Healthcare It News

OCTOBER 27, 2023

In previous years, the USDA has funded food equity programs through Medicare and Medicaid. She reported positive results for diabetes sufferers from a study involving Instacart delivery of curated boxes of produce prescriptions to Medicaid population diabetic or pre-diabetic individuals for six months.

Medicaid 319

Medicaid Medicaid World Health Health Outcomes 319

HIPAA Journal

JUNE 8, 2023

The Iowa Department of Health and Human Services has announced there have been three separate breaches of the protected health information of Iowa Medicaid recipients in the past two months – two hacking incidents and an impermissible disclosure, all three of which involved third-party contractors.

Medicaid 98

Medicaid Medicaid Ransomware Health Insurance 98

Healthcare IT News - Telehealth

APRIL 10, 2020

The Centers for Medicare and Medicaid Services has temporarily suspended several regulations to enable hospitals, clinics and other providers to boost their front-line medical staff during the coronavirus pandemic.

Nurses 216

Nurses Medicare Medicare Licensing 216

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. For example, training a predictive model on the general population may be inaccurate when used in a Medicare or Medicaid population. Twitter: @SiwickiHealthIT.

COVID-19 363

COVID-19 Medicaid Medicaid Patient Satisfaction 363

HIT Consultant

APRIL 3, 2025

Unlike chronic hypertension, HDP requires more immediate and precise monitoring to address the sudden and acute risks it presents. Reimbursement challenges exist While RPM could provide immense benefits, some State Medicaid funding falls short. Addressing this oversight in reimbursement could enable RPM to reach its full potential.

Medicaid 87

Medicaid Medicaid Health Outcomes Hospitals 87

Compliance Now

MAY 5, 2022

The Centers for Medicare and Medicaid Services recently opened the much-anticipated federal Independent Dispute Resolution (IDR) Portal , a component of the No Surprises Act section of the Consolidated Appropriations Act of 2021 (the Act). By: Jessica Waltman, Principal, Forward Health Consulting.

Medicaid 189

Medicaid Medicaid Medicare Medicare 189

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). Many AICNY beneficiaries reside in group homes and use Federally Qualified Community Health Centers. THE PROBLEM. ” PROPOSAL.

Telemedicine 198

Telemedicine COVID-19 Medicaid Medicaid 198

Healthcare IT News - Telehealth

JUNE 28, 2021

" VanLandingham, who is senior counselor, Medicaid Policy/Acting Health IT at the agency, will be presenting at HIMSS21 this summer, HHS-OIG colleague, Assistant Inspector General for Legal Affairs Lisa Re. Overall, she says she hopes attendees leave their presentation with a sense of what compliance requires.

US Department of Health and Human Services 200

US Department of Health and Human Services Fraud Compliance Medicaid 200

Bill of Health

APRIL 11, 2022

However, COVID has presented a new and more formidable challenge. The highest scores on the Index tended to cluster in states in the South and West that have not accepted the Medicaid expansion under the Affordable Care Act. For patients in poorer rural areas, the risk of hospital closures presents an especially serious threat.

Hospitals 227

Hospitals Medicaid Medicaid Public Health 227

HIT Consultant

NOVEMBER 9, 2023

Director of Healthcare Strategy, LexisNexis Risk Solutions During the peak of the Covid-19 pandemic, over 10 million Americans enrolled in Medicaid – nearly a 14% increase from the beginning of 2020. A month before the public health emergency ended on May 11, 2023, 87 million individuals were enrolled in Medicaid.

Medicaid 64

Medicaid Medicaid COVID-19 Health Insurance 64

Healthcare IT News - Telehealth

APRIL 23, 2020

The Centers for Medicare and Medicaid Services also has temporarily suspended rules around telehealth , allowing care across state lines, and also allowing physicians to care for patients at rural hospitals “via phone, radio or online communication, without having to be physically present.” ” ON THE RECORD.

COVID-19 198

COVID-19 Telemedicine Medicaid Medicaid 198

Healthcare IT News - Telehealth

DECEMBER 14, 2020

Meanwhile, the Centers for Medicare and Medicaid Services recently issued a final rule making permanent some changes to telehealth , although Administrator Seema Verma said it would be up to Congress to ensure virtual care would not return to a wholly rural benefit. ON THE RECORD.

COVID-19 211

COVID-19 Telemedicine Public Health Medicaid 211

Healthcare IT News - Telehealth

MARCH 2, 2023

"We found that patients covered by Medicaid and Medicare had the highest in-person follow-up rates," they said. High rates of in-person follow-up were present only in specialties that require hands-on care, such as obstetrics and surgery.

Doctors 189

Doctors Telemedicine Medicaid Medicaid 189

Hall Render

JANUARY 29, 2025

The Centers for Medicare & Medicaid Services (CMS) is reinforcing its emphasis on hospice quality of care and identifying fraud. Services should not be curtailed due to staffing shortages, lack of supplies or inability to provide any service the hospice presents as part of its program.

Fraud 80

Fraud Medicare Medicare Compliance 80

Center for Health Insurance Reform

JULY 26, 2023

Last month, the Centers for Medicare & Medicaid Services (CMS) held the first ever CMS Health Equity Conference. CHIR members who attended the inaugural conference provide an overview of the meeting—including a presentation by CHIR’s Christine Monahan—and its implications for current and future health equity initiatives.

Medicaid 98

Medicaid Medicaid Medicare Medicare 98

Healthcare IT News - Telehealth

JULY 23, 2020

This past week, a bipartisan group of House representatives – all of whom were present on the call – introduced the Protecting Access to Post-COVID-19 Telehealth Act.

COVID-19 215

COVID-19 Electronic Medical Records Medicare Medicare 215

HIPAA Journal

JULY 4, 2024

SkinCure Oncology has notified 13,434 patients about an email attack that occurred in June 2023, and the Wisconsin Department of Health Services has announced a breach of the personal information of 19,150 Medicaid recipients. SkinCure Oncology believes files in those email accounts were viewed and potentially obtained in the attack.

Medicaid 117

Medicaid Medicaid Fraud Licensing 117

Healthcare IT News - Telehealth

JUNE 26, 2020

"I like that I can touch 10 patients instead of five in one day, and I can see them on my own rather than relying on someone else's assessment," said one provider quoted in the panel presentation. "I know their baseline and when they call, I send the [mobile telemedicine technicians] there."

COVID-19 202

COVID-19 Telemedicine Medicaid Medicaid 202

Compliancy Group

JANUARY 3, 2025

With so many providers falling onto the OMIG list and the need for hiring picking up speed, the traditional manual approach to managing these lists isnt just time-consuming but also presents a variety of risks. Simply put, the manual method isnt cutting it for healthcare businesses anymore, regardless of the organizations size.

Medicaid 52

Medicaid Medicaid Compliance Fraud 52

Health Populi

JUNE 18, 2021

Gallup and West Health presented their study in a webinar earlier this week; in today’s post, I feature a few key data points that particularly resonate as I celebrate/appreciate yesterday’s U.S. Compared with people enrolled in Medicaid, members of private insurance plans were more likely to have medical debt. households.

ACA 139

ACA Health Insurance Medicaid Medicaid 139

Healthcare Law Blog

JANUARY 20, 2023

To address social determinants, providers may need to resourcefully rely on non-clinical services or provide medical services in alternative settings, which may present reimbursement difficulties. CMS encourages State Medicaid Plans and Medicaid managed care plans to provide meaningful resources that intervene with adverse health events.

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

Healthcare IT News - Telehealth

NOVEMBER 6, 2020

In their presentation Hasselberg and Richman describe how they developed the new telehealth model, which capitalized on the psychiatric skills of their colleagues in Rochester while extending their reach into rural communities. " Michael Hasselberg, Rochester University Medical Center.

Hospitals 153

Hospitals Nurses Licensing Medicaid 153

Healthcare IT News - Telehealth

JULY 28, 2020

More than 100 physician groups, led by the American Medical Association, told the Centers for Medicare and Medicaid Services in no uncertain terms this past week that, while they supported temporary regulatory relaxations in response to COVID-19, they were strongly opposed to certain rules changes being made permanent. WHY IT MATTERS.

COVID-19 202

COVID-19 Public Health Nurses Medicare 202

Healthcare IT News - Telehealth

NOVEMBER 25, 2020

Meanwhile, the Centers for Medicare and Medicaid Services' final rule , "Modernizing and Clarifying the Physician Self-Referral Regulations," notes that the existing framework is tailored to a fee-for-service model.

US Department of Health and Human Services 202

US Department of Health and Human Services Telemedicine Medicaid Medicaid 202

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. healthcare system at the expense of patients."

Fraud 166

Fraud Telemedicine Medicare Medicare 166

Healthcare IT News - Telehealth

JUNE 19, 2020

The Centers for Medicare and Medicaid Services included phone-based services in its temporary expansion of telehealth benefits earlier this spring, but some lawmakers have pushed back against reimbursement parity for telehealth services compared to in-person care.

COVID-19 208

COVID-19 Federal Policy Public Health Medicaid 208

Healthcare IT News - Telehealth

MARCH 29, 2022

With a shortage of physicians to address the growing need for care, a lack of providers who accept Medicaid, and access issues due to transportation or office hour challenges, healthcare organizations are looking to technology to help bridge the gap. Addressing the increasing need for behavioral health services is a nationwide challenge.

COVID-19 146

COVID-19 Nursing Homes Nurses Licensing 146

Physician Credentialing Company

OCTOBER 31, 2024

This code is often used when patients present with some chronic condition or disease with complex symptoms. Detailed Medical History On patient presentation, the medical history of the patient is taken to make a probable diagnosis. History has many parts, and it starts with presenting complaints. When to use CPT code 99204?

Medical Billing 52

Medical Billing Compliance Doctors Medicare 52

Healthcare IT News - Telehealth

AUGUST 24, 2020

So the driving factors that might encourage that type of platform weren't present to allow for it," he continued. Centers for Medicare and Medicaid Services make permanent. "Traditionally, telehealth visits are not reimbursed by private payers, or, when they are, it's at a fraction of the cost.

US Department of Health and Human Services 204

US Department of Health and Human Services COVID-19 Federal Policy Medicaid 204

Provider Trust

MAY 9, 2023

What is a Medicaid Fraud Control Unit (MFCU)? But these programs cannot be controlled by Medicaid and Medicare alone. But these programs cannot be controlled by Medicaid and Medicare alone. With this legislation, Medicaid Fraud Control Units (MFCUs) were born.

Fraud 52

Fraud Medicaid Medicaid Nurses 52

HIT Consultant

AUGUST 15, 2023

The partnership brings yet another level of important care services into the home for health plans using MedArrive, especially those that serve Medicaid beneficiaries. More than one in four Medicaid beneficiaries have some form of CVD, rates that are often much higher than in other populations.

Medicaid 52

Medicaid Medicaid Health Outcomes 52

HIT Consultant

NOVEMBER 7, 2024

Jeff Geier, Cyber Security Leader at Pivotalogic California’s bold new CalAIM Medicaid transformation program is restructuring what partnership for health looks like across the state. This initiative presents a great opportunity for CBOs, which often lack the resources and expertise to undertake such comprehensive initiatives on their own.

Medicaid 52

Medicaid Medicaid Health Outcomes Public Health 52

Healthcare It News

AUGUST 13, 2021

IKC Inova Health System has relied on evidence-based solutions and standardized approaches to treat patients, earning recognition for excellence in healthcare from the Centers for Medicare and Medicaid Services (CMS), U.S. News & World Report Best Hospitals, and Leapfrog Hospital Safety Grades. THE PROBLEM.

Patient Satisfaction 258

Patient Satisfaction Hospitals Medicaid Medicaid 258

Healthcare IT News - Telehealth

SEPTEMBER 15, 2021

For healthcare providers, telehealth presents an opportunity to address patient care needs, improve the customer experience and reduce costs. The Centers for Medicare and Medicaid Services (CMS) began to allow for reimbursement for videoconferencing between healthcare provider and patient.

Telemedicine 195

Telemedicine COVID-19 Medicare Medicare 195

Medisys Compliance

JANUARY 23, 2025

Mental health providers should monitor updates from the Centers for Medicare & Medicaid Services (CMS) to ensure uninterrupted reimbursement. Conclusion The landscape of telehealth mental health billing in 2025 presents both opportunities and challenges. What Is the CPT Code for Telehealth in 2025?

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medicare Medicare Medical Billing 59

Healthcare IT News - Telehealth

JULY 19, 2019

" When it comes to ways states can be incentivized to adopt pro-telehealth policies, in the Medicaid world, they'll see more proof points from their peers that telehealth provides value – access at lower cost – to their beneficiaries. "The progress at the Federal level helps drive state action."

Telemedicine 153

Telemedicine Medicaid Medicaid HIPAA 153

Healthcare IT News - Telehealth

JUNE 17, 2020

At present, though telehealth has been a lifeline for many, Smith said, "we have already seen that telehealth is not the great equalizer." Rheuban spoke to the potential barriers presented by uneven coverage from the private insurance sector. Lamar Alexander, R-Tenn., Sanjeev Arora, founder and director of Project ECHO.

US Department of Health and Human Services 203

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