Sheppard Health Law

JANUARY 20, 2023

In Lieu of Services and Settings Background Though federal healthcare programs generally excluded non-clinical services from reimbursement, the evolution of value-based care prompted managed care plans to provide alternative benefits to enrollees under flexibilities in their risk-based contracts. ILOSs must be cost effective.

Medicaid 52

Medicaid Regulations Federal Healthcare Hospitals 52

Sheppard Health Law

OCTOBER 27, 2021

On October 20, 2021, the Centers for Medicare and Medicaid (“ CMS ”) Innovation Center (“ Innovation Center ”) published a white paper detailing its vision for the next ten years: a health system that achieves equitable outcomes through high quality, affordable, person-centered care. Strategic Objective 1: Drive Accountable Care.

Medicaid 52

Medicaid Medicare Accountable Care Accountability 52

Etactics

JANUARY 24, 2023

You see, a judge sentenced Fernandez to three years in prison for her role in the conspiracy to commit healthcare fraud. She was also indicted for making a false statement in a situation involving a federal healthcare benefit program. They also received medically unnecessary services billed to Medicare and Medicaid.

Healthcare 52

Healthcare Physical Therapy Doctors Medicare 52

Etactics

SEPTEMBER 22, 2022

Fortunately, the Health Insurance Portability and Accountability Act (HIPAA) does help regulate healthcare fraud. Medical Identity Theft Example 1 In September of 2021, a Las Vegas resident received 144 months in federal prison and a $4,321,590.39 He and his wife faced heavy penalties from the federal court.

Healthcare 59

Healthcare Physical Therapy Medicare Accountability 59

Sheppard Health Law

JANUARY 6, 2023

trillion in funding across a range of domestic initiatives, including certain appropriations to healthcare and related programs. For instance, Medicaid will pay for non-opioid pain relief treatments separately from and in addition to a payment for a covered outpatient department service provided in 2025 through 2028. [24]

Healthcare 52

Healthcare Medicaid Medicare Hospitals 52

Healthcare It News

AUGUST 7, 2023

The passing of the Telehealth Expansion Act of 2023 shows the federal government’s commitment to health equity, emphasizing the importance of increasing access to quality healthcare for all citizens, regardless of location or socioeconomic status.

Primary Care 246

Primary Care Telemedicine Accountability Remote Care 246