Fierce Healthcare

SEPTEMBER 13, 2021

CMS requiring insurers to submit data on air ambulance services, broker compensation. Mon, 09/13/2021 - 12:21.

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Healthcare Compliance Blog

APRIL 27, 2022

In analyzing the question of whether the rehabilitation center knowingly submitted the false claims, the court found that the center’s conduct “epitomizes ‘reckless disregard’ of the truth.” Issue: All submitted claims must be accurate and truthful.

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Medicaid Medicaid Compliance Governance 59

Healthcare It News

MARCH 29, 2022

Enterprise Taxonomy: Node settings: Exclude from Accelerate RSS feed

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FDA 233

HIT Consultant

AUGUST 3, 2023

What You Should Know: Movano Health , makers of the Evie Ring , the first medical-grade wearable smart ring for women announced that it has submitted a 510(k) premarket notification to the U.S. Food and Drug Administration (FDA).

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FDA 52

Hall Render

APRIL 8, 2022

The Department of Health and Human Services Health Resources and Services Administration (“HRSA”) published new Provider Relief Fund (“PRF”) guidance Wednesday, April 6, allowing recipients that failed to submit a required report on time to request approval to submit a late report.

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Mobi Health News

MARCH 24, 2022

The tech giant also provided an update on its artificial intelligence research and announced the expansion of YouTube's tools to mitigate the spread of health misinformation.

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FDA 134

Healthcare IT Today

DECEMBER 28, 2022

Back when patient portals were first introduced, one of the original concerns clinicians raised was that they were afraid that they would get too many patient messages and find themselves overwhelmed.

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Medicare Medicare Hospitals Telemedicine 84

Mobi Health News

MAY 25, 2023

The company's iPredict System allows providers to detect age-related macular degeneration in the clinical setting.

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Mobi Health News

OCTOBER 20, 2020

The company aims to expand on third-party thermometers that can be used with its FDA cleared birth control app.

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FDA 128

Healthcare Dive

AUGUST 2, 2023

The government is alleging plan administrator UMR improperly denied thousands of ER and drug screening claims submitted between 2015 and 2018.

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Governance 246

Hall Render

NOVEMBER 8, 2022

If your organization is a teaching hospital that disputes data in the CMS Hospital Cost Report Information System (“HCRIS”) file in connection with Section 131 of the Consolidated Appropriations Act (“CAA”), you have a deadline of November 18, 2022 , to submit information to your Medicare Administrative Contractors (“MACs”).

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Hospitals Medicare Medicare 40

Healthcare Dive

SEPTEMBER 29, 2022

The Massachusetts Health Policy Commission required the state’s largest health system to submit a cost-cutting plan, a first for the state board.

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Healthcare Dive

OCTOBER 3, 2022

The healthcare industry has made significant strides in care quality improvement, but its approach to submitting and paying claims is still overly complex.

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Healthcare Dive

FEBRUARY 2, 2022

The companies said the FDA, in an unusual step, requested they submit the clinical trial data they currently have while testing of a third dose in children under 5.

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COVID-19 Vaccine FDA COVID-19 246

Healthcare Dive

MAY 3, 2023

The company plans to quickly submit an application for U.S. approval based on the trial results, which showed a consistent benefit to treatment with the drug.

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Bill of Health

FEBRUARY 14, 2024

Of those, eight were filed in response to patent applications submitted by Mind Medicine, Inc. The USPTO eventually utilized the art submitted against ‘088 to reject the vast majority of the application’s original and amended claims on the basis that the prior art showed that the claims failed to meet the U.S.

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Licensing Governance Hospitals 296

Digital Health News

JANUARY 17, 2024

NHS England has written a letter to health service leaders reminding them of their requirement to submit nationally mandated returns during EPR launch.

Governance 113

Governance 113

Mobi Health News

JUNE 19, 2018

Walmart’s ongoing investigation of blockchain technologies seems to have intersected with its growing interest in joining the healthcare space, according to a patent application released earlier this week by the US Patent and Trademark Office.

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MRO Compliance

SEPTEMBER 19, 2023

During a RADV audit, CMS confirms that any diagnoses submitted by payers for risk adjustment are supported in the enrollee’s medical record. The Centers for Medicare and Medicaid Services (CMS) Medicare Advantage Risk Adjustment Data Validation (RADV) audit season peaks from March through April every year. View Full Article 

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Medicare Medicare Medicaid Medicaid 130

Fierce Healthcare

OCTOBER 2, 2023

government that it submitted false and inaccurate Medicare Advantage diagnostic codes in a bid to boost its reimbursement. Cigna will pay $172 million to settle allegations brought by a whistleblower and the U.S. Cigna will pay $172 million to settle allegations brought by the U.S.

Medicare 140

Medicare Medicare Governance 140

Healthcare Dive

AUGUST 22, 2022

UnitedHealth has submitted the highest offer for the Dallas, Texas-based home health firm at $30 per share, and Amazon's offer is close behind, according to the report.

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HIPAA Journal

MAY 2, 2024

Under the terms of the proposed settlement, class members may submit claims of up to $7,550 and will be reimbursed for out-of-pocket expenses incurred as a result of the data breach. Any individual who wishes to object to or be excluded from the settlement must do so by June 18, 2024, and all claims must be submitted by the same date.

Fraud 75

Fraud HIPAA Health Insurance Compliance 75

Wyatt Law Blog

FEBRUARY 16, 2024

Reports of small data breaches may be submitted to OCR annually, usually on March 1st, but because 2024 is a leap year, the reports are due on or before Thursday, February 29th. The deadline for notifying the Office of Civil Rights (OCR) of healthcare data breaches affecting fewer than 500 individuals is early this year.

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Mobi Health News

MAY 16, 2018

Verily Life Sciences has filed a patent application for a “smart diaper” carrying a sensor for detecting and differentiating between feces and urine. The diaper would also contain a transmitter capable of wirelessly communicating whether waste is present to a separate device via Bluetooth, WiFi, or other means.

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Fierce Healthcare

SEPTEMBER 27, 2023

The case was a test of whether a state's Certificate of Public Advantage exempted a health system from submitting to federal regulatory review.

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Hospitals 113

Hanys

APRIL 26, 2024

Recently, HANYS submitted comments to DOH on general hospital emergency services behavioral health regulations.

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Hospitals 52

Hanys

APRIL 19, 2024

Find full criteria and submit your nomination on our website. CHIA recognizes member programs that target specific community health needs while emphasizing the importance of health equity, leadership, collaboration with diverse community partners and achieving quantifiable results.

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Healthcare Dive

MAY 23, 2022

The drugmaker, along with partner BioNTech, plans to submit the new data to the FDA this week. The agency has scheduled a meeting for outside experts to review the data in mid-June.

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COVID-19 Vaccine COVID-19 FDA 130

Med Law Blog

FEBRUARY 8, 2024

Penn State Health has agreed to pay $11,712,336 to settle allegations of civil liability from submitting improper claims to Medicare for Annual Wellness Visit services.

Medicare 59

Medicare Medicare 59

Medisys Compliance

MAY 3, 2024

It details how the insurance company processed the claim submitted by the provider (you). Payment Information: This section provides instructions on how and where the patient can submit payment. Verify Your Coding: Double-check the accuracy of the submitted HCPCS codes. What is a Behavioral Health EOB and Why is it Important?

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Medical Billing Outsourcing Medical Billing Medicaid Medicaid 59

Hanys

APRIL 19, 2024

Recently, HANYS submitted comments to DFS on proposed behavioral health network adequacy and access regulations.

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HIPAA Journal

DECEMBER 12, 2022

In contrast to many settlements that allow claims to be submitted for documented losses, there are some caveats. Before submitting a claim, class members must also exhausted the IDX claim process. Claims for reimbursement of economic losses and lost time must also be submitted by February 20, 2023.

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Health Insurance HIPAA 101

HealthIT Answers

MARCH 22, 2024

Questions can be submitted beforehand via the registration form. March 26, 2024, from 1:00 to 2:00 PM ET: Register and join CMS for their virtual education session on the Interoperability and Prior Authorization final rule.

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Fierce Healthcare

NOVEMBER 28, 2023

Submit your company. Healthcare is a $4 trillion industry that is inviting disruption. Nominations are now open for Fierce Healthcare's Fierce 15 of 2024. Think you've got what it takes to make the list?

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Medisys Compliance

NOVEMBER 6, 2023

Compliance with Regulatory Guidelines Ensure that all claims are submitted per all applicable laws and regulations, including the Health Insurance Portability and Accountability Act (HIPAA), the Affordable Care Act (ACA), and the Medicare Fraud, Waste, and Abuse (FWA) laws. Ensure that all claims are submitted with the required documentation.

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Compliance Medical Billing Outsourcing Medical Billing ACA 59

Compliancy Group

JANUARY 25, 2024

Each year, organizations subject to OSHA must submit their OSHA 300 log. These businesses must electronically submit information from their OSHA 300 Logs, 301 Forms, and 300A Summaries to OSHA annually. Meeting the OSHA 300 reporting deadline is crucial to maintaining compliance and safety in your organization. What is an OSHA 300 Log?

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Compliance Hospitals 52

Fierce Healthcare

JUNE 12, 2023

Industry hospital groups are pushing the Centers for Medicare & Medicaid Services to consider a higher annual pay bump and to shed some light on why it believes the number of uninsured patients | Public comments submitted to CMS by the hospital lobby were critical of a "woefully inadequate" 2.8%

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Hospitals Payment Systems Medicaid Medicaid 119