MedTrainer

JANUARY 12, 2024

Healthcare compliance is the process of following the laws, regulations, and ethical standards that govern the healthcare industry. Medicare and Medicaid (1960s): The introduction of government-funded healthcare programs brought about increased scrutiny and regulation. What is Healthcare Compliance?

Compliance 52

Compliance HIPAA Telemedicine ACA 52

Kaiser Health News

JULY 6, 2022

Since late 2010, when this provision of the ACA took effect, many patients have paid nothing when they undergo routine mammograms, get one of more than a dozen vaccines, receive birth control, or are screened for other conditions, including diabetes, colon cancer, depression, and sexually transmitted diseases.

ACA 87

ACA Medicare Medicare Medicaid 87

MedTrainer

NOVEMBER 28, 2023

New Jersey Healthcare Compliance Resources Let’s start with the important state government agencies you’ll need to work with: The New Jersey Department of Health (NJDOH) oversees various departments and initiatives aimed at ensuring public health, such as disease control, environmental health, emergency preparedness, and health equity.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

Healthcare IT Today

FEBRUARY 7, 2024

State governments are also roped in thanks to their Prescription Drug Monitoring Programs (PDMPs). According to Dr. Colin Banas, chief medical officer at DrFirst , they initiated EPCS in 2010, partnering with the Massachusetts Department of Health. How do you transmit the prescription to the pharmacy and record it in the PDMP?

Telemedicine 122

Telemedicine COVID-19 Doctors Medicare 122

Innovaare Compliance

FEBRUARY 9, 2021

Annually, the Centers for Medicare & Medicaid Services (CMS) releases star ratings, which measure the quality of care health plans deliver for its members. The higher the ratings, the larger the bonus payments health plans receive from the government. Centers for Medicare & Medicaid. December 2010. . References.

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Medicare Medicare Medicaid Medicaid 40

MedTrainer

MARCH 28, 2024

Establishes a governance structure, reviews compliance reports, and ensures the organization operates ethically and within legal boundaries. Law by law, regulations were added, increasing the complexity of maintaining compliance for healthcare organizations. Cons: Limited focus on other aspects of compliance beyond their specific areas.

Compliance 52

Compliance Compliance Officers Licensing Regulatory Compliance 52

Bill of Health

MAY 22, 2023

The selections feature topics ranging from an analysis of government and industry investments for recently approved drugs, to a discussion of court decisions on mifepristone, and an examination of the added therapeutic benefit associated with the top-selling brand-name drugs in Medicare. Galkina Cleary E, Jackson MJ, Zhou EW, Ledley FD.

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Pharmaceutical Industry Medicare Medicare Medicaid 163

HIPAA Journal

MARCH 31, 2023

This is because each state has its own laws governing the retention of medical records, and – unlike in other areas of the Healthcare Insurance Portability and Accountability Act – HIPAA does not pre-empt state data retention laws. In some cases, this can mean retaining records indefinitely.

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HIPAA Medicare Medicare Compliance 131

Healthcare Law Blog

JANUARY 26, 2023

BACKGROUND The Proposed Rule is the latest in a long line of federal legislation and rulemakings governing the conscience rights of healthcare providers and entities. The Church Amendments In the 1970s, the federal government enacted the Church Amendments, 42 U.S.C.

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ACA Medicaid Medicaid Compliance 105

AIHC

AUGUST 13, 2024

Those covered by the rule may include hospitals, health clinics, health insurance issuers, state Medicaid agencies, community health centers, physicians’ practices, and home health care agencies. Section 1557 has been in effect since the enactment of the ACA in 2010.

Compliance 52

Compliance ACA Health Insurance Medicaid 52

Healthcare IT News - Telehealth

NOVEMBER 27, 2019

But at the tail end of the 'teens, we see a flowering of innovation that could only have been dreamed of in 2010. Congress, government agencies, presidential candidates, consumers and the industry itself talk about the need to lower healthcare costs, but what does this entail? by September 30, 2019.

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Telemedicine Health Analytics Governance Hospitals 85

Kaiser Health News

JUNE 16, 2022

Patient debt is piling up despite the landmark 2010 Affordable Care Act. ” Today, debt from medical and dental bills touches nearly every corner of American society, burdening even those with insurance coverage through work or government programs such as Medicare. “There was no notion of being in medical arrears.”

US Department of Health and Human Services 145

US Department of Health and Human Services Medical Billing Hospitals Medicare 145

Bill of Health

FEBRUARY 28, 2023

That approach successfully transformed public and private health care — albeit not without challenges for coordination and political resistance — through the Patient Protection and Affordable Care Act of 2010. This was accomplished by the U.S.

Public Health 183

Public Health COVID-19 Medicaid Medicaid 183

Kaiser Health News

JULY 14, 2023

The proposal would have moved more than 200 people off waiting lists for government-supported care and saved the state money by accessing more federal Medicaid money to cover their costs and the cost of those already in assisted living. But Republican Gov. Some supporters also pointed to the state’s $2.4

Medicaid 81

Medicaid Medicaid Nursing Homes Nurses 81

C&M Health Law

JANUARY 25, 2023

trillion spending package, which consists of all 12 fiscal year (FY) 2023 appropriations bills and funds the federal government through September 30, 2023, provides additional assistance to Ukraine, and makes numerous health care policy changes. 117-164 ) (the “Act”)—an approximately $1.7

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Medicaid Medicaid Medicare Medicare 104

Kaiser Health News

JULY 11, 2023

Hospitals also claim as community benefits the difference between what it costs to provide a service and what Medicaid pays them, known as the Medicaid shortfall. ” Hospitals have long argued they need to charge private insurance plans higher rates to make up for the Medicaid shortfall.

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Hospitals Medicaid Medicaid Medical Billing 72

Kaiser Health News

OCTOBER 17, 2024

And while the Affordable Care Act has not been the focus of debate the way it was over the previous three presidential campaigns, who becomes the next president will have a major impact on the fate of the 2010 health law. For some voters, resisting government control of women’s health is a conservative value.

ACA 108

ACA Medicaid Medicaid Public Health 108

Kaiser Health News

JANUARY 12, 2023

Indeed, one of the first orders of business in the new Congress was the re-establishment of a committee on the covid pandemic with a new focus on investigating the origins of the virus and the government’s response to it. But also, for the first time, Medicare, or the federal government is starting to take on drug prices directly.

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US Department of Health and Human Services FDA Medicare Medicare 52