Electronic Health Reporter

APRIL 8, 2019

On April 5, 2019, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that updates the Medicare Advantage (MA or Part C) and Medicare Prescription Drug Benefit (Part D) programs by promoting innovative plan designs, improved quality, and choices for patients. Illegal copying is prohibited.

Medicare 89

Medicare Medicare Medicaid Medicaid 89

Mobi Health News

JULY 12, 2018

The Centers for Medicare and Medicaid Services released its new proposed Physician Fee Schedule and Qualified Payment Program updates for 2019, and the announcement includes some big strides forward in promoting digital health technology, including widened telemedicine coverage, an overhaul of documentation requirements, and a new focus on interoperability. (..)

Telemedicine 73

Telemedicine Medicaid Medicaid Medicare 73

Healthcare IT News - Telehealth

JULY 22, 2022

Meanwhile, the Centers for Medicare and Medicaid Services' Center for Program Integrity also announced that it has taken administrative actions against more than 50 healthcare providers alleged to be involved in similar schemes. billion in alleged fraud. healthcare system at the expense of patients."

Fraud 166

Fraud Telemedicine Medicare Medicare 166

Kaiser Health News

FEBRUARY 8, 2022

The penalties — a 1% reduction in Medicare payments over 12 months — are based on the experiences of Medicare patients discharged from the hospital between July 2018 and the end of 2019, before the pandemic began in earnest. The total amount of the penalties is determined by how much each hospital bills Medicare.

Medicare 127

Medicare Medicare Hospitals COVID-19 127

Healthcare Compliance Blog

JANUARY 25, 2022

A Missouri woman who had previously pled guilty to Medicare and Medicaid fraud was sentenced in Federal Court to three years imprisonment and ordered to pay $7,620,779 in restitution. Between 2017 and 2019, the Missouri woman owned and managed several durable medical equipment (DME) companies.

Fraud 59

Fraud Medicaid Medicaid Medicare 59

Healthcare IT News - Telehealth

NOVEMBER 2, 2020

Centers for Disease Control and Prevention released Friday found a 154% increase in telehealth visits during the last week of March 2020, compared with the same time period in 2019. " This was 50% higher than the approximately 1 million encounters during the same period in 2019. ON THE RECORD.

COVID-19 195

COVID-19 Medicaid Medicaid Public Health 195

Electronic Health Reporter

APRIL 7, 2020

The Centers for Medicare & Medicaid Services (CMS) has delivered near $34 billion in the past week to the healthcare providers on the frontlines battling the 2019 Novel Coronavirus (COVID-19). The funds have been provided […].

Medicare 79

Medicare Medicare COVID-19 Medicaid 79

Healthcare IT News - Telehealth

JUNE 29, 2020

Until regulatory changes, such as those enacted by the Centers for Medicare and Medicaid Services, had made telehealth provision more financially feasible, a doctor "had every economic incentive to require the patient to come to the office in person," he explained.

Telemedicine 218

Telemedicine HIPAA Medicaid Medicaid 218

Healthcare IT News - Telehealth

DECEMBER 14, 2021

Caravan Health President and CEO Tim Gronniger previously was chief of staff and director of delivery system reform at the Centers for Medicare and Medicaid Services. In 2019 and 2020, its partners earned $300 million in Medicare savings, more than $120 million in shared savings, and quality scores exceeding 97%, the company reported.

COVID-19 200

COVID-19 Medicare Medicare Telemedicine 200

Bill of Health

NOVEMBER 17, 2022

Medicare’s National Coverage Determination for Aducanumab – A One-Off or a Pragmatic Path Forward? Medicaid Spending on Antiretrovirals from 2007-2019. 2022 Oct 5;379:e071752. Dhruva SS, Ramachandran R, Ross JS. N Engl J Med. 2022 Oct 27;387(17):1539-1541. Epub 2022 Oct 22. Feng K, Kesselheim AS, Russo M, Rome BN.

FDA 189

FDA World Health Medicaid Medicaid 189

Healthcare It News

JULY 11, 2024

Hoping payers will 'step up' On the payer side, ONC said it worked closely with the Centers for Medicare and Medicaid Services in creating voluntary certification requirements, for "greater assuredness that systems that go through that certification process will actually be able to interoperate with the provider organizations.

US Department of Health and Human Services 315

US Department of Health and Human Services Public Health COVID-19 Governance 315

HIPAA Journal

MAY 19, 2022

million settlement proposed by Solara Medical Supplies to resolve a class action lawsuit related to a 2019 data breach has received preliminary approval from the court. The breach was reported to the HHS’ Office for Civil Rights as affecting 114,007 individuals.

Licensing 124

Licensing HIPAA Health Insurance Medicaid 124

Compliancy Group

DECEMBER 20, 2024

In late February of 2019, Gulf Coast discovered that between early September of 2018 and early February of 2019 (after the contractor stopped providing services), the contractor had impermissibly accessed Gulf Coasts electronic medical record (EMR) system and accessed the ePHI of approximately 34,310 individuals.

Ransomware 98

Ransomware HIPAA Fraud Electronic Medical Records 98

Electronic Health Reporter

MARCH 6, 2020

The Centers for Medicare & Medicaid Services (CMS) took additional actions to ensure America’s patients, healthcare facilities and clinical laboratories are prepared to respond to the 2019-Novel Coronavirus (COVID-19). This article is copyrighted strictly for Electronic Health Reporter. Illegal copying is prohibited.

COVID-19 89

COVID-19 Medicaid Medicaid Medicare 89

Healthcare IT News - Telehealth

JUNE 26, 2020

Throughout 2018 and 2019, Northwell Health piloted small-scale programs in partnership with the Gary and Mary West Health Institute Collaboration to bring medical services virtually to the homes of their patients. "I know their baseline and when they call, I send the [mobile telemedicine technicians] there."

COVID-19 202

COVID-19 Telemedicine Medicaid Medicaid 202

Healthcare IT News - Telehealth

OCTOBER 19, 2020

According to the filing, Allscripts became aware of CarePortMD – and its use of the name – in November 2019. Earlier this summer, CarePort launched a tool to help hospitals comply with the Centers for Medicare and Medicaid Services' interoperability final rules. WHY IT MATTERS.

Telemedicine 164

Telemedicine Medicaid Medicaid Hospitals 164

Healthcare IT News - Telehealth

JUNE 19, 2020

A Pew research survey from 2019 found that about two-thirds of black adults and 61% of Hispanic adults said they had access to broadband at home; about a quarter of Hispanic adults and 23% of black people are "smartphone-only" internet users.

COVID-19 208

COVID-19 Federal Policy Public Health Medicaid 208

Bill of Health

MAY 19, 2022

from 2018-2019. Therapeutic Value Assessments of Novel Medicines in the US and Europe, 2018-2019. A full posting of abstracts/summaries of these articles may be found on our? Aboy M, Liddell K, Jordan M, Crespo C, Liddicoat J. European patent protection for medical uses of known products and drug repurposing. JAMA Oncol.

Health Insurance 208

Health Insurance Hospitals FDA Medicaid 208

Healthcare IT News - Telehealth

SEPTEMBER 28, 2020

He said that in January 2019 – more than a year before the COVID-19 pandemic necessitated, in short order, an even bigger, more sustained and more widespread scaling up of virtual care services than could ever have been imagined two years ago. How to navigate a new policy landscape.

COVID-19 218

COVID-19 Federal Policy Telemedicine Medicaid 218

Bill of Health

FEBRUARY 28, 2024

in 2019, the NIH invested $1.9 Some states have implemented initiatives to integrate Food is Medicine into Medicaid , which can be valuable to expand access to broader groups of the population. Another concern is that, given the limited funding allocated towards food and nutrition (e.g.,

Health Insurance 234

Health Insurance Medicaid Medicaid Health Care Reform 234

The Health Law Firm

AUGUST 10, 2018

Board Certified by The Florida Bar in Health Law On July 12, 2018, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule to update payment policies, payment rates, and quality provisions for services rendered under the Medicare Physician Fee Schedule (PFS). Indest III, J.D., Background Info.

Medicare 40

Medicare Medicare Medicaid Medicaid 40

Healthcare IT News - Telehealth

JUNE 14, 2024

RPM was initially recognized in 2019 by the Centers for Medicare and Medicaid Services through a small set of codes for remote physiologic monitoring services, enabling clinicians to seek reimbursement for gathering data from patients through certain medical devices outside the hospital setting.

Medicare 172

Medicare Medicare Nursing Homes Hospitals 172

Healthcare IT Today

JULY 14, 2021

” Finalized in 2019, the CMS (Centers for Medicare & Medicaid Services) Price Transparency Final […]. This week’s chat will be hosted by Hailey Froisland (@haileyfroisland) on the topic “CMS Price Transparency Rule: Is it Working?”

Medicaid 77

Medicaid Medicaid Medicare Medicare 77

Hall Render

MARCH 12, 2025

Background of the Case Relator Rosales filed a qui tam action in June 2020 against a hospice care provider and its subsidiaries, alleging fraudulent conduct aimed at securing payments from Medicare and Medicaid.

Fraud 52

Fraud Governance Medicaid Medicaid 52

HIPAA Journal

SEPTEMBER 29, 2022

The Government Accountability Office (GAO) recently conducted a review of Medicare telehealth services provided during the COVID-19 pandemic, when a waiver was in place that greatly expanded access to telehealth and virtual visits. Between April and December 2019, 5 million Medicare telehealth visits were conducted.

Medicare 73

Medicare Medicare COVID-19 HIPAA 73

HIT Consultant

FEBRUARY 16, 2022

Founded in 2019, with the support of the Mailman School of Public Health at Columbia University, NourishedRx (formerly Project Well) is the first smart, Food-for-Health market platform designed to drive lasting dietary change for health plan members. Personalized Nutrition.

Medicaid 98

Medicaid Medicaid Public Health Medicare 98

Healthcare IT Today

APRIL 4, 2025

Nationally, the Centers for Medicare & Medicaid Services (CMS) has reported that only 18% of TCM visits were billed. Hospitals experience an average of 17 readmissions per 100 Medicare discharges.

Records Management 52

Records Management Hospitals Medicare Medicare 52

Health Populi

FEBRUARY 21, 2019

every year from 2020 to 2027, the actuaries at the Centers for Medicare and Medicaid Services forecast in their report, National Health Expenditure Projections, 2018-2927: Economic And Demographic Trends Drive Spending And Enrollment Growth , published yesterday by Health Affairs. National health spending in the U.S.

Medicare 91

Medicare Medicare Medicaid Medicaid 91

Bill of Health

APRIL 25, 2022

Anticipated efficiencies, real costs: Medicaid managed care organizations and the pharmacy benefit. US Food and Drug Administration-mandated postmarketing studies for high-risk cardiovascular devices approved 2015-2019. A full posting of abstracts/summaries of these articles may be found on our website. Bendicksen L, Kesselheim AS.

COVID-19 147

COVID-19 Medicaid Medicaid FDA 147

Healthcare Law Blog

APRIL 6, 2022

On April 1, 2022 , the Centers for Medicare & Medicaid Services (“CMS”) announced states may seek to extend Medicaid postpartum coverage from 60 days to one year through a new state plan option offered by the American Rescue Plan Act (“ARPA”). This option is available for five years and ends on March 31, 2027.

Medicaid 52

Medicaid Medicaid ACA Public Health 52

McBrayer Law Blog

SEPTEMBER 28, 2021

In April of 2019, the Centers of Medicare and Medicaid Service (CMS) finalized rules to increase telehealth benefits for Medicare Advantage enrollees, effectively incentivizing health systems with high numbers of private Medicare plan recipients to invest in telehealth services.

Telemedicine 64

Telemedicine Compliance COVID-19 Fraud 64

HIPAA Journal

JUNE 9, 2023

Prior to the Supreme Court ruling, there was no distinction between an identity thief stealing an individual’s identity and running up huge debts, a lawyer rounding up bills and only charging full hours, a waitress overcharging customers, and a doctor overbilling Medicaid. The Supreme Court decision related to the latter.

Fraud 107

Fraud Medicaid Medicaid Doctors 107

Health Law RX

FEBRUARY 15, 2023

Medicaid providers and suppliers have likely discovered this the hard way. A provider’s or supplier’s enrollment in the Medicaid program may be insufficient to assure that their provision of a covered and medically necessary good or service to a Medicaid patient will be deemed reimbursable. First, get the word out.

Medicaid 52

Medicaid Medicaid Health Care Lawyers Compliance 52

Healthcare IT Today

JANUARY 5, 2024

The proceeds from the financing will support PursueCare’s ongoing collaborative care initiatives with health systems across 11 states, as well as expansion into value-based care with Medicaid managed care and other health plans. Patients can also seek treatment without a referral by downloading the app from Google Play or the Apple Store.

FDA 123

FDA Medicaid Medicaid Hospitals 123

Healthcare IT Today

APRIL 6, 2023

Wellvana serves over one hundred thousand Medicare and commercial lives through multiple payors, Medicare Advantage and as manager of three (3) national contracts for the 2023 ACO REACH (Realizing Equity, Access, and Community Health) model through the Center for Medicare and Medicaid Services (CMS).

Medicare 98

Medicare Medicare Doctors Medicaid 98

Verisys

APRIL 1, 2025

When the Centers for Medicare and Medicaid Services ( CMS ) Medicare Preclusion List went into effect in 2019, it added restrictions on Medicare payments to certain providers. Key details about the Preclusion List : It applies only to Medicare Advantage items and services or Part D drugs for Medicare beneficiaries.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Health Populi

AUGUST 24, 2020

Four in five large employers believe virtual health will play a significant role in how care is delivered int he future, up from 64% in 2019 and 52% in 2018. On the payor front, large U.S. Furthermore, nine in ten companies plans to offer virtual care for telemental health, a fast-growing aspect of virtual care.

COVID-19 154

COVID-19 Telemedicine Doctors Medicare 154