Verisys

JANUARY 19, 2022

By outsourcing medical credentialing, hospitals can significantly reduce their costs. By outsourcing medical credentialing, hospitals can significantly reduce their costs. Due to the complex nature of medical credentialing, it requires coordination between several disparate departments within an organization. Human Resources.

US Department of Health and Human Services 52

US Department of Health and Human Services Hospitals Malpractice Compliance Officers 52

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.

US Department of Health and Human Services 146

US Department of Health and Human Services COVID-19 Medicaid Medicaid 146

Healthcare IT News - Telehealth

JANUARY 4, 2021

Financial/Revenue Cycle Management Population Health Precision Medicine Telehealth Workforce From vaccines to virtual care, enterprise imaging to precision medicine, these are the growth areas that will shape the direction of healthcare, this year and beyond.

US Department of Health and Human Services 213

US Department of Health and Human Services COVID-19 COVID-19 Vaccine Hospitals 213

Jane Sarashon

FEBRUARY 4, 2024

As a constant observer and advisor across the health/care ecosystem, for me the concept of a “health plan” in the U.S. Furthermore, health plan members now see themselves as medical bill payers, seeking value and consumer-level services for their health insurance premium investment. is getting fuzzier by the day.

US Department of Health and Human Services 70

US Department of Health and Human Services Health Insurance Medicare Medicare 70

Compliancy Group

MARCH 19, 2024

Hospitals and private practices aren’t the only enterprises with compliance obligations within this sector. Insurance carriers, cloud service providers, pharmacies, medical equipment manufacturers, and other organizations in this industry must comply with various health and safety regulations. No other industry in the U.S.

Regulatory Compliance 52

Regulatory Compliance Compliance US Department of Health and Human Services ACA 52

Healthcare IT News - Telehealth

NOVEMBER 25, 2020

Department of Health and Human Services' final rules regarding the Physician Self-Referral Law (also known as the Stark Law) and the Federal Anti-Kickback Statute. The American Telemedicine Association this week issued a statement in response to the U.S. WHY IT MATTERS.

US Department of Health and Human Services 168

US Department of Health and Human Services Telemedicine Medicaid Medicaid 168

HIPAA Journal

MARCH 29, 2024

While it is currently unclear what types of data were stolen in the attack, UnitedHealth Group said personally identifiable health information, eligibility and claims information, and financial information are likely to have been compromised. United Health Group has also confirmed that it has paid out more than $3.3 40% of the $3.3

Ransomware 97

Ransomware US Department of Health and Human Services HIPAA Hospitals 97

MedTrainer

FEBRUARY 29, 2024

The World Health Organization (WHO) defines a near miss as “an error that has the potential to cause an adverse event [patient harm] but fails to do so because of chance or because it is intercepted.” More than three-fourths (77%) were due to emergency department overcrowding and medication administration errors.

US Department of Health and Human Services 52

US Department of Health and Human Services Compliance Nurses World Health 52

Hall Render

JULY 28, 2023

million for rural hospital expansion Hospices in Arizona & other states receive scrutiny over concerns of fraud, waste & abuse Phoenix Children’s Building New 44,000-Square Foot Level IV Neonatal Intensive Care Unit Firefighters oppose Banner’s planned $400M hospital There’s a growing nurse shortage in Arizona.

US Department of Health and Human Services 40

US Department of Health and Human Services Nurses Nursing Homes Hospitals 40

YouCompli

DECEMBER 7, 2022

Do your hiring managers and Human Resources colleagues know what to look for? Department of Health and Human Services Office of Inspector General (OIG) has the authority to exclude individuals and entities from federally funded healthcare programs. Provision of unnecessary or substandard services.

Fraud 52

Fraud US Department of Health and Human Services Compliance Medicaid 52

Healthcare Law Blog

JANUARY 26, 2024

On December 13, 2022, the Centers for Medicare and Medicaid Services (“CMS”) issued a proposed rule, titled Advancing Interoperability and Improving Prior Authorization Processes (“Proposed Rule”), to improve patient and provider access to health information and streamline processes related to prior authorizations for medical items and services.

US Department of Health and Human Services 52

US Department of Health and Human Services Medicare Medicare Medicaid 52

AIHC

APRIL 10, 2024

Checklist for Individual & Small Group Practices Written by: Nancie Lee Cummins, CFE, CHA, CIFHA, OHCC, CHCM, CHCO, CORCM This article provides an overview of Health Information Technology for Economic and Clinical Health Act (HITECH) and basic checklist of policies and procedures for compliance of smaller health care organizations.

Compliance 99

Compliance US Department of Health and Human Services HIPAA Electronic Medical Records 99

Verisys

JUNE 13, 2023

Centers for Medicare & Medicaid Services : The US Department of Health and Human Services has issued a final rule update concerning guidelines for COVID-19 vaccination requirements for Long-Term Care Facilities (LTC) and Intermediate Care for Individuals with Intellectual Disabilities (ICFs-IID).

COVID-19 Vaccine 52

COVID-19 Vaccine US Department of Health and Human Services COVID-19 Licensing 52

Hall Render

JUNE 30, 2023

Report: Amazon Pauses 50-State Virtual Care Service Expansion UnitedHealth acquires Amedisys for $3.3B after home health provider reneges on Option deal Will the doctor see you now? Maybe not amid the changing healthcare landscape in the US. Here’s why.

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes Nurses Hospitals 40

Hall Render

SEPTEMBER 16, 2022

4 Health Systems Join Provider-Created Data Collective to Improve Care. Full 4th Circuit to tackle Medicaid fraud standard under False Claims Act. Rural hospitals in trouble if Congress doesn’t renew funding programs, AHA says. Why asking about social determinants of health is so important.

US Department of Health and Human Services 40

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

Healthcare IT Today

AUGUST 13, 2023

RockHealth.org announced its 2023 cohort of Innovation Fellows , with founders focused in areas such as mental health, end-of-life care, pediatric telehealth, and trauma care. At the same time, hospital-owned practices have seen their revenue return to pre-pandemic levels.

US Department of Health and Human Services 87

US Department of Health and Human Services Doctors Payment Systems Telemedicine 87

Healthcare IT Today

JANUARY 2, 2024

Combining this with the increasing number of digital-first health applications and services on the market, protecting data at every touchpoint is mission-critical. By analyzing policyholder data trends, health insurers can learn where their resources are over or underutilized and adjust as needed to better balance their initiatives.

Compliance 69

Compliance US Department of Health and Human Services HIPAA Health Insurance 69

Healthcare IT Today

JANUARY 6, 2023

As we head into 2023, we wanted to kick off the new year with a series of 2023 Health IT predictions. Digitally-enabled care is the future of telehealth – “telehealth” has become industry norm since the start of the pandemic and used as a catchall term for everything from virtual doctor’s appointments to at-home testing kits.

US Department of Health and Human Services 105

US Department of Health and Human Services Doctors Telemedicine Public Health 105

YouCompli

SEPTEMBER 13, 2023

Enforcement agencies are prioritizing efforts to deter FWA as more individuals enroll in government healthcare programs like Medicare and Medicaid, and telehealth services continue to evolve post-pandemic. For example, they can describe how to read a billing statement and identify services or supplies that were not provided.

US Department of Health and Human Services 52

US Department of Health and Human Services Compliance Officers Compliance Fraud 52

Hall Render

NOVEMBER 4, 2022

CVS Health, Walgreens each to settle all opioid cases for $5B. Rural hospitals plan to reject Congress’ program. Staff shortages make patient surges harder for children’s hospitals — and the situation won’t get better soon. Cullman Regional to build north Alabama’s 1st freestanding emergency department.

US Department of Health and Human Services 40

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

YouCompli

FEBRUARY 22, 2023

Raising prices on your hospital’s chargemaster can also raise your level of compliance grief. Most federal healthcare payors such as Medicare and Medicaid reimburse most providers on a prospective basis. It is “prospective” because hospitals and other providers know ahead of time what they will be reimbursed.

Compliance 52

Compliance US Department of Health and Human Services Overpayments Overpayment 52

HIT Consultant

MARCH 21, 2023

Clarissa Riggins, Chief Product Officer, Experian Health How do you solve a persistent and growing problem like claims denials? But hope rings eternal among caring, compassionate, creative revenue cycle management professionals across the country at health systems large and small.

US Department of Health and Human Services 52

US Department of Health and Human Services Patient Satisfaction Medicaid Medicaid 52

Healthcare Law Today

FEBRUARY 6, 2023

As of 2019 almost 95% of such persons had Medicare coverage and about half of those also had some sort of supplemental health insurance coverage. million per physician, respectively, in hospital revenues. The United States is aging, and becoming more obese, and the need for cardiologists will increase as a result.

US Department of Health and Human Services 52

US Department of Health and Human Services Electronic Medical Records Medicare Medicare 52

Innovaare Compliance

JUNE 21, 2023

The Inflation Reduction Act of 2022 has wide-ranging impact on payments for drugs used by Medicare beneficiaries, whether they are administered in the provider’s office (Part B) or used in the ambulatory setting (Part D). Part B drugs have had the fastest spending growth for drugs for Medicare. percent annually.

US Department of Health and Human Services 52

US Department of Health and Human Services Medicare Medicare Medicaid 52

Verisys

JANUARY 6, 2022

Federal payments for healthcare services account for 28% of all healthcare spending in the United States. Payments from Medicare, Medicaid, TRICARE, CHIP, and other federal programs are a significant source of funds for nearly every healthcare organization and provider. There are two types of OIG exclusions : permissive and mandatory.

US Department of Health and Human Services 52

US Department of Health and Human Services Fraud Medicaid Medicaid 52

Hall Render

APRIL 22, 2022

3 hacker gangs targeting hospitals. HHS Secretary Outlines FY 2023 Mental Health Investments at Senate Hearing. million in ARP funds to train health workers in local communities. Hospitals to receive a proposed 3.2% Patient generated data can be a key factor in reducing health inequity. HHS is giving $226.5

COVID-19 40

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

AIHC

APRIL 10, 2024

Checklist for Individual & Small Group Practices Written by: Nancie Lee Cummins, CFE, CHA, CIFHA, OHCC, CHCM, CHCO, CORCM This article provides an overview of Health Information Technology for Economic and Clinical Health Act (HITECH) and basic checklist of policies and procedures for compliance of smaller health care organizations.

Compliance 52

Compliance US Department of Health and Human Services HIPAA Electronic Medical Records 52

Verisys

FEBRUARY 23, 2022

As government agencies and national regulatory organizations pass more regulations and the need for healthcare services grows, healthcare compliance officers (HCOs) are more important than ever. Healthcare entities must comply with an increasingly complex and changing set of laws and regulations. HCO Qualifications. Reimbursement.

Compliance Officers 52

Compliance Officers Compliance US Department of Health and Human Services Governance 52

Med-Net Compliance

JULY 25, 2022

The Office for Civil Rights (OCR) at the US Department of Health and Human Services (HHS) announced the resolution of eleven investigations in its Health Insurance Portability and Accountability Act (HIPAA) Right of Access Initiative, bringing the total number of these enforcement actions to thirty-eight since the initiative began.

HIPAA 59

HIPAA US Department of Health and Human Services Nursing Homes Nurses 59

Healthcare IT Today

JANUARY 4, 2023

The following is a guest article by Nate Maslak, Founder & CEO at Ribbon Health. The ability to seek treatment from a doctor specializing in your specific medical need is beneficial and improves health outcomes. And consumers have come to expect and demand this personalization. Personalized Healthcare in Action . million in 2020.

US Department of Health and Human Services 64

US Department of Health and Human Services Doctors Health Outcomes COVID-19 64

MedTrainer

AUGUST 8, 2022

Once the validity of a physician has been checked, hospitals will know that the candidate has the right experience to perform in their position. . Should a hospital hire an inexperienced or excluded individual, they place the wellbeing of their patients in jeopardy, and put their institution at risk for being non-compliant.

US Department of Health and Human Services 40

US Department of Health and Human Services Medical Billing Hospitals Compliance 40

MedTrainer

FEBRUARY 13, 2022

Once the validity of a physician has been checked, hospitals will know that the candidate has the right experience to perform in their position. . Should a hospital hire an inexperienced or excluded individual, they place the wellbeing of their patients in jeopardy, and put their institution at risk for being non-compliant.

US Department of Health and Human Services 40

US Department of Health and Human Services Medical Billing Hospitals Compliance 40

Healthcare It News

AUGUST 7, 2023

The passing of the Telehealth Expansion Act of 2023 shows the federal government’s commitment to health equity, emphasizing the importance of increasing access to quality healthcare for all citizens, regardless of location or socioeconomic status.

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US Department of Health and Human Services Governance Patient Satisfaction Health Outcomes 199

Healthcare IT Today

JANUARY 10, 2024

As we kick off 2024, we wanted to start the new year with a series of 2024 Health IT predictions. Jason Considine, Chief Commercial Officer at Experian Health Staffing shortages will continue to be a major pain point for providers in 2024 and have a direct impact on their bottom line.

US Department of Health and Human Services 118

US Department of Health and Human Services Nurses Hospitals Telemedicine 118

Healthcare IT News - Telehealth

DECEMBER 5, 2022

Health equity and technological innovation are top priorities for the healthcare industry – with new standards, technology and policy driving the way. Despite innovations, a new study from the Yale School of Public Health finds the nation is losing ground on access to healthcare, with more barriers now than 20 years ago.

US Department of Health and Human Services 168

US Department of Health and Human Services Medicaid Medicaid Department of Veterans Affairs 168

Healthcare IT Today

OCTOBER 16, 2023

It’s always been pretty obvious that factors such as wealth, race, education, and the quality of food and water have enormous impacts on health. Given that the field is increasingly digitized and data-driven, health IT is responsible for collecting and analyzing social determinants of health (SDoH).

US Department of Health and Human Services 109

US Department of Health and Human Services COVID-19 Hospitals Public Health 109

Hall Render

MARCH 31, 2023

in 2022, survey finds Senate votes to end COVID-19 national emergency Why are 600+ rural hospitals at risk of closing? in 2022, survey finds Senate votes to end COVID-19 national emergency Why are 600+ rural hospitals at risk of closing? What happens if it disappears?

US Department of Health and Human Services 40

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