The Health Law Firm Blog

MARCH 25, 2024

Board Certified by The Florida Bar in Health Law On February 16, 2024, a Parkland, Florida, man agreed to plead guilty to organizing a Medicare fraud scheme worth $110 million. By: George F. Indest III, J.D., The federal prosecution is taking place in the U.S. District Court for the District of Massachusetts.

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Healthcare IT News - Telehealth

SEPTEMBER 15, 2021

The Centers for Medicare and Medicaid Services (CMS) began to allow for reimbursement for videoconferencing between healthcare provider and patient. Since then, CMS has now expanded coverage for telehealth and telemedicine. According to CMS.gov , CMS is expanding access to telehealth services with Medicare.

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Healthcare IT News - Telehealth

AUGUST 29, 2022

Healthcare IT News sat down with Chirichigno to get an inside look at how a national telemedicine platform works, and why bilingual service is so important to the company. We provide virtual-first care for all of MVP Health Care's members in New York and Vermont, including Medicaid and Medicare as well as ACA members, amongst others.

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McBrayer Law Blog

SEPTEMBER 28, 2021

Posted In COVID-19 , Health Care Fraud , Healthcare Regulation , Telehealth The shift to telemedicine in the United States predates the pandemic, but COVID-19 has accelerated its widespread use.

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Telemedicine Compliance COVID-19 Fraud 64

Healthcare Law Blog

DECEMBER 1, 2023

The FY 2022 report highlighted a number of key enforcement initiatives including telemedicine fraud and exploitation, unnecessary COVID-19 testing and services along with fraudulently obtained COVID-19 relief funds, and opioid and prescription drug abuse.

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Healthcare IT News - Telehealth

APRIL 24, 2020

The Alliance for Integrated Care of New York (AICNY) oversees the healthcare needs of roughly 6,200 dually eligible Medicare and Medicaid beneficiaries with intellectual and developmental disabilities (IDD). There are a great many telemedicine technology and services vendors on the health IT market today. THE PROBLEM.

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Health Law Checkup

AUGUST 9, 2022

On July 20, 2022, the OIG released a Fraud Alert encouraging practitioners to exercise caution when entering into arrangements with telemedicine companies, given the various fraud and abuse risks associated with such arrangements, including an increased risk of fraudulent claims to Medicare, Medicaid, and other federal healthcare programs.

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Compliance Now

MARCH 15, 2022

This legislation permits sponsors of HDHPs to offer telemedicine services at no cost to participants, regardless of the plan’s annual deductible, without impacting participant HSA eligibility. The 2022 CAA reinstates these telemedicine protections for the period of April 1, 2022, through December 31, 2022.

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The Health Law Firm Blog

APRIL 8, 2024

million telemedicine fraud scheme. Indest III, J.D., Board Certified by The Florida Bar in Health Law On March 20th, 2024, the U.S. Attorney's Office, in the Middle District of Florida, announced that a Florida man pled guilty to conspiring to commit health care fraud in a $36.2 As part of [.]

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Healthcare IT News - Telehealth

JULY 22, 2022

Meanwhile, the Centers for Medicare and Medicaid Services' Center for Program Integrity also announced that it has taken administrative actions against more than 50 healthcare providers alleged to be involved in similar schemes. Polite, Jr. in a statement. billion, according to the department. billion in alleged fraud.

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Healthcare IT News - Telehealth

NOVEMBER 10, 2020

Prepare Now for Anticipated Changes to Medicare and Private Payer Rules. ” [i] “We have moved forward a decade in the use of telemedicine in this country, and it’s going to become and will remain an increasingly important part of physician practices going forward.” Anticipated New CMS Rules for Telehealth.

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Healthcare IT News - Telehealth

AUGUST 19, 2020

COVID-19 spurred Houston-based AccessHealth to quickly scale up its telemedicine offerings, just as it did with most other health systems nationwide. " Finally, prior to CMS loosening telemedicine policy for the pandemic, reimbursement was a concern. NextGen and Zoom for Healthcare both were proposed as telemedicine vendors.

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Healthcare IT News - Telehealth

MARCH 4, 2019

As a federally qualified health center, Vista Community Clinic is a safety net for its neighborhood, managing an uninsured or underinsured patient population – in this case, 58 percent Medicaid, 2 percent Medicare and 32 percent uninsured. THE PROBLEM. MARKETPLACE. MEETING THE CHALLENGE.

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Healthcare IT News - Telehealth

FEBRUARY 18, 2021

A Health Affairs study found that telemedicine use during the COVID-19 pandemic was lower in communities with higher rates of poverty – suggesting that the industry must address the digital divide in order to ensure widespread access to virtual care. During the COVID-19 period of the study, researchers found that 30.1%

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Healthcare IT News - Telehealth

SEPTEMBER 20, 2021

billion of that loss involved allegedly fraudulent claims related to telemedicine. "We have seen all too often criminals who engage in health care fraud – stealing from taxpayers while jeopardizing the health of Medicare and Medicaid beneficiaries," said Deputy Inspector General for Investigations Gary L.

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Healthcare IT News - Telehealth

JANUARY 25, 2021

According to a press statement from Thompson's office, it would: Eliminate most geographic and originating site restrictions on the use of telehealth in Medicare and establishing the patient’s home as an eligible distant site. Similarly, the Telehealth Modernization Act in last year's Senate also failed to gain traction.

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The Health Law Firm Blog

JULY 20, 2023

Board Certified by The Florida Bar in Health Law On April 6, 2022, Florida's Governor signed into law legislation to remove the state's prior restrictions on telemedicine prescribing of controlled substances. The new law in Florida allows healthcare providers to prescribe many controlled substances via telemedicine. Indest III, J.D.,

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Telemedicine Licensing Fraud Nurses 40

Med-Net Compliance

SEPTEMBER 23, 2022

A physician pleaded guilty in federal court to falsely certifying that products and tests were medically necessary for more than 2,000 Medicare and Medicaid patients in Missouri whom he never met or examined. The orders that he signed for durable medical equipment for Medicare beneficiaries caused Medicare to be billed more than $6.2

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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. introduced legislation earlier this month to codify Medicare reimbursement of virtual care at FQHCs and RHCs.

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Mobi Health News

JULY 16, 2018

Last week’s announcement of the Center for Medicare and Medicaid Services’ new fee schedule could mean a big increase in the amount of care given via telemedicine that’s reimbursed by Medicare. But for its state-funded cousin Medicaid, the availability of telemedicine services varies greatly based on where you are.

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Healthcare IT News - Telehealth

SEPTEMBER 27, 2021

The brief, which examined oversight efforts as of January and February 2020, stemmed from a survey of Medicaid directors from 37 states, as well as structured interviews with relevant stakeholders. In response to COVID-19, patients have regularly turned to telemedicine for behavioral health needs. The concern is not without merit.

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Healthcare IT News - Telehealth

NOVEMBER 2, 2020

More than 85% of the patients served by Temple are covered by government programs, including Medicare and Medicaid. Patients dually eligible for both Medicare and Medicaid make up roughly half of the Medicare inpatient base. More than 40% of total inpatient cases include a behavioral health diagnosis. MARKETPLACE.

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The Health Law Firm Blog

APRIL 24, 2022

Board Certified by The Florida Bar in Health Law On April 6, 2022, Florida's Governor signed into law legislation to remove the state's prior restrictions on telemedicine prescribing of controlled substances. The new law in Florida allows healthcare providers to prescribe many controlled substances via telemedicine. Indest III, J.D.,

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Health Law Gurus

DECEMBER 31, 2020

During the COVID-19 Public Health Emergency, the Centers for Medicare and Medicaid Services (the “CMS”) relaxed some rules to expand access to telehealth, including through audio-only communication platforms. The post New Audio-Only Telemedicine Bill to Expand Telehealth Beyond the Pandemic appeared first on Health Law Gurus.

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HIT Consultant

AUGUST 2, 2022

– Brave Health , a virtual-first behavioral health provider focused on serving Medicaid and Medicare populations, today announced an innovative referral partnership with MedArrive. The percentage of psychiatrists accepting Medicaid has been cut in half in the past decade.

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Healthcare Law Today

NOVEMBER 29, 2022

On November 1, 2022, the Centers for Medicare and Medicaid Services (CMS) finalized new policies related to remote therapeutic monitoring (RTM) services reimbursed under the Medicare program. The six primary Medicare RTM codes are Current Procedural Terminology (CPT) codes 98975, 98976, 98977, 98978, 98980, and 98981.

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Medicare Medicare Telemedicine Nurses 52

Medisys Compliance

JULY 27, 2023

How do I ensure compliance with Kentucky Medicaid and Medicare billing guidelines? Training and education: Ensure that the billing and coding staff receive appropriate training on Kentucky Medicaid and Medicare guidelines. Ensure that documentation aligns with the specific requirements of Medicaid and Medicare programs.

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Healthcare IT News - Telehealth

DECEMBER 13, 2021

The bill, the Telehealth Extension Act , would also end geographic and site restrictions on approved telemedicine services for Medicare beneficiaries. Despite being broadly popular on both sides of the aisle , the geographic- and site-related Medicare provisions the new bill would establish have yet to be enshrined by Congress.

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Healthcare IT Today

FEBRUARY 25, 2024

Roughly 83% of clinicians agree that telemedicine is effective for managing chronic conditions , according to a SteadyMD survey. Mental health service provider Brightside Health expanded Medicare and Medicaid coverage with payers in more than a dozen states.

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AIHC

FEBRUARY 7, 2024

Medicaid policies on this issue vary from state to state. Centers for Medicare & Medicaid Services (CMS) offers a 17-page PDF: “ Telehealth for Providers: What You Need to Know ”. It covers billing, Federal Medicare policies and State Medicaid policies.

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HIPAA Medicaid Medicaid Telemedicine 59

Healthcare IT News - Telehealth

SEPTEMBER 15, 2020

The initiative, a coalition of industry stakeholders including providers, payers and vendors, applauded efforts to make permanent changes to Medicare's statutory restrictions on telehealth coverage in its letter. Department of Health and Human Services to expand telehealth in Medicare. WHY IT MATTERS. THE LARGER TREND.

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Healthcare Law Today

NOVEMBER 9, 2022

Starting January 1, 2023, Medicare will cover telehealth-based treatment services delivered by federally-accredited opioid treatment programs (OTPs), commonly referred to as “methadone clinics.” Background and History of Medicare Telehealth Coverage of SUD Treatment. New Changes to Medicare OTP Telehealth Services.

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Medicare Medicare COVID-19 Telemedicine 52

AIHC

FEBRUARY 7, 2024

Medicaid policies on this issue vary from state to state. Centers for Medicare & Medicaid Services (CMS) offers a 17-page PDF: “ Telehealth for Providers: What You Need to Know ”. It covers billing, Federal Medicare policies and State Medicaid policies.

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HIPAA Medicaid Medicaid Telemedicine 52

Healthcare It News

JANUARY 19, 2022

It is Brooklyn's tertiary care hub serving diverse communities with large Medicaid, Medicare and uninsured populations. At the time, Maimonides was not engaged in any telemedicine or other digital health initiatives. THE PROBLEM. THE PROBLEM. " Rob Cimino, Maimonides Medical Center. And then March came."

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Healthcare IT News - Telehealth

FEBRUARY 3, 2023

An excepted benefit allows employers to finance additional medical care, like vision or dental coverage, according to the Centers for Medicare & Medicaid Services FAQs for insurance agents and brokers, requiring Congress to amend previous public health and funding laws. In an announcement about the bipartisan bill, Rep.

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Public Health COVID-19 Medicare Medicare 157

Med-Net Compliance

JULY 26, 2022

billion in alleged fraudulent telemedicine, cardiovascular and cancer genetic testing, and durable medical equipment (DME) schemes. Additionally, the Centers for Medicare & Medicaid Services (CMS), Center for Program Integrity (CPI), announced that it took administrative actions against 52 providers involved in similar schemes.

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Healthcare IT News - Telehealth

JUNE 3, 2020

The challenge now, says Dr. Joe Kvedar, president-elect of the American Telemedicine Association, will be integrating in-person care back into these reshaped clinical workflows. " The ATA is pushing for lasting policy initiatives, he said, such as Medicare payouts for non-rural patients and strengthening interstate licensure options.

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