YouCompli

MARCH 29, 2023

In this article, she discusses several issues that hospitals and health systems need to consider as a result of the scheduled end of the COVID-19 public health emergency. Department of Health & Human Services (HHS) reports that 80% of the U.S. population previously received at least one COVID-19 vaccination.

Public Health 52

Public Health COVID-19 COVID-19 Vaccine Medicare 52

Medisys Compliance

MAY 19, 2022

During the COVID-19 Public Health Emergency (PHE), reimbursements for telehealth continue to evolve. The federal government, state Medicaid programs, and private insurers have expanded coverage for virtual health care services. See this list of telehealth services from the Centers for Medicare & Medicaid Services.

COVID-19 52

COVID-19 Medicare Medicare Medical Billing 52

Hall Render

FEBRUARY 22, 2024

In the FY 2024 IPPS Final Rule (the “Final Rule”), the Centers for Medicare & Medicaid Services (“CMS”) incorporated certain social risk factors into the Hospital Value-Based Purchasing (“VBP”) Program (“the Program”).

Hospitals 66

Hospitals Medicare Medicare Medicaid 66

C&M Health Law

JANUARY 25, 2023

Starting in 2023, the Administration will promulgate regulations to implement the Act’s provisions and to issue reports to Congress as required by statute, including on telehealth utilization, the Acute Hospital Care At Home program, pandemic preparedness efforts, and clinical trials reform, among others.

Medicaid 104

Medicaid Medicaid Medicare Medicare 104

Healthcare Law Blog

SEPTEMBER 6, 2022

In response to the COVID-19 Public Health Emergency (the “PHE”), the Centers for Medicare and Medicaid Services (“CMS”) issued numerous “blanket waivers” to increase access to medical services, and ease the regulatory burden on providers across the health care industry.

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COVID-19 Public Health Medicare Medicare 52

Health Law Advisor

AUGUST 14, 2023

2] This means, in most cases, that Medicare beneficiaries must now come to a physician practice’s office location to pick up their DME – including IUCs – when the DME items are furnished and billed by physicians or their practices. The IOAS exception does NOT apply.

COVID-19 52

COVID-19 Medicare Medicare Public Health 52

Healthcare It News

NOVEMBER 23, 2023

WA Health extends cloud contract with Atos Atos will continue delivering managed services, hybrid cloud, and core infrastructure services to Health Support Services (HSS), the ICT service provider for WA Health, following a contract extension. It has been working with HSS on the digital transformation of WA Health since 2019.

Public Health 265

Public Health Governance Hospitals Medicare 265

AIHC

JANUARY 28, 2022

For more information on filing compliance cost reports, attend the Medicare Cost Report Camp in March 2022 presented by KraftCPAs and sponsored by the American Institute of Healthcare Compliance. This is calculated based on the hospital’s relative share of uncompensated care nationally. In this rule, CMS will distribute roughly $8.3

Medicare 52

Medicare Medicare Hospitals Payment Systems 52

Healthcare IT Today

MARCH 22, 2022

However, if no action was taken to head this off, these rules were due to expire with the official end of the COVID-19 public health emergency. For some time now, special pandemic rules have been in effect which allowed providers to offer various forms of government-funded telehealth.

Public Health 132

Public Health COVID-19 Governance Medicare 132

Healthcare IT News - Telehealth

MAY 14, 2020

Rural hospital leaders say COVID-19 has magnified the need for access to telehealth – and that it's a mistake to rely on one-size, fits-all solutions for virtual care. Since January 2010, 126 rural hospitals have shut down, with nearly 600 more on the brink of closing.

Hospitals 196

Hospitals COVID-19 Medicare Medicare 196

Hall Render

JULY 28, 2023

Starting on August 1, 2023, Medicare validation edits will be activated to require service location addresses on the UB-04 hospital claim form to match exactly with the service location enrolled in Medicare’s Provider Enrollment, Chain, and Ownership System (“PECOS”).

Medicare 40

Medicare Medicare Compliance COVID-19 40

HIT Consultant

MARCH 8, 2022

The COVID-19 pandemic led to sweeping healthcare policy changes that enable vulnerable Americans to receive affordable health coverage and access essential safety net benefits. Under the PHE, states must keep Medicaid enrollees continuously covered, irrespective of their circumstances. .

Public Health 98

Public Health Medicaid Medicaid Health Insurance 98

Healthcare It News

DECEMBER 22, 2022

The American Telemedicine Association this week cheered the bipartisan omnibus appropriations bill from both houses of Congress for including a two-year extension for Medicare telehealth flexibilities that have been in place since the COVID-19 public health emergency was declared in 2020. WHY IT MATTERS.

Telemedicine 285

Telemedicine COVID-19 Medicare Medicare 285

Healthcare IT News - Telehealth

AUGUST 28, 2023

The Acute Hospital Care at Home waiver program from the Centers for Medicare & Medicaid Services has grown to 125 health systems and 289 hospitals in 37 states in less than three years. A number of other health systems and hospitals have secured waivers but haven't yet implemented a program.

Hospitals 106

Hospitals Medicaid Medicaid Medicare 106

Healthcare IT News - Telehealth

OCTOBER 14, 2021

A group of healthcare organizations announced this week the launch of the Advanced Care at Home Coalition, an advocacy effort aimed at creating a pathway toward safeguarding access to hospital-level services. The coalition's perspective, he said, is that regulators should "put guardrails on, but let us continue the good work.

Hospitals 150

Hospitals Public Health Patient Satisfaction COVID-19 150

Health Law Advisor

APRIL 13, 2023

Department of Health and Human Services’ Office of Inspector General (“OIG”) updated its Frequently Asked Questions (“FAQs”), drafting 13 FAQs aimed at easing the transition from COVID-era flexibilities to the end of the Public Health Emergency (“PHE”) on May 11, 2023.

Public Health 52

Public Health Fraud COVID-19 Medicaid 52

Healthcare IT News - Telehealth

NOVEMBER 25, 2020

The Centers for Medicare & Medicaid Services on Wednesday took several new steps to help U.S. hospitals manage the crush of new patients as the COVID-19 crisis worsens. Among them are new allowances for telehealth and remote monitoring, for what CMS is calling the Acute Hospital Care at Home program. WHY IT MATTERS.

COVID-19 193

COVID-19 Hospitals Nurses Medicaid 193

Medisys Compliance

APRIL 8, 2022

In this article, we briefly discussed these Medicare telehealth billing guidelines. Due to the provisions of the Consolidated Appropriations Act of 2021, the CMS continues to evaluate the inclusion of telehealth services that were temporarily added to the Medicare telehealth services list during the COVID-19 PHE (Public Health Emergency).

Medicare 59

Medicare Medicare Medical Billing Outsourcing Medical Billing 59

Healthcare IT News - Telehealth

MARCH 23, 2021

Now more hospitals and health systems are looking to expand their efforts beyond video visit-based virtual care, and push for expanded remote patient monitoring programs – up to and including the provision of acute care at home. They cleared the path for parity reimbursement during the public health emergency.

Hospitals 217

Hospitals COVID-19 Medicare Medicare 217

C&M Health Law

JANUARY 25, 2023

Throughout the COVID-19 pandemic, the Centers for Medicare and Medicaid Services (CMS) issued a number of waivers and flexibilities to help healthcare providers manage the influx of patients during the Public Health Emergency (PHE).

Hospitals 52

Hospitals COVID-19 Medicare Medicare 52

Bill of Health

JANUARY 10, 2022

While vaccination still provides powerful protection against hospitalization and death due to infection from Omicron, protection against symptomatic illness is weaker than before, particularly among those who have not received boosters. The benefits of public health policies to slow the spread and flatten the curve have rarely been so clear.

Public Health 364

Public Health Hospitals Governance COVID-19 Vaccine 364

Bill of Health

JANUARY 26, 2022

The MIEP overburdens county and local jails financially and jeopardizes public health. 2628 would support states and counties in delivering quality health care. Inmates need more health care, with chronic disease rates among inmates being more than double the general public. Legislation like H.R. 3514 and S.2628

Medicaid 293

Medicaid Medicaid COVID-19 Public Health 293

HIT Consultant

MAY 31, 2022

All the signs point to a bright and expansive future for hospital-at-home programs, which have been growing steadily since the Centers for Medicare and Medicaid (CMS) created the Acute Hospital at Home waiver program in November 2020. Patients are also less likely to be readmitted to the hospital. History and Drivers.

Hospitals 98

Hospitals Medicaid Medicaid Public Health 98

Hall Render

MARCH 28, 2023

On January 30, 2023, the Biden Administration announced the COVID public health emergency (“PHE”) will expire and end on May 11, 2023. Three-Day Prior Hospitalization/Qualifying Hospital Stay. This waiver provides temporary emergency coverage of SNF services without a qualifying hospital stay. Expedited Enrollment.

Public Health 40

Public Health Nurses Nursing Homes COVID-19 40

Bill of Health

JUNE 15, 2023

By Laura Dolbow Merck recently filed a lawsuit that challenges the constitutionality of the Medicare price negotiation program created by the Inflation Reduction Act. Merck argues that this form of price regulation charts a “ radical new course ” for Medicare that violates the Takings Clause of the Fifth Amendment.

Medicare 190

Medicare Medicare Medicaid Medicaid 190

C&M Health Law

AUGUST 10, 2022

On July 29, 2022, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that updates Medicare payment policies and rates for skilled nursing facilities (SNFs) and enacts changes to the SNF Quality Reporting Program and the SNF Value-Based Purchasing Program beginning in FY 2023.

Medicare 52

Medicare Medicare COVID-19 Nursing Homes 52

Healthcare It News

JANUARY 10, 2023

Early on in the pandemic, hospital executives saw telemedicine as a way to help close the maternal health gap , providing a number of pregnancy-related services, including lactation support, mental health support and at-home monitoring. THE LARGER TREND.

COVID-19 258

COVID-19 Hospitals Telemedicine Health Outcomes 258

Hall Render

MAY 2, 2023

Three-Day Prior Hospitalization/Qualifying Hospital Stay. Using the statutory flexibility under Section 1812(f) of the Social Security Act, CMS temporarily waived the requirement for a three-day prior hospitalization for coverage of a SNF stay. The F-Tag associated with this regulation is F-884. Benefit Period Blanket Waiver.

Nursing Homes 40

Nursing Homes Public Health Nurses COVID-19 40

Healthcare Law Today

JANUARY 4, 2023

million omnibus spending bill that became law December 29, 2022, the Centers for Medicare & Medicaid Services (CMS) extended, through December 31, 2024, the Acute Hospital Care at Home (H@H) initiative whereby individual hospitals may seek waivers to operate H@H programs. As part of the $1.7

Hospitals 52

Hospitals Nurses Medicare Medicare 52

Healthcare IT News - Telehealth

MARCH 14, 2023

The administration says it seeks to bolster the IT posture of federal agencies by making "intentional investments at the right time" as well as address cybersecurity, health disparities and public health infrastructure needs. Increasing public health resilience For the U.S. Discretionary funding of $10.5

Public Health 154

Public Health Medicare Medicare Governance 154

Healthcare IT News - Telehealth

JULY 27, 2021

Leading healthcare industry stakeholders on Monday implored top leaders in the House and Senate to help ensure, among other imperatives, that "Medicare beneficiaries [don't] abruptly lose access to nearly all recently expanded coverage of telehealth." " WHY IT MATTERS.

COVID-19 213

COVID-19 Medicare Medicare Public Health 213

Healthcare IT News - Telehealth

JUNE 20, 2023

A bipartisan group of legislators has reintroduced the Creating Opportunities Now for Necessary and Effective Care Technologies for Health Act – first introduced in 2016 – to expand opportunities and coverage for telehealth through Medicare. Remove unnecessary in-person visit requirements for telemental health services.

Medicare 131

Medicare Medicare COVID-19 Doctors 131

Healthcare Law Blog

NOVEMBER 30, 2022

During the COVID-19 pandemic, Medicare coverage expanded to include a vast arsenal of tools that help patients access medical services while keeping patients and practitioners safe. Department of Health & Human Services (“HHS”) declared a Public Health Emergency (the “PHE”). When does the PHE current expire?

Medicare 52

Medicare Medicare COVID-19 Fraud 52

Healthcare IT News - Telehealth

MAY 9, 2024

Healthcare providers will be assisted by the Australian Digital Health Agency in meeting this new requirement. WA expands virtual ED to mental health The WA Virtual Emergency Department will be adding a new mental health co-response model to support more persons in crisis in their homes. million ($5.2

Public Health 118

Public Health Medicare Medicare Governance 118

HIT Consultant

MARCH 31, 2022

What You Should Know: – Blessing Health System , an integrated rural health system selects Biofourmis , a virtual care and digital therapeutics provider to launch its own home hospital services. Delivering Acute-Level Hospital Care Inside Patients’ Homes. ” Rural Home Hospital Program Background.

Hospitals 52

Hospitals Patient Satisfaction Public Health Medicare 52

AIHC

NOVEMBER 15, 2022

Written by Joanne Byron , BS, LPN, CCA, CHA, CHCO, CHBS, CHCM, CIFHA, CMDP, COCAS, CORCM, OHCC, ICDCT-CM/PCS The Federal Hospital Price Transparency Rule helps Americans know the cost of a hospital item or service before receiving it. The regulation aims to improve the affordability of hospital care by promoting price competition.

Hospitals 52

Hospitals US Department of Health and Human Services Compliance Governance 52

Healthcare IT News - Telehealth

MARCH 18, 2020

" Covered entities seeking to use audio or video communication tech to reach patients where they live "can use any non-public facing remote communication product that is available to communicate with patients," said the agency. ON THE RECORD.

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COVID-19 HIPAA Nursing Homes Medicare 193