CMS to roll out 'birthing-friendly' hospital tag on Care Compare site
Fierce Healthcare
DECEMBER 7, 2021
CMS to roll out 'birthing-friendly' hospital tag on Care Compare site. Tue, 12/07/2021 - 15:43.
tag cms 
New CMS pilot to test payment scheme for pricey sickle cell gene therapies
Healthcare Dive
JANUARY 31, 2024
The CMS innovation center will coordinate insurance coverage across states to help patients access new treatments with multi-million-dollar price tags.
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Teladoc and Livongo merge; CMS proposes telehealth changes
Healthcare IT News - Telehealth
AUGUST 7, 2020
Primary topic: Telehealth Disable Auto Tagging: Short Headline: Teladoc and Livongo merge; CMS proposes telehealth changes Featured Decision Content: Region Tag: Global Edition Right Now:
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Policy Reversal Means Return of Per Day Fines for Nursing Homes
McBrayer Law Blog
OCTOBER 18, 2021
More > Tags: Centers for Medicare & Medicaid Services , Civil Penalties , CMS , Healthcare Providers , Long-Term Care , Long-Term Care Facilities , Medicare. For reference, the 2017 Guidance can be found here. The accompanying CMP Analytic Tool can be found here.)
CMS expands telehealth services but ATA wants more; DeepMind AI cracks protein folding challenge
Healthcare IT News - Telehealth
DECEMBER 4, 2020
Primary topic: Telehealth Disable Auto Tagging: Short Headline: CMS expands telehealth services but ATA wants more; DeepMind AI cracks protein folding challenge Featured Decision Content: Region Tag: Global Edition Right Now:
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OIG and CMS Audits Present New Round of Compliance Concerns for Healthcare Providers
McBrayer Law Blog
FEBRUARY 23, 2022
More > Tags: Audit , Centers for Medicare & Medicaid Services , CMS , COVID-19 , Healthcare Compliance Issues , Medicaid , Medicare , regulatory compliance. Just as the pandemic may finally be easing, federal focus on use of COVID-19 resources promises to increase healthcare providers’ stress.
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SCOTUS Blocks OSHA ETS; Healthcare Mandate Moves Forward
McBrayer Law Blog
JANUARY 14, 2022
The Court upheld, however, a similar rule for healthcare employers contracted with the Centers for Medicare and Medicaid Services (“CMS”) as further outlined below.
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WEBINAR - RHCs and FQHCs: What You Need to Know NOW about New CMS Regulations on Vaccine Mandates
McBrayer Law Blog
FEBRUARY 8, 2022
Posted In Centers for Medicare & Medicaid Services (“CMS”) , COVID-19 , Mandatory vaccination policies More > Tags: Centers for Medicare & Medicaid Services , CMS , COVID-19 , employer mandate , Healthcare Compliance Issues , Healthcare Provider , Healthcare Providers , Mandatory vaccination.
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Vaccination Mandate for Healthcare Facilities Blocked by Federal Court
McBrayer Law Blog
DECEMBER 6, 2021
More > Tags: CMS , coronavirus , COVID-19 , Healthcare Organizations , Healthcare Provider , Healthcare Providers , hospitals , Mandatory vaccination. Here’s what healthcare employers need to know.
HFMA 2023: The Importance of Digitizing Requests
MRO Compliance
JUNE 29, 2023
With CMS releasing their 2030 value-based care goals, payers are requesting even larger amounts of patient data to ensure risk adjustment premium accuracy, earn higher STAR ratings and manage their medical costs. Automated chart retrieval is performed at scale, leveraging modern HL7 FHIR APIs and MRO’s Enterprise Connector.
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Nursing Home Update: CMS Unwinds Vaccine Mandate and More Regulations as Public Health Emergency End Nears
Hall Render
MAY 2, 2023
COVID Regulations Impacted CMS issued several interim final rules during the PHE. Interim final rules are effective for a period of three years from the date of publication if CMS does not take further action. The CMS Memo addresses details on several interim final rules after the PHE ends. COVID Testing Requirements.
Update to CMS Guidance on Shared Health Care Facilities
Foster Swift
FEBRUARY 16, 2022
The Centers for Medicare & Medicaid Services (CMS) have recently released updated guidance regarding hospital co-locations arrangements. The Final Guidance is meant to address how CMS and other state agency surveyors will evaluate how hospitals share their space, services, and staff.
Workplace Violence: CMS Warns of Violations of Hospital Conditions of Participation
Healthcare Law Today
DECEMBER 8, 2022
On November 28, 2022, the Centers for Medicare & Medicaid Services (CMS) Center for Clinical Standards and Quality issued a memorandum to State Survey Agency Directors stating that hospitals risk Condition of Participation (CoP) violations for failure to adequately respond to and prevent incidents of workplace violence. §482.15(d)(1)
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CMS Guidance Ends Waivers for COVID-19
Foster Swift
APRIL 14, 2022
On April 7, the Centers for Medicare & Medicaid Services (CMS) issued an update to the COVID-19 emergency declaration blanket waivers for specific providers. Read More › Tags: Alerts and Updates , Health Care Reform , Hospitals , Medicare , Medicare/Medicaid.
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New "Attachments" transaction standard
The HIPAA Blog
MARCH 13, 2023
New HIPAA Standards for attachments and electronic signatures: I saw this in December and tagged it for blogging, but lost it in my overcrowded email folders. This is one of those super-insider-HIPAA deals, but CMS is proposing a new HIPAA standard transaction for attachments and e-signatures.
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Healthcare Providers Take Notice: AMA Updates E/M Codes for 2021
McBrayer Law Blog
APRIL 16, 2021
Posted In Centers for Medicare & Medicaid Services (“CMS”) , Code Enforcement , Medicare In addition to staying up to date on the constantly changing landscape of COVID-19 requirements, healthcare providers must also stay well-informed of industry changes unrelated to the pandemic.
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Pandemic Pivot to Telemedicine Creates New Compliance Issues for Healthcare Providers
McBrayer Law Blog
SEPTEMBER 28, 2021
In April of 2019, the Centers of Medicare and Medicaid Service (CMS) finalized rules to increase telehealth benefits for Medicare Advantage enrollees, effectively incentivizing health systems with high numbers of private Medicare plan recipients to invest in telehealth services.
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Ten California SNFs Settle with Attorney General for Quality of Care Allegations
Healthcare Compliance Blog
MARCH 15, 2022
This allegation includes over reporting the number of hours that nurses provided care to residents to the Centers for Medicare & Medicaid Services (CMS). Allegedly, this over reporting to CMS resulted in fraudulently increasing the facilities’ star ratings in some categories. Update as needed. Update as needed.
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Former CMS chief of staff previews 4 areas of value-based care in 2022
Healthcare IT News - Telehealth
DECEMBER 14, 2021
While Congress and CMS have considered permanently expanding access to telehealth and virtual care, there is a big price tag attached. CMS has taken regulatory action to increase availability of telehealth. However, CMS can't do it alone. What do you think will happen with telemedicine in 2022?
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Malnutrition Diagnosis Codes: The Compliance Danger You’re Not Taking Seriously Enough
McBrayer Law Blog
NOVEMBER 18, 2020
The Centers for Medicare & Medicaid Services ("CMS") also plans to implement review practices for malnutrition coding on a sample of inpatient claims. The increased payer audits will result in severe financial damage for hospitals and other MS-DRG applicable entities if they do not mitigate coding and documentation risks.
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BREAKING NEWS: CMS TO ENFORCE SNF COMPLIANCE IN OCTOBER
Health Care Performance
JUNE 29, 2022
Today, CMS issued new and revised. The new guidance for Phase 3 requirements includes the long-awaited F-Tag F895: Compliance and Ethics Programs. In addition to the surveyor guidance, CMS has posted training on the new compliance guidance for surveyors, and the updated. guidance for long-term care surveyors. IF YOU NEED HELP.
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Remote patient monitoring and virtual care – a paradigm shift
Healthcare IT News - Telehealth
NOVEMBER 27, 2023
By Andrea Fox | September 01, 2023 News Will CMS' Acute Hospital Care at Home waiver program become permanent? Region Tag: Global Edition Hide Collection: 0 Primary topic: Connected Health Signs point to yes – and mature remote patient monitoring and telemedicine tools will be key.
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121 Nursing Home Arbitration Agreements: Recent Trends in Citation Risks and Solutions
Hall Render
SEPTEMBER 22, 2023
When the nursing home and a resident resolve a dispute through arbitration, a copy of the signed agreement for binding arbitration and the arbitrator’s final decision must be retained by the nursing home for five years after the resolution of that dispute and be available for inspection upon request by CMS.
Where IT leaders should focus their energies in 2022
Healthcare IT News - Telehealth
JANUARY 28, 2022
This platform can include offering deeper dives into population health management, accurate cost of patient care, CMS and social data, supply chain optimization (especially when we are having issues with the supply chain on a global scale) and, most importantly, insight to bring more efficiencies in your daily hospital operations.
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Has telehealth hit the high watermark?
Healthcare IT News - Telehealth
AUGUST 4, 2020
In a swift and welcome response to COVID-19, the CMS announced rules to improve telehealth reimbursements across the board. CMS Administrator Seema Verma has since then made statements suggesting that telehealth waivers may be extended in the future. Featured Decision Content:
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What Are The Current Regulatory Changes And Compliance Requirements That ASCs Need To Be Aware Of In Their Billing Practices?
Healthcare IT Today
JUNE 29, 2023
New CMS and AMA guidelines, coding changes, and reimbursement methods have been implemented. CMS publishes a State Operations Manual with interpretive guidelines for surveyors. Medicare Payment Resources CMS implemented an Ambulatory Payment Classification-based payment methodology in 2008.
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Skilled Nursing Compliance Update: CMS Hands Surveyors Revised Details on How to Review the Staff Vaccine Requirement
Hall Render
OCTOBER 31, 2022
The Centers for Medicare & Medicaid Services (“CMS”) has retooled guidance it armed surveyors with regarding how to survey skilled nursing facilities for compliance with the CMS staff vaccine requirements. CMS is replacing QSO memoranda 22-07-ALL Revised , 22-09-ALL Revised and 22-11-ALL. Background. Surveyor Review.
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OCR Announces Resolutions to Eleven HIPAA Violations
Med-Net Compliance
JULY 25, 2022
Discussion Points: Review policies and procedures related to HIPAA and CMS record release requirements. Ensure that those who receive requests for record release are knowledgeable in the right of access standard established by OCR and the time frame required by CMS to ensure timely response.
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So Many Records, So Little Time: How to Manage Burgeoning Health Plan Requests
Healthcare IT Today
JUNE 15, 2023
And requests for patient data are predicted to intensify as health plans work to reduce per-member/per-month costs, earn higher STAR ratings, and meet the CMS 2030 value-based care goals. Medical record requests are digitized, and specific data requirements are tagged.
Skilled Nursing Update: CMS Adds New F Tag and Survey Guidance on COVID-19 Vaccine Requirement Regulations – REVISED
Hall Render
JANUARY 6, 2022
Nursing homes face possible citations, civil monetary penalties, denial of payments and—as a final measure—termination of participation from the Medicare and Medicaid programs by the Centers for Medicare & Medicaid Services (“CMS”) as they embark on complying with the new CMS COVID-19 vaccine requirements for their staff.
Health Care Real Estate Briefing – February 7, 2022
Hall Render
FEBRUARY 7, 2022
CMS issued guidance for skilled nursing facilities (“SNFs”) on how to deal with visitors during the pandemic. UC Davis Health is moving forward with its new $3.8B, 14-story hospital tower after the UC Regents approved the design, price tag and received commitments.
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How to Utilize Policy Management Software to Improve Quality of Care
Healthcare Blog
APRIL 26, 2023
Infection control, medication distribution and administration, pandemics, central-line insertion, patient- sensitive information , c onflict resolution —the volume of hospital policies and procedures grow with changes to CMS regulations and accrediting organization standards, evidence-based practice and new technology. link] Irving, A.
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How to win physician confidence in remote patient monitoring programs
Healthcare IT News - Telehealth
JANUARY 22, 2021
Today, many health devices and wearables are hitting the market, but not all are approved by the CMS for reimbursement. For reimbursement by the CMS, a device must be an FDA-listed device. Choose the right device to get reliable patient data and reimbursement.
2019: Healthcare IT gains new ground
Healthcare IT News - Telehealth
NOVEMBER 27, 2019
ONC, CMS leaders tell Senate HELP Committee time is of the essence. Experts from across health IT, including members of the HL7 board and advisory council, say the new standard can do big things for data exchange, but it's not a cure-all. by Mike Miliard May 08, 2019.
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Key Areas of Focus for Skilled Nursing Facilities as the Public Health Emergency Ends
Hall Render
MARCH 28, 2023
Blanket Waivers During the PHE, the Centers for Medicare & Medicaid Services (“CMS”) issued many versions and revisions to its memorandum entitled “COVID-19 Emergency Declaration Blanket Waivers for Health Care Providers” that announced blanket waivers for providers, including SNFs. CMS will end this waiver at the end of the PHE.
Beyond telehealth: the virtual care technology trends that will transform healthcare
Healthcare IT News - Telehealth
JUNE 12, 2020
The final interoperability and data-sharing rules, announced by CMS in April 2020, will ease data-sharing, reduce information blocking, and lead to more innovation in designing the seamless experiences of the future.
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FHIR Adoption and Implementation Challenges
HIT Consultant
FEBRUARY 8, 2023
Similar to a URL for a web page, every resource has an own identification tag. Devices and apps can easily obtain necessary data through that tag without going through laborious data exchange procedures. A resource may contain text, metadata, or bundled groups of data that together make up clinical documentation.
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Healthcare is broken. Electronic prior authorization might be the first step in fixing it.
Redox
SEPTEMBER 13, 2021
According to the 2020 CAQH index , PA is the single largest expense for the healthcare industry with a total price tag estimated at about $767 million annually. A 2017 Government Accountability Report estimated that PA saved CMS nearly $2 billion between 2012 and 2017 on a series of demonstration projects in just 7 states.
Aspects of Social Determinants of Health: An Introduction
Healthcare IT Today
OCTOBER 16, 2023
The Inpatient Quality Reporting (IQR) program, used by Centers for Medicare & Medicaid Services (CMS) to rate hospitals, now contain two measures of SDoH. Hopefully, at least, the measures will stimulate hospitals to ask the right questions, and CMS will know how needy their populations are.
Health Provider News
Hall Render
DECEMBER 1, 2023
to Recruit, Train Primary Care Students UAMS Gets $17.5M to Recruit, Train Primary Care Students UAMS Gets $17.5M to hospitals Propella Therapeutics, Pittsboro firm with 5 employees, sold for $175M Winston-Salem’s clinical research organization Javara raises $9.43
Health Provider News
Hall Render
APRIL 12, 2024
in billing fraud Arizona system names new CEO Banner Health CEO Peter Fine to retire after 24 years, handing the reins to health system president Four UArizona bioscience startups selected for Flinn Foundation program Gov.
Health Provider News
Hall Render
FEBRUARY 2, 2024
NATIONAL Amazon Pharmacy, One Medical pilot program integrates medication consultations Bad news for FTC’s noncompete ban Cigna to sell Medicare business to HCSC for $3.3B
A guide to connected health device and remote patient monitoring vendors
Healthcare IT News - Telehealth
MAY 6, 2020
Any abnormal responses or vital stats are tagged and reported to: a healthcare organization partnering with the employer, a clinician on the employer’s staff, or a human resources professional, for a referral to a COVID-19 testing site to confirm an infection and prevent spreading the virus in the workplace.
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TigerConnect unveils telehealth system to help providers fight COVID-19
Healthcare IT News - Telehealth
APRIL 16, 2020
TigerTouch allows providers to control communication by initiating communications with a patient’s cell number via text message, thus solving phone-tag and voicemail problems. The system also enables care providers to securely exchange photos, videos and file attachments on their smartphones. WHY IT MATTERS.
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