Healthcare It News

DECEMBER 13, 2024

said they were also concerned about creating the potential for inappropriate prescribing that can increase spending for federal healthcare programs, noting that the Anti-Kickback Statute prohibits the willful payment of remuneration to induce patient referrals for Medicare or Medicaid-covered services or goods.

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HIT Consultant

APRIL 1, 2024

The allegations against TRG raise concerns about the quality of care patients may have received and the potential misuse of federal healthcare funds. Proper interpretation of radiology scans is crucial for accurate diagnosis and treatment of patients.

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Quality of Care Regulations Federal Healthcare Healthcare Providers 97

Health Care Law Blog

JANUARY 11, 2021

According to HHS, the Final Rule was intended to provide greater flexibility for healthcare providers to participate in value-based arrangements, ease unnecessary compliance burdens, and maintain safeguards to protect patients and Federal healthcare programs from fraud and abuse.

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Federal Healthcare Regulations Healthcare Providers Healthcare 52

NASHP

AUGUST 30, 2023

section 1395x(kkk)(2) and any amendments thereto, or regulations or guidance issued under federal law, and amendments thereto; and Meets other requirements of the hospital licensing authority deemed necessary of the health and safety of individuals provided rural emergency hospital services.

Hospitals 97

Hospitals Regulations Federal Healthcare Nursing 97

HIT Consultant

NOVEMBER 16, 2023

What You Should Know: – eHealth Exchange , a health information network (HIE), has announced a new incentive program aimed at encouraging healthcare providers and payers to adopt Networked FHIR. The program is open to all non-federal healthcare providers and payers in the United States.

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HIT Consultant

MARCH 8, 2022

The end of the PHE is one of those rare events where everyone—ranging from hospitals, insurers, and the Centers for Medicaid and Medicare to federal and state marketplaces, human services agencies, and advocacy groups—is in this together, with one common mission: All Americans must have affordable health insurance, so society, as a whole, prospers.

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Medicaid Primary Care Care Transition Federal Healthcare 98

p3care

NOVEMBER 14, 2022

The illegal billing issues and frauds in Medicare, Medicaid, and other Federal Healthcare programs are carter by OIG. According to the Office of General Inspector (OIG), getting familiar with the rules and regulations is another way to avoid the trap. You get aware of the illegal billing practices by getting engaged with OIG rules.

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Regulations Prevention Medicare Medicaid 100

Health Populi

DECEMBER 6, 2018

In 2006, Medicare Part D launched, which may have boosted consumers’ faith in Federal healthcare programs. This sentiment has been relatively stable since 2000 except for two big outlying years: a spike of 69% in 2006, and a low-point in 2003 of 42%.

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HIT Consultant

JANUARY 9, 2025

Atropos Evidence Network: Access to the industry’s largest federated healthcare data network, with over 300 million patient records. Green Button: A tool that simplifies the process of asking clinical questions and generating RWE. Forge: A low-code research platform for rapid cohort creation and advanced patient studies.

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Federal Healthcare Health Data Healthcare 52

Home Health Care

NOVEMBER 21, 2024

Brent’s experience working with state and federal healthcare policy makers and managed care organizations will be invaluable as we continue to grow and execute our strategic plans. Brent brings a wealth of health care knowledge from over 20 years of leadership at Centene Corporation.

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Medicaid Medicare Home Care Performance improvement 45

Etactics

FEBRUARY 2, 2024

The List of Excluded Individuals/Entities is the database that contains the organizations and individuals banned from participating in federal healthcare programs. For one, you are likely to find your claims coming back as rejected by the federal healthcare program. In fact, there is an entire list dedicated to the issue.

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HIT Consultant

SEPTEMBER 14, 2022

Federal agencies: catalysts of change. Federal healthcare providers, such as the Veterans Health Administration (VHA), Defense Health Agency, and Indian Health Service are uniquely positioned to lead this transformation. These agencies serve a large portion of the U.S. Private sector innovation.

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Telemedicine Doctors Federal Healthcare Integration 52

Sheppard Health Law

JANUARY 17, 2024

Among other things, the Requestor: (i) did not itself provide any services that were eligible for reimbursement under any Federal healthcare program to any of its clients, (ii) did not have an ownership or investment interest in any entity that provided items or services paid for by any Federal healthcare program, and (iii) received compensation from (..)

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HIT Consultant

AUGUST 21, 2023

Moore is an experienced professional with a background in privacy and security law, technology, and healthcare. He was a leader of the Federal Healthcare Practice, Federal Practice IT Operational Leader, and a member of the Federal Practice’s Operational Leadership Team.

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Cloud Blogs

APRIL 5, 2023

Cloud scale analytics driving operational excellence within federal healthcare — Tuesday April 18, 1:00 PM to 2:15 PM CT. Join us for a panel discussion on utilizing cloud-based analytics to improve the efficiency and effectiveness of Federal Healthcare agencies. Register here today.

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Healthcare Federal Healthcare Patient Experience Nursing 52

Cloud Blogs

APRIL 5, 2023

Cloud scale analytics driving operational excellence within federal healthcare Tuesday April 18, 1:00 PM to 2:15 PM CT. Join us for a panel discussion on utilizing cloud-based analytics to improve the efficiency and effectiveness of Federal Healthcare agencies. Register here today.

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Healthcare Federal Healthcare Patient Experience Nursing 52

Patient Safety Movement

JULY 28, 2023

4C: Develop Federal Healthcare Delivery Systems’ Capacities and Showcase Results as Exemplars for Safer Healthcare. 4A: Develop a National Patient Safety Research Agenda. 4B: Harness Revolutionary Advances in Information Technologies. View the Report in PDF

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Patient Safety Accountability Federal Healthcare Prevention 52

Patient Safety Movement

JULY 28, 2023

4C: Develop Federal Healthcare Delivery Systems’ Capacities and Showcase Results as Exemplars for Safer Healthcare. 4A: Develop a National Patient Safety Research Agenda. 4B: Harness Revolutionary Advances in Information Technologies.

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Patient Safety Accountability Federal Healthcare Prevention 52

ACHE

MARCH 4, 2021

In this session hosted by the International Hospital Federation, healthcare leaders from across the world will share their experiences and insights of leading through the COVID-19 crisis. Congress on Healthcare Leadership is the premier educational and networking event for healthcare executives.

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Hospitals Patient Safety Federal Healthcare Healthcare 68

Sheppard Health Law

OCTOBER 10, 2023

The federal government has recently started paying a small amount for certain federal healthcare program members who receive care coordination from providers. However, this initiative does not require coordination with the larger healthcare environment, and therefore remains siloed for now.

Federal Healthcare 52

Federal Healthcare Healthcare Integration 52

NASHP

AUGUST 30, 2023

section 1395x(kkk)(2) and any amendments thereto, or regulations or guidance issued under federal law, and amendments thereto; and Meets other requirements of the hospital licensing authority deemed necessary of the health and safety of individuals provided rural emergency hospital services.

Hospitals 52

Hospitals Regulations Federal Healthcare Nursing 52

Triage Health Law

JUNE 29, 2021

Each year it gets more popular and entrenched in the existing healthcare system, making future challenges to the law increasingly unlikely. Additionally, with a new friendly Democratic presidential administration, the federal healthcare debate seems poised to move on to new issues.

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Federal Healthcare Hospitals Healthcare 40

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. What happened that led to a woman spending three years in prison?

Healthcare 52

Healthcare Physical Therapy Doctors Medicare 52

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.

Medicaid 52

Medicaid Regulations Federal Healthcare Hospitals 52

Sheppard Health Law

AUGUST 24, 2021

Health plans and issuers racing to implement overlapping price transparency and disclosure requirements in response to the Transparency in Coverage final rule (TiC Final Rule) and the Consolidated Appropriations Act, 2021 (CAA) received a welcome reprieve via guidance published August 20.

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Regulations Hospitals Healthcare Federal Healthcare 98

Sheppard Health Law

AUGUST 24, 2021

Health plans and issuers racing to implement overlapping price transparency and disclosure requirements in response to the Transparency in Coverage final rule (TiC Final Rule) and the Consolidated Appropriations Act, 2021 (CAA) received a welcome reprieve via guidance published August 20.

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Regulations Hospitals Healthcare Federal Healthcare 98

Sheppard Health Law

FEBRUARY 16, 2022

In our November 9, 2021, blog post on the No Surprises Act (“NSA”), we discussed new consumer protections against surprise out-of-network bills. In addition to protecting insured consumers from balance billing, the NSA protects uninsured (or self-pay) individuals from many unexpectedly high medical bills.

Physical Therapy 52

Physical Therapy Hospitals Federal Healthcare Regulations 52

Sheppard Health Law

DECEMBER 10, 2021

Physicians and other providers can take a deep breath as Congress has acted to prevent the trio of Medicare payment cuts that were set to take effect at the beginning of 2022—a 3.75% cut due to scheduled changes in the Medicare Physician Fee Schedule (“PFS”), a 2% cut for Medicare sequestration, and a 4% Statutory Pay-As-You-Go (“PAYGO”) Act cut would (..)

Medicare 52

Medicare Prevention Doctors 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.

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Medicaid Medicare Accountable Care Accountability 52

Etactics

SEPTEMBER 22, 2022

But things become tricky when involving Federal healthcare programs. million to resolve its civil healthcare fraud case. It’s true that in some industries, rewarding new sources is good. The idea may even be essential to the business model itself. Kickbacks Example 1 January of 2021 , athenahealth Inc. paid over $18.2

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Healthcare Physical Therapy Medicare Accountability 59

Sheppard Health Law

JANUARY 27, 2022

On January 25, the U.S.

Regulations 52

Regulations Federal Healthcare Healthcare 52

Sheppard Health Law

OCTOBER 12, 2022

The decision held that there is no federal constitutional right to an abortion, leaving the ability to regulate access to abortion services to the states. The Jackson v. Dobbs decision catalyzed a shift in the legal landscape of reproductive rights in the United States.

Prevention 98

Prevention Regulations Federal Healthcare Hospitals 98

Sheppard Health Law

SEPTEMBER 23, 2021

As reintroduced in the U.S. House of Representatives by Rep. Frank Pallone, Jr. (D-NJ-6) D-NJ-6) on April 22, 2021 after originally being introduced on September 19, 2019, H.R. 3 , also known as known as the Elijah E. Cummings Lower Drug Costs Now Act, proposes to grant the U.S.

Pharmaceuticals 52

Pharmaceuticals Medicare Prevention Federal Healthcare 52

Sheppard Health Law

SEPTEMBER 22, 2021

As reintroduced in the U.S. House of Representatives by Rep. Frank Pallone, Jr. (D-NJ-6) D-NJ-6) on April 22, 2021 after originally being introduced on September 19, 2019, H.R. 3 , also known as known as the Elijah E. Cummins Lower Drug Costs Now Act, proposes to grant the U.S.

Pharmaceuticals 52

Pharmaceuticals Medicare Prevention Federal Healthcare 52

Sheppard Health Law

JULY 1, 2022

On June 24, 2022, the United States Supreme Court issued its opinion on Dobbs v. Jackson Women’s Health Organization , No. 19-1392 (2022), holding that the United States Constitution provides no basis for a right to abortion.

Regulations 52

Regulations Telemedicine Healthcare Providers Health Data 52

Sheppard Health Law

JULY 27, 2021

On July 13, 2021, the Centers for Medicare & Medicaid Services (“ CMS ”) unveiled a proposal to temporarily extend Medicare coverage for particular telehealth services granted during the COVID-19 public health emergency (the “ Pandemic ”), in order to evaluate which services should be covered permanently.

Medicare 52

Medicare Medicaid Hospitals Federal Healthcare 52

Patient Safety Movement

SEPTEMBER 7, 2023

C Develop Federal Healthcare Delivery Systems’ Capacities and Showcase Results as Exemplars for Safer Healthcare. Recommendation 4: Accelerate Research and Deployment of Practices, Technologies, and Exemplar Systems of Safe Care. A Develop a National Patient Safety Research Agenda.

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