Foster Swift

FEBRUARY 16, 2022

The Centers for Medicare & Medicaid Services (CMS) have recently released updated guidance regarding hospital co-locations arrangements. Read More › Tags: Health Care Reform , Hospice , Hospitals , Medicaid Planning , Medicare , Medicare/Medicaid.

Health Care Reform 52

Health Care Reform Medicaid Medicaid Medicare 52

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.

COVID-19 Vaccine 52

COVID-19 Vaccine COVID-19 Medicaid Medicaid 52

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.

Telemedicine 64

Telemedicine Compliance COVID-19 Fraud 64

Symplr

SEPTEMBER 1, 2022

At the same time, medical staff leaders must frequently perform quality reviews to enable providers to keep or update their clinical privileges and to participate on Medicare/Medicaid panels. Unfortunately, quality review activities sometimes come with a hidden price tag, especially if they’re inefficient or outdated.

Hospitals 52

Hospitals Medicaid Medicaid Medicare 52

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.

COVID-19 52

COVID-19 Medicaid Medicaid Medicare 52

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.

Compliance 52

Compliance Overpayments Overpayment Medicare 52

Healthcare Compliance Blog

APRIL 18, 2022

The Oklahoma Attorney General Medicaid Fraud Control Unit (MFCU) initiated the investigation after a referral was received by the Oklahoma State Department of Health – Protective Health Services Long-Term Care regarding the report of a nursing home resident missing money from her room.

Nursing Homes 59

Nursing Homes Nurses Fraud Medicaid 59

Hall Render

MAY 2, 2023

The F-Tag associated with this regulation is F-886. The F-Tag associated with this regulation is F-887. The F-Tag associated with this regulation is F-888. The F-Tag associated with this regulation is F-884. The F-Tag associated with this regulation is F-885. COVID Staff Vaccine.

Nursing Homes 40

Nursing Homes Public Health Nurses COVID-19 40

Hall Render

SEPTEMBER 22, 2023

Surveys CMS has two citation tags for violations of the Arbitration Regulations, F-847 and F-848. When used appropriately, these agreements can streamline conflict resolution processes, but operators must tread carefully to ensure compliance with the regulations.

Nursing Homes 73

Nursing Homes Nurses Compliance Medicaid 73

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.

Hospitals 111

Hospitals Nurses Nursing Homes Medicaid 111

Healthcare IT News - Telehealth

DECEMBER 14, 2021

Caravan Health President and CEO Tim Gronniger previously was chief of staff and director of delivery system reform at the Centers for Medicare and Medicaid Services. While Congress and CMS have considered permanently expanding access to telehealth and virtual care, there is a big price tag attached.

Medicare 178

Medicare Medicare COVID-19 Telemedicine 178

Healthcare IT News - Telehealth

JANUARY 4, 2021

Hospitals will negotiate hard with Centers for Medicare & Medicaid Services and Medicare Advantage plans to be paid on a per month basis to ensure there is a continuous revenue stream, moving away totally from a fee-for-service agreement. They will seek supplier agreements that are more long term with lower upfront investments.

US Department of Health and Human Services 213

US Department of Health and Human Services COVID-19 COVID-19 Vaccine Hospitals 213

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). In F-Tags 622 Transfer and Discharge and 624 Orientation for Transfer or Discharge, CMS requires careful preparation before a resident is discharged or transferred from the facility.

Nurses 59

Nurses Fraud Medicaid Medicaid 59

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. F-888 is the citation tag that was created under 42 CFR Section 483.80(i), Key Surveyor Guidance Revisions. Enforcement.

Nurses 40

Nurses Compliance COVID-19 COVID-19 Vaccine 40

Hall Render

JANUARY 6, 2023

While the report noted the continued challenges posed by the economy and staffing shortages, it also noted that Medicaid reimbursements are set to increase in a number of states, and consolidation among regional players may create economies of scale that will boost the sector.

Nurses 40

Nurses Hospitals Medicaid Medicaid 40

Med-Net Compliance

JULY 25, 2022

After receiving a request, an entity that is regulated by HIPAA has, absent an extension, 30 days to provide an individual or their representative with their records in a timely manner.

HIPAA 59

HIPAA US Department of Health and Human Services Nursing Homes Nurses 59

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.

COVID-19 Vaccine 40

COVID-19 Vaccine COVID-19 Nurses Compliance 40

Healthcare IT News - Telehealth

NOVEMBER 27, 2019

Many want to target drug costs and the Centers for Medicare and Medicaid Services has mandated hospitals to post a list of their standard charges by diagnostic-related group, in an effort for consumers to have transparent cost options. And providers need to collect every penny owed them and combat revenue leakage.

Telemedicine 85

Telemedicine Health Analytics Governance Hospitals 85

Hall Render

MARCH 28, 2023

The end of the PHE has a significant impact on skilled nursing facilities (“SNFs”) as it ends the remaining regulatory blanket waivers, revisits resident Medicaid eligibility and changes many COVID regulations that were issued during the PHE. The F-Tag associated with this regulation is F-886.

Public Health 40

Public Health Nurses Nursing Homes COVID-19 40

Healthcare IT News - Telehealth

JUNE 12, 2020

The good news for telehealth is that the reimbursement environment has improved, with the Center for Medicare and Medicaid Services bringing telehealth and eVisits on par with in-person visits for the duration of the pandemic, along with a relaxing of rules for virtual consults across state lines.

COVID-19 213

COVID-19 Hospitals Medicaid Medicaid 213

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.

HIPAA 52

HIPAA Medicaid Medicaid Compliance 52

Hall Render

APRIL 12, 2024

New president tapped to lead major hospital system in Denver area New president to lead opening of $650M hospital in Wheat Ridge Telehealth program offers support to forensic nurses Colorado Medicaid program settles lawsuit over lack of mental health care for children Colorado is trying to cut prescription drug prices.

Nursing Homes 40

Nursing Homes Nurses Hospitals Medicaid 40

MedTrainer

AUGUST 2, 2023

Insurance Reimbursement Insurance companies — along with government programs like Medicare and Medicaid — require providers to be credentialed to ensure they meet specific standards and qualifications. Cloud-based credentialing platforms organize, expedite, and simplify credentialing by intelligently automating much of the process.

Malpractice 52

Malpractice Due Diligence Compliance Licensing 52

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. Another report from CODE calls for better tagging of data with SDoH. Like many SDoH tools, the analysis identifies vulnerable patients and does risk stratification.

US Department of Health and Human Services 108

US Department of Health and Human Services COVID-19 Hospitals Public Health 108

Jane Sarashon

MAY 20, 2022

But for people in the 50s and older, facing retirement sooner rather than later, the sticker-shock reality of a $315,000 price tag for health care costs will be a stress-inducing moment that could be long-lived.

Medicare 56

Medicare Medicare Medicaid Medicaid 56

Healthcare Law Blog

JANUARY 13, 2023

A lot of the week was spent with health plans and Medicare Advantage or Medicaid focused providers or management companies extolling the virtues of “whole person health,” “coordinated care” and other similar approaches. There are a lot of “blockbuster” drugs coming to market today and in the near future with eye-watering price tags.

COVID-19 98

COVID-19 Medicaid Medicaid Nurses 98

Hall Render

DECEMBER 1, 2023

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

Nursing Homes 40

Nursing Homes Nurses Ransomware COVID-19 40

Healthcare IT News - Telehealth

SEPTEMBER 28, 2022

” said the former HHS Centers for Medicare & Medicaid Services Administrator Seema Verma in June 2020. Region Tag: Global Edition. The current and previous administrations have expressed support for telehealth permanence. “I think the genie's out of the bottle on this one.”

COVID-19 124

COVID-19 Public Health US Department of Health and Human Services Medicare 124

Healthcare IT News - Telehealth

SEPTEMBER 27, 2022

” said the former HHS Centers for Medicare & Medicaid Services Administrator Seema Verma in June 2020. Region Tag: Global Edition. The current and previous administrations have expressed support for telehealth permanence. “I think the genie's out of the bottle on this one.”

COVID-19 112

COVID-19 Public Health US Department of Health and Human Services Medicare 112

Hall Render

DECEMBER 23, 2022

As a result, state Medicaid programs are looking for ways to cover rent and security deposits for their unhoused populations. North Carolina’s Healthy Opportunities Pilot Program (Medicaid 1115 Waivers) is one to watch. The average life expectancy of an unhoused person in the U.S. years of age compared to 78.6

Hospitals 40

Hospitals COVID-19 Nurses Medicaid 40

Hall Render

FEBRUARY 2, 2024

The fight over the deal is heating up. Groups aim to improve La. healthcare ranking, equity through advocacy Louisiana lawmakers call meeting on Blue Cross Blue Shield MAINE St.

Nursing Homes 40

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

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.

COVID-19 184

COVID-19 FDA Hospitals Elder Care 184

Bill of Health

FEBRUARY 21, 2024

Following the hypothetical above, as the number of cycles required to become pregnant skyrockets from one or two to twelve, the price tag also goes up from $30,000 to $180,000 or $360,000. In order to address these disparities, some states have begun to consider expanding their Medicaid programs to cover fertility care.

Fraud 257

Fraud Licensing Medicaid Medicaid 257

Hall Render

MARCH 22, 2024

To qualify, facilities must close their beds Amazon’s physician acquisition strategy As Many Hospitals Continue to Face Significant Financial Challenges, MedPAC Recommends Highest Ever Medicare Payment Update Change competitors step in but breaking up may be hard to do CMS to launch new primary care ACO program Congress unveils $1.2T

Nursing Homes 40

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

Hall Render

FEBRUARY 3, 2023

Naoto Ueno, UH Cancer Center’s new director Maui Health’s Mike Rembis to retire Addressing the shortage of licensed practical nurses IDAHO Idaho hospital investigates employee after ‘inappropriate hand gesture’ in social media post St. Luke’s launches investigation after social media post stirs controversy St.

US Department of Health and Human Services 40

US Department of Health and Human Services COVID-19 Nursing Homes Nurses 40

Hall Render

FEBRUARY 16, 2024

KU Health-Liberty Hospital deal faces lawmaker opposition Missouri Supreme Court again says state can’t deny Medicaid funds to Planned Parenthood National health care company adds merger to acquired former Cerner clinics Primary care companies with 13 St. The health system’s prices are already high.

US Department of Health and Human Services 40

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