Hall Render

JUNE 12, 2023

Information regarding related party transactions and associated reimbursement structures. If you have questions or would like additional information about this topic, please contact: Sean Fahey at (317) 977-1472 or sfahey@hallrender.com ; Brian Jent at (317) 977-1402 or bjent@hallrender.com ; or Your regular Hall Render attorney.

Nursing Homes 40

Nursing Homes Nurses Licensing 40

Healthcare IT News - Telehealth

JUNE 12, 2023

The necessity of telehealth has been a hot-button topic in healthcare discussions since the care modality went mainstream during the pandemic. Even with good healthcare coverage, all of these treatments and accommodations are costly – from copays, out-of-pocket expenses and lost income from missed work.

Telemedicine 178

Telemedicine Hospitals Medicaid Medicaid 178

HIT Consultant

FEBRUARY 7, 2024

It was the topic of countless articles, reports and even court cases. Because every touch negatively impacts margin and with the continuing growth in costs to deliver care and the declining reimbursement every penny counts. Matt Seefeld, EVP of MedEvolve Artificial intelligence (AI) dominated the headlines in 2023.

Hospitals 59

Hospitals 59

Healthcare IT Today

JUNE 29, 2023

Below is what they had to share on this topic! With the help of technology, healthcare organizations can flag at-risk patients early on and help them locate and leverage financial resources before they receive a bill they cannot afford. Proactively addressing affordability ensures that bad debt and uncompensated care are avoided.

Doctors 87

Doctors Hospitals Health Outcomes Nurses 87

AIHC

SEPTEMBER 5, 2023

If your practice is currently using a telebehavioral health approach for patient treatment, or if you organization is considering implementing this approach, we hope this article will give some food-for-thought on the topic. Not all forms of technology are recognized as services which can be reimbursed by health insurance.

Telemedicine 59

Telemedicine COVID-19 Compliance Informed Consent 59

Healthcare Law Blog

JULY 5, 2022

The panel discussions assessed which changes to healthcare delivery and reimbursement would continue after the pandemic, and in what format. Here, we provide an overview of what our healthcare law experts learned at the conference across relevant topic areas: Technology. Mental/Behavioral Health. Counseling Clients in Changing Times.

Fraud 52

Fraud Governance Ransomware Licensing 52

Healthcare IT News - Telehealth

AUGUST 27, 2020

Another challenge was how to leverage its digital billing platform to respond to the rapidly changing landscape of regulations and requirements around reimbursement. “Additionally, leveraging your EHR partner and solution can provide unexpected, helpful resources for any practice,” she concluded.

COVID-19 149

COVID-19 Nurses 149

AIHC

APRIL 25, 2022

Many organizations have centralized security management to make sure mobile devices accessing their internal networks or resources are compliant with their security policies. As AIHC advises, another resource is legal advice through your malpractice insurance company. Click Here for Cross-State Licensing information.

HIPAA 52

HIPAA Compliance COVID-19 Compliance Officers 52

Healthcare IT News - Telehealth

JANUARY 20, 2022

Digital transformation is the topic du jour in healthcare today. This trend to digital-first healthcare is accelerated by continuing innovation of digital applications in everything from care delivery to medical training and how providers are being reimbursed.

Doctors 178

Doctors COVID-19 Payment Systems Nurses 178

Healthcare Law Blog

FEBRUARY 2, 2023

Rollover consideration can be a uniquely hot topic, since it binds equityholders to terms that survive closing. healthcare compliance and reimbursement), and sometimes tax and employee benefits. For two recent developments on the topic of restrictive covenants, see our articles here and here. Define purchase price adjustments.

Due Diligence 52

Due Diligence Fraud Compliance 52

Healthcare IT Today

NOVEMBER 9, 2022

says that Congress recently permitted another two years of reimbursed televisits. As usual, sites that are already flush with cash and well-endowed with resources can find more cost savings. But at least one type of value-based care is getting reimbursed: digital monitoring for behavioral care. If the U.S.

COVID-19 93

COVID-19 Doctors Telemedicine Medicare 93

Florida Health Care Law Firm

JANUARY 31, 2022

Today’s Topic: Did you know that pharmacies and pharmacists continue to be a top enforcement priority for the U.S. The formulas for these compounded medications were designed to assure the highest reimbursement from payers. Department of Justice and the myriad health care fraud task forces around the country?

Fraud 52

Fraud Governance 52

AIHC

NOVEMBER 3, 2023

This article provides a very basic overview of a complex topic. Additional resources are listed at the end of this article. Is reimbursement up to speed? Investing in AI technology is costly and organizations will hesitate due to an unforeseen return on investment due to continued decline in reimbursement rates.

Department of Veterans Affairs 59

Department of Veterans Affairs Hospitals Compliance Nurses 59

Medisys Compliance

DECEMBER 27, 2022

You have the option to expand into additional international markets and gain access to high-quality resources from all over the world. Offshoring is a common topic of conversation everywhere. Our reliable billing and coding professionals will work to increase reimbursement and your practice’s revenue.

Medical Billing Outsourcing 98

Medical Billing Outsourcing Medical Billing Medical Billing Services Governance 98

Hall Render

JANUARY 11, 2023

Among other issues, developers and providers of mobile health apps should consider the following: Reimbursement – An increasing number of health care payors are reimbursing for certain digital health technology services. Other Resources.

Compliance 40

Compliance HIPAA FDA Due Diligence 40

Hall Render

JULY 14, 2023

increase is insufficient to allow reimbursement to keep up with inflation and other financial pressures the industry is facing. Agencies that fail to submit their quality data will have an additional 2% deducted from their reimbursement. CMS then addresses home health reimbursement in comparison to home health costs.

Medicare 52

Medicare Medicare Payment Systems Governance 52

Healthcare IT News - Telehealth

DECEMBER 31, 2020

" In 2021, "it will be critical for hospitals and health systems to put policies and resources in place that make the safety and well-being of frontline workers a top priority," said Lang. Providers & payers: Communication is key. There’s no going back." " Value-based care: New impetus for change.

COVID-19 218

COVID-19 Nurses Telemedicine Doctors 218

HIT Consultant

OCTOBER 14, 2021

“The explosion of telehealth will certainly be a hot topic at HLTH. Providers need more supportive resources to be successful in more meaningful and broadly distributed risk models. Virtual and hybrid care, policy changes, and wearable devices are some of the larger topics we will see because of the pandemic.

COVID-19 95

COVID-19 FDA Medicare Medicare 95

YouCompli

MAY 17, 2023

Here are suggestions on how to effectively build relationships and collaborate with Legal, Internal Audit, Human Resources, and Quality. Use topics like physician contracting to facilitate discussion about your charter. Human Resources Human Resources (HR) is a natural partner for Compliance. Care is delivered by humans.

Compliance 52

Compliance Compliance Officers Overpayments Overpayment 52

Healthcare IT News - Telehealth

JANUARY 22, 2021

While this has created an opportunity for health systems to digitally transform their care delivery model, not all health systems have the right resources and the organizational support to drive this change. Choose the right device to get reliable patient data and reimbursement. Observation.

US Department of Health and Human Services 175

US Department of Health and Human Services COVID-19 FDA Governance 175

AIHC

FEBRUARY 15, 2023

Both leaders and managers have to seek accomplishment with resources at their disposal, but true leadership requires more. When I first transitioned from nursing to coding and reimbursement, I had to develop a different skillset when working with our clinic’s providers.

Compliance 52

Compliance Nurses Medicaid Medicaid 52

Healthcare IT Today

SEPTEMBER 19, 2023

While the key components of privacy (administrative, uses and disclosures, individual rights, and general security) are all necessary today, I would put privacy, security, breach – and relevant 21 Century Cures Interoperability topics – all together and make sure everyone handling any type of sensitive information be subject to these rules.

Hospitals 119

Hospitals HIPAA Nurses Governance 119

Healthcare IT News - Telehealth

DECEMBER 21, 2021

Remote patient monitoring, technological advances that impact the balance of where and how care happens, and temporary reimbursement enacted by government and payers for the sake of the pandemic are three hot topics in telemedicine today. There is a lot to be gained by the opportunity to pool care resources together virtually.

Telemedicine 181

Telemedicine Governance 181

Healthcare IT Today

FEBRUARY 27, 2024

The previous article in this series introduced the topic of generative AI in the back office of healthcare. Is it any surprise that new technologies in health care pop up quickly in the area of reimbursements? This article starts to look at healthcare generative AI use cases. Payments are the constant obsession of every manager.

Medicaid 93

Medicaid Medicaid Doctors Medicare 93

Healthcare IT Today

OCTOBER 6, 2023

The following are their thoughts on this pressing topic. On-premise EHR servers drain valuable resources as they need to be replaced every 3 to 5 years and incur significant costs thanks to the large upfront installation fees and recurring price of regular backups. Scalability allows for cost-effective resource adjustments.

Hospitals 102

Hospitals Compliance 102

Pharmacy Law Blog

FEBRUARY 13, 2018

This decision has the effect of making it more difficult for law enforcement authorities to swoop in and seize all assets of a suspect, effectively depriving them of the resources to even hire an attorney (which is a common tactic in such cases). Innocent” Property Can’t Be Seized. So I can understand the U.S.

Fraud 40

Fraud Medicare Medicare Governance 40

Healthcare IT News - Telehealth

DECEMBER 5, 2022

Medicaid reimburses community health workers in a number of states and is now expanding to cover doula care as well. is working toward reimbursing doulas through Medicaid, and states like New Jersey, Minnesota, Oregon, Virginia and Florida are already leading the way in paying for doula care. Almost half of the U.S.

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

JULY 13, 2022

It’s not a topic we’ve spoken a lot about. Everyone is familiar with how GPS works in the real world … you have apps like WAYZ and Google Maps which are giving you real time location, visibility into resources, and where your car is parked. Our nurses are one of the most precious resources within hospitals.

Nurses 99

Nurses Hospitals Doctors Medicare 99

Healthcare IT Today

MAY 2, 2023

As a result, health equity has been a hot topic and organizations have been searching for solutions. We will likely see reimbursements being tied to the demonstration of equitable outcomes and equitable provision of services across patient populations and geographical boundaries.

Health Outcomes 95

Health Outcomes Governance Nurses Hospitals 95

AIHC

DECEMBER 2, 2021

At a recent AIHC HIPAA training event, this topic came up. We would like to share some resources to the question that was asked. Do you have an idea of where I should look or any additional resource I can use to support that an employee should not access his/her own records?

HIPAA 52

HIPAA Compliance Compliance Officers Health Insurance 52

Healthcare IT Today

JANUARY 18, 2024

As physician reimbursement and facility reimbursement continue to decline every year, hand surgeons look for ways to efficiently operate on patients without the cost, need and risk for general anesthesia. I think that’s because we’ve underinvested in and under-resourced our pediatricians.

Hospitals 74

Hospitals Compliance Health Outcomes Medicare 74

Healthcare Law Blog

JANUARY 11, 2023

Risk adjustment is intended to reimburse health plans and providers whose Medicare Advantage members have a higher burden of illness, and therefore require more care, than the average Medicare Advantage population.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

AIHC

JANUARY 5, 2023

Learn about the 7 steps to Medicare Compliance Medicare is federally regulated and requires healthcare providers to ensure that they comply with the many requirements before being eligible for reimbursement. If you're not sure where to start, there are several resources available that can help you develop a training plan.

Medicare 59

Medicare Medicare Compliance Medicaid 59

Healthcare IT Today

JANUARY 5, 2024

With legislation currently being drafted for nurses to receive the same reimbursement doctors and physicians do, this will likely become a top-of-mind topic in 2024. The recent Humana/Cigna news will be the first of many health plan mergers in 2024 as payers seek to align strategies and optimize resources.

Nurses 107

Nurses Medicare Medicare Health Outcomes 107

Hall Render

JUNE 15, 2022

In particular, the topics the FTC will be investigating as part of its inquiry mirror what many states have already begun to regulate with new state PBM legislation: pharmacy clawbacks and fees, steering of patients to PBM-owned or affiliated pharmacies, pharmacy audit practices and greater transparency with rebates and pricing methodologies.

Licensing 45

Licensing Health Insurance 45

Hall Render

OCTOBER 6, 2023

It’s still not enough for everyone. largest insurer eyes majority ownership of Guilford surgical center Yale New Haven Health has ‘mounting concerns’ on buying Waterbury, Manchester and Rockville hospitals Yale New Haven Health addresses burnout of health care professionals through peer-to-peer forums Patient wins $2.5M

US Department of Health and Human Services 40

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

Hall Render

OCTOBER 6, 2023

It’s still not enough for everyone. largest insurer eyes majority ownership of Guilford surgical center Yale New Haven Health has ‘mounting concerns’ on buying Waterbury, Manchester and Rockville hospitals Yale New Haven Health addresses burnout of health care professionals through peer-to-peer forums Patient wins $2.5M

US Department of Health and Human Services 40

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