HIT Consultant

APRIL 1, 2024

Key Allegations The lawsuit alleged that TRG engaged in improper billing practices related to radiology services provided to hospitals and other healthcare providers across the country. The government alleges that TRG radiologists did not adequately review these drafts before finalizing the reports sent to healthcare providers.

Quality of Care 97

Quality of Care Regulations Federal Healthcare Healthcare Providers 97

Etactics

JANUARY 24, 2023

Healthcare fraud is not a victimless crime. The Department of Justice (DOJ) estimates that healthcare fraud generates roughly $100 billion a year. Oftentimes, perpetrators will commit one type of healthcare fraud to cover up other parts of the greater scheme. Some states tend to have more cases of healthcare fraud than others.

Healthcare 52

Healthcare Physical Therapy Doctors Medicare 52

Bill Of Health

NOVEMBER 30, 2022

healthcare system, representing just one example of “healthcare federalism” — the division of power between the federal and state governments in the regulation of health care. Healthcare federalism has undeniable benefits, such as enabling states to respond more efficiently to local needs. healthcare system.

Pharmaceuticals 70

Pharmaceuticals Healthcare Regulations Telemedicine 70

Etactics

FEBRUARY 2, 2024

In 2023, a healthcare organization entered a $866,339.25 The List of Excluded Individuals/Entities is the database that contains the organizations and individuals banned from participating in federal healthcare programs. Both federal and state healthcare. Felony convictions relating to healthcare fraud programs.

Federal Healthcare 52

Federal Healthcare Medicaid Medicare Healthcare 52

Sheppard Health Law

OCTOBER 10, 2023

The digital health market, as represented by the HLTH showroom floor, is packed with companies focused on care coordination and care management for various health and wellness specialties, diseases, and chronic conditions, as well as organizations focused on increasing consumer access to various types of healthcare. Sanjula Jain, Ph.D.,

Federal Healthcare 52

Federal Healthcare Healthcare Integration 52

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.

Federal Healthcare 52

Federal Healthcare Regulations Healthcare Providers Healthcare 52

HIT Consultant

SEPTEMBER 14, 2022

Ron Moody, Chief Medical Officer, Accenture Federal Services. For an industry that traditionally embraces change at a glacial pace, the pandemic has been a wake-up call for healthcare. Healthcare organizations should leverage lessons learned from the pandemic to create fundamental change. Federal agencies: catalysts of change.

Telemedicine 52

Telemedicine Doctors Federal Healthcare Integration 52

Patient Safety Movement

JULY 28, 2023

2C: Advance Interoperability of Healthcare Data and Assure Free Access to the Tracking of Harms and Use of Evidence-Based Solutions. 2D: Improve Safety for All Healthcare Workers and Their Patients Through Supporting a Culture of Patient and Clinician Safety in Healthcare Systems. View the Report in PDF

Patient Safety 52

Patient Safety Accountability Federal Healthcare Prevention 52

Patient Safety Movement

JULY 28, 2023

2C: Advance Interoperability of Healthcare Data and Assure Free Access to the Tracking of Harms and Use of Evidence-Based Solutions. 2D: Improve Safety for All Healthcare Workers and Their Patients Through Supporting a Culture of Patient and Clinician Safety in Healthcare Systems.

Patient Safety 52

Patient Safety Accountability Federal Healthcare Prevention 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 (..)

Medicare 52

Medicare Federal Healthcare 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

MARCH 8, 2022

The COVID-19 pandemic led to sweeping healthcare policy changes that enable vulnerable Americans to receive affordable health coverage and access essential safety net benefits. However, the demand for healthcare is only going to rise, driven by the long-term impacts of Covid-19 and delaying care for other health conditions.

Medicaid 98

Medicaid Primary Care Care Transition Federal Healthcare 98

ACHE

MARCH 4, 2021

One of the many important lessons for healthcare leaders to take away from 2020 is that leader-to-leader communication and collaboration can help individuals and organizations thrive, even in the most challenging of circumstances. Each session marked with an asterisk (*) below qualifies for 1 ACHE Face-to-Face Education credit.

Hospitals 68

Hospitals Patient Safety Federal Healthcare Healthcare 68

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

Sheppard Health Law

JANUARY 20, 2023

Research has indicated that healthcare systems that connect patients to basic resources have observed improvements in population health metrics, fostered trust with their patient base, and experienced reduced hospitalization costs.

Medicaid 52

Medicaid Regulations Federal Healthcare Medicare 52

Sheppard Health Law

AUGUST 24, 2021

Health plans, issuers, hospitals, and providers each are required by federal law or regulation to provide a variety of information about what certain healthcare services cost. By 2024, assuming no additional deferrals, consumers and healthcare industry participants will be awash in pricing data for all services.

Regulations 98

Regulations Hospitals Healthcare Federal Healthcare 98

Sheppard Health Law

AUGUST 24, 2021

Health plans, issuers, hospitals, and providers each are required by federal law or regulation to provide a variety of information about what certain healthcare services cost. By 2024, assuming no additional deferrals, consumers and healthcare industry participants will be awash in pricing data for all services.

Regulations 98

Regulations Hospitals Healthcare Federal Healthcare 98

Sheppard Health Law

DECEMBER 10, 2021

Physician and other healthcare advocacy groups warned that these cuts were coming while physicians and other healthcare providers are facing staffing shortages and financial insecurity due to the COVID-19 pandemic. The Protecting Medicare and American Farmers from Sequester Cuts Act ( S. 610 ) was approved by the U.S.

Medicare 52

Medicare Prevention Doctors Hospitals 52

Sheppard Health Law

JULY 1, 2022

We will continue to monitor the federal and state responses and provide detailed updates as the law continues to evolve.

Regulations 52

Regulations Telemedicine Healthcare Providers Health Data 52

Sheppard Health Law

OCTOBER 27, 2021

In short, the Innovation Center’s mandate was, and is, to develop healthcare payment models to decrease health care spending and improve health care quality. As described in a previous Healthcare Law Blog article, “ Evaluation of Innovation Center Models ,” the Innovation Center’s scorecard over the last ten years shows mixed results.

Medicaid 52

Medicaid Medicare Accountable Care Accountability 52

Sheppard Health Law

JANUARY 6, 2023

trillion in funding across a range of domestic initiatives, including certain appropriations to healthcare and related programs. Key Funding of Related Healthcare Programs. The Act will undoubtedly usher in tremendous changes within the healthcare space. The Act provides for nearly $1.7 Telehealth. FOOTNOTES. [1] 2] 42 U.S.C.

Healthcare 52

Healthcare Medicaid Medicare Hospitals 52

Etactics

SEPTEMBER 22, 2022

The Department of Justice (DOJ) estimates that healthcare fraud generates close to $100 billion a year. In 2021 , there were… 831 new criminal healthcare fraud investigations 805 new civil healthcare fraud investigations With such high numbers of cases and no end seeming to be in sight, how can you avoid becoming a healthcare fraud statistic?

Healthcare 59

Healthcare Physical Therapy Medicare Accountability 59

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 200

Primary Care Telemedicine Accountability Remote Care 200

Patient Safety Movement

SEPTEMBER 7, 2023

The PCAST report reveals that despite these efforts by many healthcare workers and organizations to reduce preventable medical errors through implementing evidence-based safety protocols, nationwide implementation of many of these known solutions has lagged. More than 40 percent of these events are due to preventable errors.

Patient Safety 133

Patient Safety Prevention Federal Healthcare Hospitals 133

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

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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Federal Healthcare Healthcare Providers Healthcare 52

p3care

NOVEMBER 14, 2022

Although to avoid these situations, healthcare organizations now rely on experienced companies to provide medical Billing and coding services. billion get wasted due to medical fraud and abuse, which increases the healthcare total cost. It conflicts with insurance laws and adds to the burden on the healthcare system.

Regulations 100

Regulations Prevention Medicare Medicaid 100

Patient Safety Movement

AUGUST 29, 2023

Our founder, Joe Kiani, demanded that we call people in office at the local, state, and federal levels to hardwire patient safety; and align incentives so that every hospital puts in place actionable evidence-based incentives. 4C: Develop Federal Healthcare Delivery Systems’ capacities and showcase results as exemplars for safer healthcare.

Patient Safety 52

Patient Safety Hospitals Prevention Doctors 52

Patient Safety Movement

SEPTEMBER 30, 2023

Beta Healthcare Symposium Joe Kiani also recently gave a keynote at Beta Healthcare Group’s 2023 Annual Member Symposium focused on “Strategies for Improving Patient & Employee Safety,” held in Dana Point, California. Through this year’s slogan “Elevate the voice of patients!”

Patient Safety 52

Patient Safety Prevention Hospitals Healthcare 52

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

HIT Consultant

AUGUST 21, 2023

Jon Moore, MS, JD, HCISPP, Chief Risk Officer and SVP of Clearwater Recent advances in Generative AI Large Language Models, such as ChatGPT, have been making waves across various industries, not least in healthcare. Applications in Healthcare AI models are transforming healthcare with an increasing range of applications.

Healthcare 98

Healthcare Regulations Accountability Pharmaceuticals 98

Sheppard Health Law

JANUARY 27, 2022

On January 25, the U.S.

Regulations 52

Regulations Federal Healthcare Healthcare 52

Triage Health Law

JUNE 29, 2021

Still, the case was closely watched due to the large role the ACA plays in the healthcare landscape of today. If the Court had sided with the Plaintiffs, it could have thrown the American healthcare system into chaos.

Federal Healthcare 40

Federal Healthcare Healthcare Hospitals 40

Sheppard Health Law

OCTOBER 12, 2022

If you have questions or are seeking counsel on these recent changes, you may contact any member of our Healthcare Team for assistance. Sheppard Mullin will continue to monitor developments and provide updates as they arise. The law, policy and regulatory climate surrounding the Dobbs decision is complex and quickly developing.

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

Health Populi

DECEMBER 6, 2018

In 2006, Medicare Part D launched, which may have boosted consumers’ faith in Federal healthcare programs. Most Democrats believe that the government should both ensure universal healthcare and run it. Healthcare costs are part of a family’s budget in 2018, and that is a sure thing for 2019 as well.

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Tricare Healthcare Medicaid Federal Healthcare 73