Healthcare It News

FEBRUARY 5, 2024

However, depending on the state and its regulations, patients may need to, at times, be seen in person. As the public health emergency of COVID is ending, state regulations are changing and fortunately telepsychiatry will still exist as part of a hybrid model.

Regulations 243

Regulations Telemedicine Remote Care Prevention 243

Briggs Healthcare

NOVEMBER 3, 2021

CMS’ Calendar Year (CY) 2022 Physician Fee Schedule (PFS) final rule will promote greater use of telehealth and other telecommunications technologies for providing behavioral health care services, encourage growth in the diabetes prevention program, and boost payment rates for vaccine administration.

Medicare 105

Medicare Prevention Quality of Care Regulations 105

p3care

NOVEMBER 14, 2022

Pass-through Billing has serious effects, taking preventive measures is important so you don’t fall into this trap. The Centers recommend for Medicare and Medicaid Services (CMS) that you don’t need to follow the Compliance Program; however, implementing it does reduce the threats of unlawful conduct. Documentation.

Regulations 100

Regulations Prevention Medicare Medicaid 100

HIT Consultant

OCTOBER 18, 2023

Hilton Hudson, MD, FACS, and CEO of HPC International In May 2022, a California doctor was sentenced to nearly eight years in prison for his involvement in a $12 million Medicare fraud scheme. million in reimbursements from Medicare over a three-year period. This prevents errors and helps accurately represent services provided.

Regulations 105

Regulations Accountable Care Prevention Medicare 105

p3care

OCTOBER 20, 2023

Let’s narrow down and explore some of the key reimbursement methodologies in nephrology: Value-Based Care Reimbursement Fee-For-Service Reimbursement Bundled Payments Medicare and Medicaid Reimbursement Private insurance Reimbursement Capitation Billing Value-Based Care Reimbursement It’s a modern and widely implemented reimbursement model.

Medicaid 130

Medicaid Medicare Regulations Healthcare Providers 130

Home Health Care

OCTOBER 11, 2024

That was the one-word response a home health provider left for the Centers for Medicare & Medicaid Services’ (CMS) during the comment period on the 2025 home health proposed payment rule. The result of amputation resulted in significantly higher expense to Medicare than paying for adequate wound care wound cost.

Medicare 105

Medicare Nursing Hospitals Regulations 105

p3care

MAY 2, 2022

MIPS (Merit-based Incentive Payment System) was launched by the Quality Payment Program (QPP) for the Medicare Part B healthcare providers. The rules and regulations relating to each category also change or are updated every year. Preventive Care and Early Detection: Immunization against Influenza. Categories.

Nursing 130

Nursing Prevention Quality Improvement Regulations 130

Briggs Healthcare

AUGUST 19, 2022

Medicare requires that a reported amount be the lower of either the actual cost to the related organization or the market price for comparable services, facilities, or supplies, thereby removing any incentive to realize profits through these transactions.

Nursing 104

Nursing Medicare Regulations Accountability 104

HIT Consultant

SEPTEMBER 6, 2023

By transitioning to dedicated hardware in a data center, you regain full control over your servers and can chart your own course when it comes to updates and implementing security and privacy measures mandated by HIPAA regulations. HIPAA and GDPR are not the only regulators in the space either. Getting data security wrong is expensive.

Regulations 122

Regulations Medicaid Prevention Medicare 122

HIT Consultant

MAY 2, 2023

For decades, the industry lacked a patient-centric approach focused on efficiency, reliability, and accessibility for all populations, especially those enrolled in Medicare Advantage and Medicaid plans. In a recent study , 21% of U.S. adults without access to a vehicle or public transportation skipped needed medical care last year.

Medicaid 96

Medicaid Regulations Medicare Integration 96

Home Health Care

APRIL 12, 2024

In past years, Medicare-certified home health agencies and Medicaid personal care services providers have been big focus areas for government watchdogs. Centers for Medicare & Medicaid Services (CMS) data. Medicare’s acute- and post-acute-care transfer policies are yet another focus area for OIG. billion in claims.

Medicaid 88

Medicaid Medicare Home Care Regulations 88

Briggs Healthcare

FEBRUARY 7, 2022

There is no longer a need to continue the required use of the FIC survey and tool on a national basis because surveyors will continue to assess infection control and prevention through the standard survey process, as applicable to the provider/supplier type.

Prevention 98

Prevention Regulations Nursing Medicare 98

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

HIT Consultant

OCTOBER 30, 2023

Under the Medicare Shared Savings Program, a healthcare provider that is an Accountable Care Organization (ACO), ACO participant, or ACO provider or supplier would be deemed ineligible to participate in the program for a period of at least one year.

Medicare 98

Medicare Accountable Care Healthcare Providers Regulations 98

Home Health Care

OCTOBER 31, 2022

Centers for Medicare & Medicaid Services (CMS) released its FY 2023 home health final payment rule late Monday. aggregate decrease in 2023, which would have marked one of the steepest home health Medicare cuts in years. For providers with a Medicare certification date prior to Jan. The agency had initially floated a 4.2%

Medicare 131

Medicare Medicaid Home Care Accountability 131

Home Health Care

NOVEMBER 8, 2024

Under fee-for-service (FFS) Medicare, home infusion therapy (HIT) involves the intravenous or subcutaneous admission of drugs or biologicals to an individual at home. HIT includes anti-infective therapy or the use of intravenous medication to treat or prevent infection,” Fano-Schultze said.

Tricare 93

Tricare Medicare Nursing Medicaid 93

Home Health Care

AUGUST 24, 2021

On Thursday, the New York Department of Health, Codes Committee of the Public Health and Health Planning Council (PHHPC) will meet to consider implementing an emergency regulation regarding “Prevention of COVID-19 Transmission by Covered Entities.”. CMS raises payment rates for at-home vaccinations.

Regulations 98

Regulations Home Care Medicare Medicaid 98

Home Health Care

DECEMBER 16, 2021

Medicare-certified home health providers are falling short when it comes to the amount of care services they’re offering, a new survey released Thursday from the Center For Medicare Advocacy (CMA) suggests. based nonprofit law organization that is focused on health equity and improving access to comprehensive Medicare coverage.

Physical Therapy 84

Physical Therapy Medicare Nursing Regulations 84

HIT Consultant

JUNE 16, 2022

The purpose of the No Surprises Act is to prevent surprise out-of-network bills, often for emergency services. As a result, the Centers for Medicare and Medicaid Services (CMS) has since issued new guidance regarding the IDR process for disputing parties. healthcare system. In fact, more than half of all U.S. About Lynne Rinehimer.

Regulations 52

Regulations Hospitals Medicaid Medicare 52

Home Health Care

DECEMBER 7, 2023

Daniel Gottschalk​​​​, Co‑CEO of Family Tree Private Care Balancing the need for appropriate home care regulations while preventing overregulation is crucial for the industry. Baseline regulations that set forth good business practices to keep clients and caregivers safe are essential.

Home Care 113

Home Care Regulations Nursing Prevention 113

Home Health Care

DECEMBER 5, 2024

Theres also great potential in providing additional custodial support and assessing caregiver burden at the start of care episodes to prevent any challenges early. High-acuity home care can significantly enhance patient outcomes by preventing hospitalizations and improving quality of life.

Home Care 85

Home Care Nursing Prevention Integration 85

Health Populi

MARCH 12, 2020

For example, only health care providers that have an existing relationship with a Medicare patient would be eligible per the requirements in the legislation. But the private sector can only do as much with the obstacles of government regulations and other market barriers long preventing the spread of telehealth in the U.S.

Telemedicine 122

Telemedicine Medicare Prevention Hospitals 122

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

Home Health Care

MAY 30, 2022

As part of their work, OIG investigators examined medical records for a random sample of 770 Medicare patients discharged from acute care hospitals during October 2018 – a period of relative normalcy long before the COVID-19 crisis. For nearly 25% of those individuals, the “harm events” resulted in additional costs to Medicare.

Hospitals 81

Hospitals Medicare Prevention Home Care 81

Triage Health Law

OCTOBER 12, 2023

Department of Health and Human Services (“HHS”) introduced a new “Strategic Plan for Oversight of Managed Care for Medicare and Medicaid” (the “ Strategic Plan ”). Medicare Advantage hit a milestone in the last year, with now a majority of Medicare beneficiaries being enrolled in a Medicare Advantage Plan. [1]

Medicare 69

Medicare Medicaid Prevention Regulations 69

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. Well, we have a simple solution to avoid such things, i.e., depend on medical billing outsourcing companies.

Patient Safety 130

Patient Safety Healthcare Regulations Medicaid 130

Briggs Healthcare

JULY 18, 2022

The modern American nursing home, an unexpected creature of the Medicaid and Medicare programs, has evolved to provide neither a comfortable, functional “home” nor reliably excellent “nursing” (Grabowski, 2022). 2022; Ninteau & Bishop, 2022) discuss aspects of clinical care that should be targets for improvement and regulation.

Nursing 80

Nursing Medicaid Home Care Regulations 80

Sheppard Health Law

MAY 31, 2022

Medical Device Regulations. Medical devices are regulated by the Food and Drug Administration (“FDA”) and many of the applications and technologies used to deliver or access healthcare in the metaverse may be classified as a medical device. [3] The introduction of the metaverse will likely exacerbate these interoperability issues.

Regulations 90

Regulations Life Sciences Medicare Healthcare 90

NASHP

AUGUST 30, 2023

Drafting Note : Rural emergency hospitals are defined in accordance with federal regulations, 87 Fed Reg. Definitions For the purposes of this Act: “Beds” means the number of available bed days during the most recent cost reporting period divided by the number of days in the most recent Medicare cost reporting period.

Hospitals 97

Hospitals Regulations Federal Healthcare Nursing 97

KHN

DECEMBER 19, 2023

The lawsuit alleged that Herrman died because a defect in the locking mechanism of the HeartMate 3 prevented the device from sealing, causing multiple strokes and leading to a severe brain injury and multiorgan failure. The article describes how Stulak replaced the device with a new one, but it was too late to prevent the injuries to Herrman.

Doctors 133

Doctors Hospitals Regulations Law Firms 133

HIT Consultant

MARCH 9, 2023

Rajesh Sharma, Vice President and General Manager of Systems Integration, Data Analytics and Interoperability Product Offerings, Gainwell Technologies The Centers for Medicare and Medicaid Services (CMS) has laid the critical groundwork to create a connected healthcare system in which patients, providers, and payers can easily exchange information.

Healthcare 94

Healthcare Prevention Medicaid Medicare 94

Home Health Care

MAY 10, 2024

There’s no time to rest for home-based care providers and advocates on the regulation front, however. Summer is near, and that means so is the home health proposed payment rule from the Centers for Medicare & Medicaid Services (CMS). This must include home health services for people with Medicare.

Medicare 92

Medicare Medicaid Home Care Regulations 92

p3care

DECEMBER 6, 2021

Its purpose was to move the Medicare part B providers to a performance-based payment system. Moreover, the rules and regulations regarding each category change or get updated each year as well. MIPS (Merit-based Incentive Payment System) is a part of the Quality Payment Program (QPP), which came into effect in 2017.

Urgent Care 130

Urgent Care Healthcare Providers Medicare Quality Improvement 130

p3care

DECEMBER 6, 2021

Its purpose was to move the Medicare part B providers to a performance-based payment system. Moreover, the rules and regulations regarding each category change or get updated each year as well. MIPS (Merit-based Incentive Payment System) is a part of the Quality Payment Program (QPP), which came into effect in 2017.

Urgent Care 130

Urgent Care Healthcare Providers Medicare Quality Improvement 130

Home Health Care

NOVEMBER 7, 2023

1 of 2024 and for Medicare Advantage (MA) plans by 2025. Rao said that dropping prior authorization in MA would have come in 2024 as well had it not been for government regulations that prevented BCBS of Massachusetts from doing so.

Physical Therapy 94

Physical Therapy Patient Safety Hospitals Medicare 94

Bill Of Health

MARCH 24, 2023

Each month, members of the Program On Regulation, Therapeutics, And Law (PORTAL) review the peer-reviewed medical literature to identify interesting empirical studies, policy analyses, and editorials on health law and policy issues. Characteristics of Prior Authorization Policies for New Drugs in Medicare Part D. JAMA Intern Med.

Regulations 59

Regulations Medicare Medicaid Prevention 59

HIT Consultant

NOVEMBER 12, 2024

Second, we must advocate for comprehensive policies that simplify financial interactions and ensure regulations improve patient accessibility and inclusivity. Can you elaborate on the specific financial challenges faced by underrepresented populations that prevent them from participating in trials?

Life Sciences 98

Life Sciences Medicare Regulations Patient Experience 98