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.

COVID-19 52

COVID-19 Health Care Reform 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

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

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

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 Unfortunately, quality review activities sometimes come with a hidden price tag, especially if they’re inefficient or outdated.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

DECEMBER 23, 2020

More > Tags: Congress , coronavirus , Coronavirus Aid, Relief and Economic Security Act , COVID-19 , Medicare , Payroll Protection Program (PPP) , PPP , SBA. Included are many familiar provisions from the March CARES Act, with a particular emphasis on small business benefits and relief for health care providers.

COVID-19 52

COVID-19 Medicare Medicare 52

McBrayer Law Blog

NOVEMBER 18, 2020

Because the payment error rate was so high at a colossal 31%, Medicare-Severity Diagnosis Related Group ("MS-DRG") applicable entities must take note and prepare for a marked increase in Department of Health and Human Services Office of Inspector General ("OIG") audits for these coding practices.

Compliance 52

Compliance Overpayments Overpayment Medicare 52

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. In 2019 and 2020, its partners earned $300 million in Medicare savings, more than $120 million in shared savings, and quality scores exceeding 97%, the company reported.

Medicare 163

Medicare Medicare COVID-19 Telemedicine 163

HIT Consultant

NOVEMBER 15, 2022

Many of these treatments are drug-based gene therapies–- but they come with an extremely high price tag. Treatment with Zolgensma, a gene therapy treatment which has been shown to be effective in treating SMA, costs $2 million – a very high price tag. million gene therapy to treat a rare blood disorder. .

Governance 98

Governance Medicare Medicare Hospitals 98

Healthcare IT Today

JUNE 29, 2023

Medicare Certification ASCs must sign a contract with Medicare and meet its Conditions for Coverage (CFC) to be paid. ASCs must also meet Medicare’s Conditions for Coverage. Medicare Payment Resources CMS implemented an Ambulatory Payment Classification-based payment methodology in 2008.

Compliance 52

Compliance Medicare Medicare Medical Billing 52

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. Benefit Period Blanket Waiver.

Nursing Homes 40

Nursing Homes Public Health Nurses COVID-19 40

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 212

US Department of Health and Human Services COVID-19 COVID-19 Vaccine Hospitals 212

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

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 IT News - Telehealth

AUGUST 8, 2023

By Bill Siwicki | June 15, 2023 News How one practice's EHR helped offset its declining Medicare reimbursements The all-in-one practice management system reduced the amount of time a patient needs to spend in.

Nurses 101

Nurses Telemedicine Hospitals Medicare 101

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

Health Populi

FEBRUARY 29, 2024

Varda Shalev of Team8 discussed prospects for Care At Home Transformed tag-teaming with Deborah Di Sanzo, President of Best Buy Health. That’s a strong business model and habit that’s hard to break. In a webinar broadcast on 28 February, Prof.

Hospitals 126

Hospitals COVID-19 Payment Systems HIPAA 126

Health Populi

MAY 10, 2021

While the rate of increase year-on-year since then has slowed, the $300,000 price-tag for retiree health care costs is a huge number few Americans have saved for. I’ve tracked this survey for over a decade here on Health Populi, and updated the annual chart shown here to reflect a $40,000 increase in retiree costs since 2016.

COVID-19 113

COVID-19 Health Insurance Medicare Medicare 113

Health Populi

JULY 20, 2018

Tech companies like Apple, Google, Samsung and Withings are competing with fashion watch purveyors like Fossil (which boasts dozens of popular brands like Burberry, DKNY, Armani, Diesel, Tory Burch, Kate Spade, Callaway Golf, Skagen, Michele and Adidas, among others) and Tag Heuer.

Doctors 78

Doctors FDA Medicare Medicare 78

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

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.

Telemedicine 82

Telemedicine Health Analytics Governance Hospitals 82

Health Populi

MARCH 19, 2019

Payors have begun to recognize the value of nudging consumers toward over-the-counter products under Medicare Advantage plans. As an example, Kristin pointed to the Tylenol #WeCare campaign, shown in this video: IRI’s Nishat Mehta tag-teamed with Kristin, discussing the growth and importance of influencer campaigns and new marketing modes.

Health Insurance 59

Health Insurance Hospitals Medicare Medicare 59

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. 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

SEPTEMBER 28, 2022

Without action from Congress, most of the telehealth flexibilities will cease, cutting off telehealth access to a majority of Medicare beneficiaries. They ushered in an unprecedented wave of connected health technologies, particularly for Medicare beneficiaries. Region Tag: Global Edition. We cannot afford to let that happen.

COVID-19 116

COVID-19 Public Health US Department of Health and Human Services Medicare 116

Healthcare IT News - Telehealth

SEPTEMBER 27, 2022

Without action from Congress, most of the telehealth flexibilities will cease, cutting off telehealth access to a majority of Medicare beneficiaries. They ushered in an unprecedented wave of connected health technologies, particularly for Medicare beneficiaries. Region Tag: Global Edition. We cannot afford to let that happen.

COVID-19 107

COVID-19 Public Health US Department of Health and Human Services Medicare 107

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-19 212

COVID-19 Hospitals Medicaid Medicaid 212

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. For additional context and potential sticker-shock, note that long-term care in the U.S.

Medicare 56

Medicare Medicare Medicaid Medicaid 56

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

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. Spatially Health applies geospatial analysis to expand a provider’s understanding of SDoH data.

US Department of Health and Human Services 116

US Department of Health and Human Services COVID-19 Hospitals Public Health 116

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 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

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. s health, hospital chief says Raising Ky.’s

Nursing Homes 40

Nursing Homes Nurses Hospitals Medicaid 40

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

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

Nursing Homes 40

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