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

Hall Render

MAY 2, 2023

As the COVID-19 pandemic took its toll, the year 2020 ushered in declarations of a National Emergency (“NE”) and a Public Health Emergency (“PHE”). If there were employees physically present at a work location, no exceptions were being made for in-person verification of identity and employment eligibility documentation for Form I-9.

Public Health 40

Public Health COVID-19 COVID-19 Vaccine ACA 40

Provider Trust

MARCH 16, 2022

Exclusions are administrative actions that are placed upon an individual or entity by HHS OIG, a state agency or Medicaid Fraud Control Unit (MFCU), or by one of the many agencies associated with SAM.gov. Additionally, there are varying, disparate State Medicaid exclusions sources that require periodic screening.

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

Medisys Compliance

MAY 30, 2024

Introduction Prediabetes, a condition characterized by elevated blood sugar levels that aren’t high enough for a type 2 diabetes diagnosis, is a growing public health concern. Public Health Reporting: ICD-10 codes facilitate disease surveillance and tracking of prediabetes prevalence.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Public Health ADA Medical Billing 59

Health Care Law Brief

JUNE 2, 2022

The onset of the COVID-19 public health emergency (“PHE”) led to a surge in the use of telehealth by health care providers. Variety of Risks Present in Telehealth Arrangements. The severity and type of risk present in a telehealth business will vary—by jurisdiction, by provider type, by service offering, and by payor mix.

Public Health 52

Public Health Compliance COVID-19 Licensing 52

Healthcare IT News - Telehealth

DECEMBER 14, 2020

The American Telemedicine Association, the Connected Health Initiative and other industry groups issued a letter to Congress on Friday urging legislators to extend temporary telehealth flexibilities until the end of 2021. ON THE RECORD. Taking Stock of Progress and Looking Ahead.

COVID-19 182

COVID-19 Telemedicine Public Health Medicaid 182

MedTrainer

SEPTEMBER 20, 2023

If you want to obtain or retain CMS certification in order to be reimbursed by services provided to patients with a Medicare/Medicaid health plan, you must comply with HIPAA rules and regulations. There are several accrediting organizations that require facilities to meet or exceed Medicaid and Medicare guidelines.

Medicaid 97

Medicaid Medicaid Medicare Medicare 97

Compliance Now

JANUARY 14, 2022

Based on the ruling, businesses with more than 100 employees do not need to continue enforcing the ETS requirements at the present time. COVID–19 is a highly contagious, dangerous, and—especially for Medicare and Medicaid patients—deadly disease. The Court voted 5-4 in the case of Biden v.

COVID-19 Vaccine 100

COVID-19 Vaccine COVID-19 Medicaid Medicaid 100

Kaiser Health News

NOVEMBER 27, 2023

Earlier this year, DeSantis blasted California for being too generous with public benefit programs, such as Medicaid, which the Golden State has expanded to all eligible residents regardless of immigration status. Obamacare Florida DeSantis has refused to expand Medicaid eligibility to more people under the Affordable Care Act.

COVID-19 Vaccine 99

COVID-19 Vaccine COVID-19 Medicaid Medicaid 99

Health Populi

JUNE 18, 2021

with employer-sponsored health insurance worry that a major health event in their household could lead to bankruptcy, according to research gathered by West Health and Gallup in Business Speaks: The Future of Employer-Sponsored Insurance. Health Populi’s Hot Points: U.S. One in two people in the U.S. households.

ACA 133

ACA Health Insurance Medicaid Medicaid 133

Healthcare IT News - Telehealth

MAY 25, 2021

HR 3447, or the "Permanency for Audio-Only Telehealth Act ," would allow for Medicare coverage of audio-only telehealth services after the COVID-19 public health emergency. However, those flexibilities will expire at the end of the public health emergency, noted legislators, presenting a clear need for long-term policy.

COVID-19 86

COVID-19 Medicare Medicare Public Health 86

Healthcare IT News - Telehealth

JULY 28, 2020

Lots of industry groups want to see the temporary government waivers enacted early on during the COVID-19 public health emergency – the ones enabling the vast expansion of telehealth and remote patient monitoring over the past four months – to be made permanent once the storm has subsided. And some legislators do too.

COVID-19 189

COVID-19 Public Health Nurses Medicare 189

Bill of Health

APRIL 11, 2022

They have been occurring at an accelerating rate for decades as the health care system consolidates and smaller facilities find themselves at a growing competitive disadvantage. However, COVID has presented a new and more formidable challenge. It has kept the wolf at the door at bay for many of them.

Hospitals 226

Hospitals Medicaid Medicaid Public Health 226

Provider Trust

JANUARY 25, 2024

Ensuring the Financial Integrity of HHS Programs In fiscal year (FY) 2022, improper payments within healthcare programs like Medicare, Medicaid, and Children’s Health Insurance Program (CHIP) were estimated at a staggering $131.6 With Medicaid, the challenges are equally formidable.

Fraud 52

Fraud Medicaid Medicaid Medicare 52

Healthcare IT Today

APRIL 29, 2023

The pandemic highlighted all too well the value of readily available and reliable public health data , noted Chris Anello at iTech AG. This has required the industry to rethink how this data is presented to the public, and getting that right requires an increased emphasis on how consumers interact with data.

Medicaid 107

Medicaid Medicaid Public Health Licensing 107

MedTrainer

NOVEMBER 28, 2023

For example, the Michigan Automated Prescription System (MAPS) and Health Professional Recovery Program (HPRP) are excellent resources that might also present extra challenges for managing healthcare compliance in Michigan.

Compliance 52

Compliance Licensing Public Health Compliance Officers 52

Healthcare IT News - Telehealth

SEPTEMBER 23, 2022

Now that President Joe Biden has declared the COVID-19 pandemic over, the ATA's Telehealth Awareness Week policy update webinar explored how federal and state telehealth policies may be affected as Congress decides whether or not to end the public health emergency (PHE). THE LARGER TREND.

COVID-19 126

COVID-19 Medicare Medicare Public Health 126

MedTrainer

JULY 28, 2023

Earlier this year, an in-depth OIG investigation resulted in a six-day trial of a former Louisiana health clinic CEO , who was ultimately convicted of Medicaid fraud and sentenced to 82 months in federal prison. Medicare/Medicaid Compliance Reviews. The OIG performs regular compliance reviews of Medicare and Medicaid providers.

Fraud 98

Fraud Compliance Medicaid Medicaid 98

MedTrainer

NOVEMBER 27, 2023

Managing healthcare compliance in Ohio presents a unique set of challenges for compliance officers, healthcare professionals, and administrators. For over a century, OHA has been dedicated to assisting member hospitals in addressing community health needs. Just like all states, Ohio has its own regulations and requirements.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

Provider Trust

AUGUST 9, 2023

This post will delve into the key highlights, focus areas, and accomplishments presented in the semiannual report, shedding light on the OIG’s crucial role in safeguarding the integrity of federal healthcare programs and addressing emerging challenges such as the COVID-19 pandemic.

Nursing Homes 52

Nursing Homes COVID-19 Fraud Medicaid 52

Healthcare IT News - Telehealth

JUNE 19, 2020

A bipartisan group of senators on Thursday introduced legislation to inventory telehealth programs nationwide and evaluate ways to plan for public health emergencies using virtual care. Tina Smith, D-Minn., "Telehealth is helping to provide continuity of care during the pandemic," said Smith.

COVID-19 171

COVID-19 Federal Policy Public Health Medicaid 171

MedTrainer

DECEMBER 7, 2023

The Medical Assistance Division (MAD) within the New Mexico Human Services Department (HSD) administers the state’s Medicaid program, providing essential healthcare services and financial assistance to eligible low-income residents and families in New Mexico.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

Health Populi

JUNE 24, 2021

In the larger public and population health context, on the patient side, we can expect the burden of disease beyond COVID to increase due to postponed care and treatment backlogs. This has been found to be the case in the U.S., for example, for heart disease and cardiovascular complications as well as for cancers.

COVID-19 108

COVID-19 COVID-19 Vaccine FDA Public Health 108

Healthcare IT News - Telehealth

OCTOBER 17, 2022

Since the COVID-19 public health emergency was declared in 2020, the Department of Health and Human Services has renewed the legislation every 90 days. Brad Kittredge, CEO and co-founder of Brightside Health, adds that the country will be short psychiatrists – between 14,280 and 31,109 – in just a few years.

US Department of Health and Human Services 160

US Department of Health and Human Services COVID-19 Telemedicine Public Health 160

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. "It's a pretty exciting time for telehealth," said Rep. Mike Thompson, D-Calif. "There's a lot of enthusiasm for doing this."

COVID-19 182

COVID-19 Electronic Medical Records Medicare Medicare 182

Healthcare IT Today

MARCH 24, 2023

Success Story #1: Moving Upstream to Identify Most Vulnerable Individuals to Prevent Homelessness There’s a common metaphor in public health about the need to move “upstream” to invest in preventive health, rather than wait for people to present at the “bottom of the river” with severe chronic illness.

Health Outcomes 102

Health Outcomes Public Health Medicaid Medicaid 102

Bill of Health

JANUARY 10, 2022

history, which is now killing more than 100,000 people a year, the country’s outdated and restrictive federal regulatory schemes that pertain to methadone and buprenorphine present a pernicious and persistent barrier to accessing OUD medications. However, during the worst drug poisoning crisis in U.S.

COVID-19 326

COVID-19 Governance Medicaid Medicaid 326

HIT Consultant

OCTOBER 20, 2023

Concerning Times for Seniors The Centers for Disease Control and Prevention (CDC) considers falls to be a public health concern, and with good reason. can be attributed to falls, including approximately six percent of Medicare and eight percent of Medicaid expenditures.

Pharmaceutical Industry 104

Pharmaceutical Industry Public Health Medicaid Medicaid 104

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 177

Telemedicine COVID-19 Medicare Medicare 177

Health Populi

MARCH 15, 2021

One-in-three people were also dealing with a mental health conditions, split roughly between anxiety disorders and depression of some type. voters support efforts to expand government subsidies for people to buy health insurance as well as for U.S. State Governors to expand Medicaid.

COVID-19 112

COVID-19 Health Insurance ACA Medicaid 112

Healthcare IT News - Telehealth

JUNE 17, 2020

Smith called attention to the nationwide calls for action sparked by the police killing of her constituent, George Floyd, and urged her colleagues to consider how telehealth can be a vehicle for health equity. Rheuban spoke to the potential barriers presented by uneven coverage from the private insurance sector. Dr. Karen S.

US Department of Health and Human Services 163

US Department of Health and Human Services Telemedicine COVID-19 Doctors 163

Healthcare IT News - Telehealth

SEPTEMBER 9, 2020

In a virtual public meeting this past Friday, members of the Medicare Payment Advisory Commission discussed how – and whether – to permanently expand telehealth in Medicare. During the meeting, the 15 commissioners present weighed the ideal fee schedule for physicians and what services might be included in the future.

Medicare 128

Medicare Medicare Public Health HIPAA 128

Health Populi

SEPTEMBER 14, 2021

a situation that was already challenging for millions of American families before the public health crisis emerged. To provide funding for federal research and programs that address food/nutrition security impacted by COVID-19 and to prevent adverse outcomes in future public health emergencies. month or $99 a year.

COVID-19 62

COVID-19 Public Health Medicaid Medicaid 62

Healthcare IT Today

NOVEMBER 3, 2022

Healthcare is currently undergoing an unprecedented transformation through a digital health revolution do you want to be at the epicenter of it? Experience presenting results to technical and non-technical audiences required, including experience with data visualization tools (e.g., Tableau, ggplot).

Electronic Medical Records 66

Electronic Medical Records Public Health Health Outcomes Medicaid 66

Health Populi

OCTOBER 16, 2022

Health policy experts from Manatt, Phelps & Phillips, AARP, and the United States of Care recently shared perspectives on the health care issues on voters’ and policy makers’ minds for the 2022 midterm elections. Health Populi’s Hot Points: While the overall U.S. from September 28, 2022.

Medicare 68

Medicare Medicare Medicaid Medicaid 68

Healthcare IT News - Telehealth

JANUARY 26, 2022

Healthcare IT News interviewed Griffin to take a closer look at what he will be presenting at the HIMSS22 conference. While each of the changes to loosen requirements has allowed telehealth to serve the needs of the public health emergency, there remain many questions about what the right balance will be going forward.

Fraud 148

Fraud Telemedicine COVID-19 Licensing 148

Healthcare IT Today

DECEMBER 1, 2022

IEHP is a health plan that covers two counties in Southern California – Riverside and San Bernardino County. They are a Medicare and Medicaid health plan insuring over 1.5 They liked including screenshots of those maps in their presentations and they grew accustomed to having something that they could hold onto.

Medicaid 94

Medicaid Medicaid Medicare Medicare 94