].

Medical Billing Outsourcing 52

Medical Billing Outsourcing Medical Billing Medicare Medicare 52

AIHC

JUNE 6, 2023

We can all be hopeful that use of AI will improve disease diagnosis and monitoring, clinical workflow augmentation, and hospital optimization. Can AI Streamline Medical Coding & Billing Functions? This is certainly an area where advanced technology is needed to reduce overhead, improve compliance and reduce billing errors.

Compliance 52

Compliance Medical Billing HIPAA Due Diligence 52

Medisys Compliance

JULY 18, 2022

Prior to the Balanced Budget Act of 1997 (BBA), a SNF could elect to furnish services to a resident in a covered Part A stay, either directly, using its own resources; through the SNF’s transfer agreement hospital; or under arrangements with an independent therapist (for physical, occupational, and speech therapy services).

Medical Billing 52

Medical Billing Medicare Medicare Medical Billing Outsourcing 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. Medical Service: A screening colonoscopy, including removal of a benign polyp.

ACA 106

ACA Doctors Medical Billing Hospitals 106

HIPAA Journal

MARCH 30, 2023

Medical device cybersecurity is of significant concern as the number of devices used by hospitals continues to increase. Medical devices often have multiple vulnerabilities and run on outdated operating systems and provide an easy access point into healthcare networks.

Ransomware 92

Ransomware Fraud Governance Medical Billing 92

HIT Consultant

JANUARY 29, 2023

hospitals are experiencing staffing shortages, according to government data posted earlier this year. Caused primarily by the COVID-19 pandemic, nurses and doctors have left hospitals and healthcare clinics because of the dangerous, high-stress conditions. Chatbots are available 24/7 whereas, often, hospital staff cannot be.

COVID-19 98

COVID-19 Doctors Nurses Hospitals 98

Health Populi

AUGUST 2, 2021

This has raised the importance of price transparency, which is based on the hypothesis that if patients had access to personally-relevant price/cost information from doctors and hospitals for medical services, and pharmacies and PBMs for prescription drugs, the patient would behave as a consumer and shop around.

Doctors 129

Doctors COVID-19 Health Insurance ACA 129

Health Populi

APRIL 1, 2019

For mainstream Americans, “the math doesn’t add up” for paying medical bills out of median household budgets, based on the calculations in the 2019 VisitPay Report. Most Americans want government to do more to help them, the OECD survey found. hospital and healthcare Chief Financial Officers’ minds.

Medical Billing 111

Medical Billing Doctors Governance Hospitals 111

Med Law Blog

MAY 1, 2023

We saw that issue up close last year as the committee considered the role of PE firms in the increase of patients receiving surprise medical bills.” Similar issues were raised with respect to the private equity acquisition of Hahnemann Hospital. in United States ex rel.

Nursing Homes 52

Nursing Homes Malpractice Hospitals Nurses 52

Medisys Compliance

MARCH 27, 2023

These terminologies are briefly discussed below for better understanding: Provider enrollment: This refers to the process of enrolling a healthcare provider with an insurance plan or government program, such as Medicare or Medicaid. appeared first on Leading Medical Billing Outsourcing Services Company in the USA.

Malpractice 52

Malpractice Medical Billing Outsourcing Governance Patient Satisfaction 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

Healthcare IT Today

NOVEMBER 19, 2022

The digitization wave triggered by the HITECH Act and the ACA has yet to hit long-term care , John learned in his conversation with Bill Charnetski at PointClickCare. Hospitals that struggle to manage capacity and staffing risk bottlenecks , which hinder access to care and negatively impact patient outcomes.

ACA 84

ACA Medical Billing Hospitals HIPAA 84

AIHC

MAY 31, 2022

health care system relies heavily on third-party payers to pay the majority of medical bills on behalf of patients. Health care insurance fraud is a pressing problem, causing substantial and increasing costs in medical insurance programs. Avoid illegal incentives to join a hospital’s community.

Fraud 52

Fraud Compliance Officers Compliance Medicare 52

MedTrainer

FEBRUARY 20, 2024

Insurance credentialing is the process where a healthcare organization registers a healthcare professional through specific insurance networks or government payers , like Medicare or Medicaid, to receive reimbursement for services rendered during a patient’s visit. What is Insurance Credentialing?

Licensing 52

Licensing Medical Billing Compliance Medicaid 52

Health Care Law Brief

NOVEMBER 9, 2021

By way of background, the No Surprises Act and its implementing regulations provide new federal protections against surprise medical billing. 1] See, e.g., Centers for Medicare & Medicaid Services Fact Sheet, “Requirements Related to Surprise Billing; Part II Interim Final Rule with Comment Period (September 20, 2021) at [link].

Medical Billing 75

Medical Billing Due Diligence Compliance Patient Satisfaction 75

Health Populi

APRIL 1, 2020

In Brand Trust and the Coronavirus Pandemic , Edelman focuses its trust lens on the pandemic and consumers’ shaken confidence in business and government institutions. ” The medical community, our most-trusted human capital in the U.S., As Americans confront the clinical and fiscal realities of the coronavirus in the U.S.,

COVID-19 73

COVID-19 Doctors Nurses Governance 73

Medisys Compliance

SEPTEMBER 12, 2022

Medical billing is almost always a time-consuming, perplexing, and stressful experience with a lot of room for error in any typical practice. Medical specialists can either build their own billing team or outsource their medical billing services to medical billing companies. A Closer Look.

Medical Billing Services 98

Medical Billing Services Medical Billing Hospitals Medical Billing Outsourcing 98

Healthcare IT Today

JUNE 29, 2023

Understanding ASCs Regulatory Changes and Their Billing Practices Outpatient surgery centers (ASCs) perform many surgical procedures outside of hospitals. However, ASC billing practices must be followed to ensure proper reimbursement and regulatory compliance. ASC billing compliance has many benefits.

Compliance 52

Compliance Medicare Medicare Medical Billing 52

YouCompli

OCTOBER 17, 2023

An ear, nose and throat medical practice in Texas settled similar allegations by agreeing to pay $750,000. The government alleged that the provider knowingly caused false claims to be submitted by billing for E&M services at a higher rate of reimbursement than they were entitled to.

COVID-19 52

COVID-19 Compliance Fraud Doctors 52

Medisys Compliance

JULY 13, 2023

First, the person or entity must be eligible to receive Medicare payments under Medicare’s rules governing the assignment and reassignment of benefits. Change in treatment: Beneficiaries who have transitioned from no diabetes medication to any diabetes medication or have shifted from oral diabetes medication to insulin.

Medicare 52

Medicare Medicare Medical Billing Outsourcing Health Outcomes 52

Healthcare IT Today

JANUARY 4, 2023

Both UDI and medication serialized marking provide a digital identifier on medical devices used in patients, such as a pacemaker, and medications given to patients, essentially providing the ability to track and trace a device or medication. Matt Dickson, Senior Vice President, Communication Solutions at Carenet Health.

Hospitals 98

Hospitals Health Outcomes Medical Billing Nurses 98

Health Populi

FEBRUARY 4, 2019

The consumer-as-medical-bill-payor is now looking at foods with health benefits, first and foremost for heart health. Watch this space to morph as other grocers, along with hospitals, farmers markets, and food pantries, expand healthy food to people who really need it.

Doctors 123

Doctors Nurses Public Health Medical Billing 123

Hall Render

OCTOBER 6, 2023

The federal government plans to define “zero-emissions building” for the real estate industry. The Biden administration announced a new initiative that would prohibit unpaid medical bills from affecting American’s credit scores. Government officials originally estimated the cost of compliance at $4B.

Nursing Homes 40

Nursing Homes Governance Nurses Medical Billing 40

Healthcare IT Today

SEPTEMBER 19, 2023

For example, depending on whether physicians are sitting in their hospital office or their clinic office (and many doctors work in both), the insights they have into the medications their patients take can vary greatly. For first responders, access to medication history is often denied altogether.

Hospitals 125

Hospitals HIPAA Nurses Governance 125

AIHC

NOVEMBER 3, 2021

How would you feel if you knew your doctor shared his/her password to your personal medical records with an unauthorized user? What if someone in medical billing shared his/her password to your account (containing your medical and financial identity) with someone not authorized to access your information?

HIPAA 52

HIPAA Compliance Electronic Medical Records Governance 52

Innovaare Compliance

AUGUST 8, 2023

It’s a tool used to help patients know the price of a hospital service or product before receiving it. As of January 1, 2021, every hospital within the U.S. A display of shoppable services that makes it easy for consumers to view the itemized pricing of their hospital visit.

Medical Billing 40

Medical Billing Compliance Hospitals Doctors 40

Hall Render

AUGUST 19, 2022

Ambulatory surgery centers compete with hospitals for outpatient dollars. CDC to regain control of hospital pandemic data despite criticism. CISA warns of ransomware threat targeting healthcare, medical organizations. CISA warns of ransomware threat targeting healthcare, medical organizations. WHO to rename monkeypox.

COVID-19 40

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

Hall Render

MAY 19, 2023

Supplemental Grant for Rural Health Programs UAMS to Study Affordable Care Act’s Impact on Breast Cancer Treatment Arkansas Children’s Hospital Auxiliary Donates $1.4 Supplemental Grant for Rural Health Programs UAMS to Study Affordable Care Act’s Impact on Breast Cancer Treatment Arkansas Children’s Hospital Auxiliary Donates $1.4

Nurses 40

Nurses COVID-19 Hospitals Nursing Homes 40