Briggs Healthcare

JULY 6, 2022

On September 30, 2019, the Centers for Medicare & Medicaid Services (CMS) published the final rule Medicare and Medicaid Programs; Regulatory Provisions to Promote Program Efficiency, Transparency, and Burden Reduction Final Rule , which included revisions for the hospital Conditions of Participation (CoP) for 42 CFR §482.42

Prevention 98

Prevention Hospitals Regulations Medicaid 98

Home Health Care

MARCH 10, 2025

Centers for Medicare and Medicaid Services (CMS) has revoked guidance related health-related social needs (HRSN) through Section 1115 waivers. We also know how important nutrition is in maintaining healthy community living and preventing falls or other adverse outcomes.

Medicaid 78

Medicaid Medicare Regulations Home Care 78

HIT Consultant

JANUARY 27, 2025

This capability helps flag individuals at risk of chronic conditions like heart disease or diabetes, allowing for earlier intervention and preventive strategies that improve outcomes and reduce costs. Physicians can then intervene earlier with preventive measures, improving patient outcomes while reducing healthcare costs.

Healthcare 99

Healthcare Life Sciences Pharmaceuticals Public Hospital 99

Home Health Care

OCTOBER 23, 2023

Insurance companies selling Medicare Advantage (MA) plans have been facing increased scrutiny from members of Congress and regulators, with critics of the private version of Medicare claiming carriers are profiting far too much. There was a 364% increase in plans offering the benefit since 2020. The agency is implementing a 3.3%

Medicare 111

Medicare Home Care Primary Care Regulations 111

Home Health Care

JANUARY 22, 2025

The landscape of home health care is evolving through the introduction of two key models designed to improve patient outcomes and reduce costs: the expanded Home Health Value-Based Purchasing (HHVBP) model and the Targeted Episode-Based Medicare Access and Payment (TEAM) model. It was implemented on Jan. territories.

Medicare 76

Medicare Hospitals Quality of Care Nursing 76

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 321

Regulations Telemedicine Remote Care Prevention 321

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

Briggs Healthcare

AUGUST 2, 2022

“Selected nursing homes may not have complied with Federal requirements for infection prevention and control and emergency preparedness. Specifically, 28 of the 39 nursing homes had possible deficiencies. This is the opening statement for brief of the OIG Report published July 26, 2022. “(OIG)

Prevention 98

Prevention Nursing Regulations Patient Safety 98

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

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 105

Medicaid Medicare Home Care Regulations 105

Healthcare Success

JANUARY 14, 2025

This underscores the critical role of effective brand communication in preventing M&A failures. Victoria Sure, yeah, so I used to work with Medicare agencies, well, just agencies in general, and it was probably the SCP, the ideal customer profile was the agent. And you can talk about your experience as well.

Healthcare 148

Healthcare Integration Urgent Care Medicare 148

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 111

Medicare Nursing Hospitals Regulations 111

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

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 105

Physical Therapy Medicare Nursing Regulations 105

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 104

Hospitals Medicare Prevention Home Care 104

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 Medicare Prevention 105

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 115

Medicare Medicaid Regulations Prevention 115

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

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 Medicare Prevention 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

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

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 132

Medicare Medicaid Home Care Accountability 132

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 122

Home Care Regulations Nursing Prevention 122

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 118

Physical Therapy Patient Safety Hospitals Medicare 118

Home Health Care

JULY 19, 2024

“What makes a bad actor is a party that gets into home health care for purposes of stealing from Medicare, Medicaid and others. Put simply, the bad actor is the type of provider that regulators want to drive out of home health care, and the type that industry peers work to avoid being associated with.

Regulations 116

Regulations Home Care Quality of Care Medicaid 116

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 111

Medicare Medicaid Home Care Regulations 111

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

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

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

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 Home Care Medicaid Regulations 80

Etactics

FEBRUARY 14, 2025

Including the claims data from the Centers for Medicare and Medicaid Services (CMS). This helps to prevent further denials due to a patients inactive insurance policy or outdated coverage. Keep CMS regulations, commercial payer policies, and NCCI edits at your companys forefront.

Prevention 52

Prevention Integration Healthcare Providers Regulations 52