Sheppard Health Law

NOVEMBER 2, 2023

According to the Congressional Research Service, which analyzed data from the Centers for Medicare & Medicaid Services (“CMS”) National Health Expenditure Accounts (“NHEA”) on the personal health expenditures for LTSS by payer, in 2021, an estimated $467.4 As individuals continue to live longer beyond retirement and the U.S.

Medicaid 52

Medicaid Medicare Accountability Nursing 52

p3care

MAY 1, 2023

We understand the paramount necessity of identifying and preventing healthcare fraud and abuse. It’s crucial to guarantee that audits are carried out fully, and objectively following relevant rules or regulations. Only then they will be able to safeguard the integrity of healthcare systems. appeared first on P3Care.

Patient Safety 130

Patient Safety Healthcare Regulations Medicaid 130

HIT Consultant

JUNE 9, 2022

New government regulations, like the Centers for Medicare & Medicaid Services’ interoperability rules and the Fast Healthcare Interoperability Resources (FHIR) standard enforcement, have finally been passed that support a seamless flow of medical information. Yet, the tides are turning.

Healthcare 98

Healthcare Regulations Prevention Medicaid 98

Lexis Nexis

JULY 10, 2023

Members also change employers, and sometimes move between Commercial, Medicare and Medicaid coverage types, all with your plan. For example, send the wrong member details of someone else’s medical record, and it’s possible you’ve violated HIPAA privacy regulations in multiple ways.

Integration 52

Integration Medicaid Regulations Prevention 52

Sheppard Health Law

FEBRUARY 1, 2023

Congress’s expansion of access to telehealth takes steps to ensure continuity of care for Medicare beneficiaries and provides regulators with additional time to determine which flexibilities will become permanent, indicating a success for the telehealth industry as well as a reminder that there is more legislation to come.

Health Data 52

Health Data Regulations Medicare Telemedicine 52

Sheppard Health Law

NOVEMBER 9, 2023

It represents a compilation of OIG’s past guidance regarding basic compliance practices across a wide spectrum of industries and includes new guidance based upon lessons learned from negotiating and monitoring corporate integrity agreements and from enforcement actions and investigations.

Integration 52

Integration Medicare Regulations Pharmaceuticals 52

Home Health Care

DECEMBER 19, 2021

I think that the biggest hurdles the home care industry will face in 2022 are the ramifications that come from overregulation and the outdated regulations of private-duty, private-pay home care. The current regulations have just not kept pace with the number of older adults that need care in this country.

Home Care 126

Home Care Regulations Nursing Hospitals 126

NASHP

APRIL 24, 2023

Additionally, the alarming rise in mental health challenges among children and youth underscores the need to integrate prevention and early intervention approaches across our child-serving systems. But the system remains fragmented and strained under the twin crises of mental illness and escalating overdose deaths.

Medicaid 52

Medicaid Integration Prevention Urgent Care 52

NASHP

OCTOBER 22, 2021

Well-coordinated care that anticipates and manages the symptoms and stressors of serious illness can help people with these and other complex conditions reduce pain and suffering , avoid receiving treatment that does not align with their wishes , and prevent overutilization of care. The state and U.S.

Medicaid 102

Medicaid Hospice Care Regulations Integration 102

Briggs Healthcare

AUGUST 1, 2022

This fact sheet discusses the major provisions of the final rule, including: Estimates that the aggregate impact of the payment policies in this final rule would result in an increase of 2.7%, or approximately $904 million, in Medicare Part A payments to SNFs in FY 2023 compared to FY 2022. in FY 2024.

Nursing 80

Nursing Medicare Prevention Regulations 80

Bill Of Health

SEPTEMBER 9, 2021

New reimbursement codes for virtual patient monitoring may soon be incorporated into Medicare’s fee schedule, signaling the continued expansion and reach of digital health technologies catalyzed by the COVID-19 pandemic. These insights are integrated into electronic medical records (EMR) and used to inform clinical care decisions.

Medicare 70

Medicare Medicaid Nursing Regulations 70

NASHP

OCTOBER 20, 2022

The “National Forum on Advancing High-Quality, Equitable Care Coordination for Children and Youth with Special Health Care Needs” centered on two key topics for improving care coordination systems for CYSHCN: integrated care coordination and the care coordination workforce.

Medicaid 98

Medicaid Integration Accountability Quality Improvement 98

Sheppard Health Law

APRIL 24, 2023

On April 17, 2023 , the Centers for Medicare & Medicaid Services (“CMS”) released the U.S. Special Enrollment Periods CMS has implemented a new rule, beginning January 1, 2024, to prevent consumers from losing Medicaid or Children’s Health Insurance Program (“CHIP”) coverage which is also considered minimum essential coverage (“MEC”).

Medicaid 52

Medicaid Regulations Integration Medicare 52

Etactics

OCTOBER 27, 2023

Let’s go over what medical identity theft is, its consequences, and how to prevent it. Insurance account number or Medicare number. Exclusion from Medicare and Medicaid. How You Can Prevent Medical Theft When it comes to preventing medical identity theft, healthcare providers play an important part in safeguarding PHI.

Prevention 52

Prevention Accountability Healthcare Providers Medicare 52

Etactics

AUGUST 4, 2023

HIPAA is a federal regulation that protects the privacy and security of PHI. No matter what type of media the information is on, such as on a computer or paper, your company must adhere to HIPAA rules and regulations to protect it. Integrity controls. Prevent improper e-PHI alteration or destruction. Audit controls.

Regulations 52

Regulations Accountability Healthcare Providers Integration 52

nThrive

SEPTEMBER 29, 2021

With thousands of ongoing line-item updates, limited staff, and compliance issues coupled with price transparency requirements, maintaining a healthy chargemaster is labor intensive and time-consuming, but a key component to preventing revenue leakage. How important is operational integration to the health of my CDM?

Integration 52

Integration Hospitals Regulations Accountability 52

NASHP

MAY 3, 2024

Health leaders are amplifying calls to prevent and mitigate the effects of climate and extreme weather events through reducing the carbon footprint of the health ecosystem and promoting environmentally preferred practices. The Alabama Resilience Council was created by a governor’s executive order in May 2023.

Medicaid 59

Medicaid Hospitals Prevention Population Health 59

Health Populi

MAY 20, 2020

“Delaying procedures, reducing spending on preventive care and chronic care, and decreasing adherence to medications may have negative long-term impacts on health status, although the extent is unknown,” PwC notes.

Telemedicine 77

Telemedicine Hospitals Doctors Prevention 77

Briggs Healthcare

APRIL 7, 2022

CMS issued a Press Release this afternoon after this morning’s posting of QSO-22-15-NH & NLTC & LSC : “The Centers for Medicare & Medicaid Services (CMS) is taking steps to continue to protect nursing home residents’ health and safety by announcing guidance that restores certain minimum standards for compliance with CMS requirements.

Nursing 40

Nursing Patient Safety Regulations Medicaid 40

NASHP

MARCH 22, 2024

As major purchasers, administrators, and regulators of behavioral health treatment and supports, states play a critical role in system transformation. Invest in prevention and early intervention. This is one section of Modernizing Behavioral Health Systems: A Resource for States. See the full resource guide.

Medicaid 52

Medicaid Urgent Care Primary Care Hospitals 52

Health Business Group

NOVEMBER 30, 2021

If retailers succeed, there’s a chance they –and other enlightened and well-capitalized primary care providers– will take over the primacy now enjoyed by hospital-based Integrated Delivery Networks (IDNs). Trials enroll patients faster and data integrity is high. COVID becomes less political. I don’t think so.

Healthcare 98

Healthcare Primary Care Hospitals Health Data 98

Icanotes

MARCH 9, 2022

The Mental Health Parity and Addiction Equity Act (MHPAEA) of 2008 laid down the legislation for parity and generally prevents health insurance plans or insurance providers from placing limitations on benefits for those with a mental health or substance use disorder.

Telemedicine 52

Telemedicine Medicaid Medicare Physical Therapy 52

NASHP

SEPTEMBER 28, 2021

In addition to these sources, the Family First Prevention Services Act authorized new optional funding under Title IV-E of the Social Security Act for prevention services for mental health, substance abuse, and in-home parent skill-based programs, and may also serve as a prominent source of funding in the future.

Medicaid 52

Medicaid Nursing Prevention Regulations 52

NASHP

MARCH 22, 2024

It includes examples from various states organized by the framework buckets: integrated primary and behavioral health care, crisis continuum of care, in-home and in-community based, and out-of-home and community. States have a range of tools and policy levers at their disposal to build capacity for integrated behavioral health approaches.

Medicaid 52

Medicaid Integration Primary Care Nursing 52

Home Health Care

JANUARY 30, 2024

The number of hospice providers enrolled in the Medicare program in four states has skyrocketed over the past few years. Centers for Medicare & Medicaid Services (CMS) data suggests. Meanwhile, some of the aforementioned states have pushed forward stronger rules and regulations, too.

Medicare 97

Medicare Medicaid Regulations Prevention 97

Icanotes

NOVEMBER 21, 2021

Achievable: Attainable goals that prevent a patient from feeling overwhelmed or burdened. Implementing SMART goals is helpful because it prevents the patient from experiencing immense pressure, leading to feelings of discouragement. Security features such as encryption and easy, integrated billing.

Accountability 52

Accountability Prevention Regulations Patient Experience 52

Etactics

AUGUST 19, 2021

This chews up lots of time for physicians and prevents them from seeing more patients. According to a report from the American Foundation for Suicide Prevention, death by suicide is 250-400% more likely for female doctors due to stress and depression. But this is even more likely for female physicians. Mostly because of burnout.

Doctors 52

Doctors Nursing Primary Care Healthcare 52

HIT Consultant

JUNE 7, 2023

In 2016, the Golden State began its Whole-Person Care (WPC) pilots at the county level integrating physical health, behavioral health, and social services for complex needs Medicaid enrollees. The WPC pilot programs were aimed to increase integration and data sharing among county agencies, health plans, and community-based organizations.

Medicaid 52

Medicaid Medicare Hospitals Prevention 52

Sheppard Health Law

FEBRUARY 26, 2024

The Centers for Disease Control and Prevention is exploring the ability of AI to estimate sentinel events and combat disease outbreaks and the National Institutes of Health is using AI for priority research areas. From a clinical perspective, payers and providers are integrating AI into daily operations and patient care.

Healthcare 52

Healthcare Regulations Medicaid Medicare 52

Healthcare It News

DECEMBER 5, 2022

Dan Brillman, CEO of Unite Us, and Melissa Sherry, vice president of social care integration at Unite Us, offer Healthcare IT News readers insights into how these and other challenges are likely to be handled in 2023. Unite Us is a technology company that builds coordinated care networks of health and social service providers.

Telemedicine 308

Telemedicine Medicaid Hospitals Healthcare Innovation 308

Sheppard Health Law

DECEMBER 11, 2023

1] These modifications are intended to further the Biden Administration’s goals of advancing health equity by addressing disparities in access to quality care while minimizing administrative burdens and ensuring program integrity. for Medicare & Medicaid Servs. On November 24, 2023, the U.S.

Medicaid 52

Medicaid Medicare Prevention Regulations 52

Home Health Care

JANUARY 4, 2023

A lot of compliance legality issues, making sure that our offices remain compliant with all the rules and regulations, and advocating for our industry as a whole. Davis: I think it’s exactly what Hannah said a minute ago, it’s those API integrations. Those predictive analytics and then those API integrations are important.

Home Care 99

Home Care Integration Regulations Hospitals 99

Sheppard Health Law

JANUARY 6, 2023

In addition to funding, the Act modifies certain telehealth provisions, expands and extends components of the Medicare and Medicaid programs, and supports initiatives within the behavioral health and substance use treatment spaces. Medicare Extension & Adjustments. reduction of the Medicare conversion factor.

Healthcare 52

Healthcare Medicaid Medicare Hospitals 52

HIT Consultant

JULY 19, 2023

Although these tenants remain integral, trust is often broken in more ways than one. To serve the unique requirements of a sensitive industry that is bound by stringent regulations, we require a customized healthcare system that grants legitimacy to all participants within the blockchain. What is Proof of Competence (PoC)?

Healthcare 75

Healthcare Doctors Rehabilitation Healthcare Providers 75

NASHP

DECEMBER 20, 2022

States are taking steps to provide additional prevention, treatment, and recovery services to higher-risk individuals with opioid use disorder (OUD), including those in contact with the criminal legal system. Community Services and Prevention (Intercept 0). Across states, drug violations have led to most arrests in recent years.

Medicaid 52

Medicaid Prevention Integration Hospitals 52

Sheppard Health Law

NOVEMBER 13, 2023

On November 6, 2023, the Centers for Medicare and Medicaid Services (“CMS”) released the contract year 2025 proposed rule for Medicare Advantage (“MA”) organizations and Part D sponsors (the “Proposed Rule”). Please refer to our January 5, 2023 , November 4, 2022 and May 16, 2022 blog posts for more information.

Medicare 59

Medicare Medicaid Regulations Integration 59

NASHP

MARCH 11, 2022

State officials viewed their efforts as part of broader efforts to improve behavioral health and better integrate it with primary care. " > Why Use Payment to Improve Delivery of SUD Services. State officials viewed their efforts as part of broader efforts to improve behavioral health and better integrate it with primary care.

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Medicaid Integration Quality Improvement Primary Care 59