Fierce Healthcare

NOVEMBER 4, 2021

5 to continue Medicare, Medicaid participation. Thu, 11/04/2021 - 09:51. CMS: Healthcare workers must receive their first COVID vaccine by Dec.

Medicaid 122

Medicaid Medicaid Medicare Medicare 122

Healthcare It News

OCTOBER 4, 2022

The Electronic Healthcare Network Accreditation Commission and The CARIN Alliance have partnered to bring both the CARIN Code of Conduct and EHNAC’s criteria review process to health plans, health systems, EHR vendors and others for reporting to the Centers for Medicare & Medicaid Services on their data practices and privacy protections.

COVID-19 Vaccine 309

COVID-19 Vaccine COVID-19 Medicaid Medicaid 309

Bill of Health

APRIL 13, 2022

When the PHE ultimately expires, this will also trigger the end of the Medicaid continuous enrollment requirement, under which states must provide continuous Medicaid coverage for enrollees through the end of the last month of the PHE in order to receive enhanced federal funding. Continuity of Coverage.

Medicaid 147

Medicaid Medicaid COVID-19 Public Health 147

Healthcare IT News - Telehealth

DECEMBER 16, 2020

This is according to a new annual report from research and consulting giant PwC entitled “Top health industry issues of 2021: Will a shocked system emerge stronger?” ” Sixty-eight percent of provider executives surveyed by HRI said they plan to use more care navigators and coordinators in 2021.

COVID-19 216

COVID-19 Hospitals Doctors Health Insurance 216

Healthcare IT Today

DECEMBER 11, 2020

As 2020 comes to a close, healthcare industry leaders are looking ahead to 2021 with excitement and anticipation. The following is a guest article by Mike Noshay, MSE, Founder and Chief Strategy & Marketing Officer at Verinovum.

COVID-19 Vaccine 145

COVID-19 Vaccine COVID-19 Fraud Medicaid 145

Healthcare IT News - Telehealth

JUNE 19, 2023

Over the last few years, Medicare Advantage plans have dramatically increased their deployment of telehealth systems for seniors. While some in the healthcare industry may be skeptical of telehealth’s utilization, particularly within the Medicare population, these plans continue to move full steam ahead.

Medicare 162

Medicare Medicare Telemedicine Medicaid 162

HIPAA Journal

NOVEMBER 21, 2022

million being defrauded from Medicaid, Medicare, and private health insurance programs. According to the FBI, more than $43 billion was lost to these scams between June 2016 and December 2021, and in 2021 alone, the FBI Internet Crime Complaint Center received reports of losses of $2,395,953,296 to BEC scams.

Medicaid 86

Medicaid Medicaid Medicare Medicare 86

Healthcare IT News - Telehealth

NOVEMBER 10, 2020

Prepare Now for Anticipated Changes to Medicare and Private Payer Rules. The Centers for Medicare and Medicaid Services (CMS) is expected to issue new rules for telehealth in the release 2021 Physician Fee Schedule later this year. Today, Medicare reimburses for specific services when delivered via live video.

Public Health 157

Public Health Medicare Medicare COVID-19 157

HIPAA Journal

MAY 16, 2022

According to the April 29, 2022, notification on the healthcare provider’s website, “We recently discovered unauthorized access to our network occurred between May 31, 2021, and June 1, 2021.” The post Refuah Health Center Alerts 260K Patients About May 2021 Cyberattack appeared first on HIPAA Journal.

Health Insurance 116

Health Insurance Ransomware HIPAA Licensing 116

Health Law RX

SEPTEMBER 14, 2021

Medicare and Medicaid certified facilities will be required to ensure that their employees are vaccinated for COVID-19, the Centers for Medicare & Medicaid Services (CMS) announced on September 9, 2021. The Interim Final Rule will apply to any healthcare facility receiving Medicare or Medicaid reimbursement.

Medicaid 75

Medicaid Medicaid Medicare Medicare 75

Healthcare IT News - Telehealth

JANUARY 25, 2021

The Protecting Access to Post-COVID-19 Telehealth Act of 2021 legislation was introduced this past week by Rep. Authorize the Centers for Medicare and Medicaid Service to continue reimbursement for telehealth for 90 days beyond the end of the public health emergency. A bipartisan group of U.S. Mike Thompson, D-Calif.,

COVID-19 214

COVID-19 Medicare Medicare Telemedicine 214

HIPAA Journal

APRIL 27, 2023

The Centers for Medicare & Medicaid Services (CMS) has started notifying certain Medicaid beneficiaries about an impermissible disclosure of some of their protected health information due to a mailing error at one of its contractors. The CMS believes that the risk of identity theft and Medicare fraud is minimal.

Medicare 106

Medicare Medicare Medicaid Medicaid 106

Healthcare IT News - Telehealth

APRIL 30, 2021

senators has reintroduced the Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2021. The act would expand coverage of Medicare telehealth services and make some COVID-19 telehealth flexibilities permanent, among other provisions. Access for Medicare beneficiaries.

COVID-19 217

COVID-19 Medicare Medicare Public Health 217

Kaiser Permanente

JANUARY 1, 2022

Medicaid and the Children’s Health Insurance Program (CHIP) have served as critical supports to children, pregnant women, parents, seniors, and individuals with disabilities – covering 80 million individuals during the COVID-19 pandemic. Since February 2020, Medicaid enrollment has grown sharply to cover an additional 9.9

Medicaid 92

Medicaid Medicaid Medicare Medicare 92

Compliance Now

MARCH 15, 2022

This relief was initially established as a component of emergency COVID-19 legislation, and it expired on December 31, 2021. In addition to the extension of telemedicine protections for HDHPs, the 2022 CAA expands the scope of telehealth services that Medicare will cover.

COVID-19 189

COVID-19 Telemedicine Medicare Medicare 189

Healthcare Compliance Blog

JANUARY 24, 2022

On January 19, 2022, the Massachusetts Medicaid Fraud Division announced that in calendar year 2021, more than $55 million was recovered from individuals and entities who defrauded the state. The Attorney General’s Medicaid Fraud Division investigates and prosecutes providers who defraud the state Medicaid program, MassHealth.

Fraud 59

Fraud Medicaid Medicaid Nursing Homes 59

Healthcare Law Blog

JANUARY 10, 2022

On January 6, 2022 , the Centers for Medicare and Medicaid Services (“CMS”) issued the proposed rule on Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs (the “Proposed Rule”).

Medicare 98

Medicare Medicare COVID-19 Medicaid 98

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. Paradoxically, all those hospitals have five stars, the best rating, on Medicare’s Care Compare website.

Medicare 126

Medicare Medicare Hospitals COVID-19 126

Bill of Health

DECEMBER 27, 2022

Frequency of Approval and Marketing of Biosimilars With a Skinny Label and Associated Medicare Savings. High-risk Therapeutic Devices Approved by the US Food and Drug Administration for Use in Children and Adolescents From 2016 to 2021. Getting the Price Right: Lessons for Medicare Price Negotiation from Peer Countries.

Medicare 147

Medicare Medicare Medicaid Medicaid 147

Compliance Now

MAY 5, 2022

The Centers for Medicare and Medicaid Services recently opened the much-anticipated federal Independent Dispute Resolution (IDR) Portal , a component of the No Surprises Act section of the Consolidated Appropriations Act of 2021 (the Act). By: Jessica Waltman, Principal, Forward Health Consulting.

Medicaid 189

Medicaid Medicaid Medicare Medicare 189

Bill of Health

MARCH 24, 2023

The selections feature topics ranging from an analysis of the approval and marketing of biosimilars with a skinny label and their associated Medicare savings, to a discussion of the Philips Respironics recall and the need for reforms to U.S. Characteristics of Prior Authorization Policies for New Drugs in Medicare Part D. 2023 Feb 23.

Medicare 147

Medicare Medicare Medicaid Medicaid 147

Healthcare IT News - Telehealth

DECEMBER 14, 2020

The American Telemedicine Association, the Connected Health Initiative and other industry groups issued a letter to Congress on Friday urging legislators to extend temporary telehealth flexibilities until the end of 2021. THE LARGER TREND. Despite bipartisan support such legislation has failed to gather significant momentum.

COVID-19 196

COVID-19 Telemedicine Public Health Medicaid 196

McBrayer Law Blog

OCTOBER 18, 2021

More > Tags: Centers for Medicare & Medicaid Services , Civil Penalties , CMS , Healthcare Providers , Long-Term Care , Long-Term Care Facilities , Medicare. For reference, the 2017 Guidance can be found here. The accompanying CMP Analytic Tool can be found here.)

Nursing Homes 96

Nursing Homes Nurses Medicaid Medicaid 96

Healthcare It News

DECEMBER 6, 2023

Unfortunately, Medicaid does not provide reimbursement for RPM services. As an FQHC, Evara did not qualify for reimbursement from Medicare. In late 2021, we were fortunate to be awarded one of the FCC telehealth grants, which gave us the funding to initiate an RPM program."

Nurses 291

Nurses Medicaid Medicaid Hospitals 291

Health Populi

JUNE 18, 2021

Even in 2021, we still see so-called “job-lock” with workers staying in jobs that offer health insurance benefits. adults aged 18 and over in March 2021 for this study. Compared with people enrolled in Medicaid, members of private insurance plans were more likely to have medical debt. California v. households.

ACA 139

ACA Health Insurance Medicaid Medicaid 139

Healthcare IT Today

APRIL 29, 2024

This news builds on the company’s recent momentum, including new and expanded payer partnerships to support Medicaid and Medicare lives and notable results for its award-winning Crisis Care program for individuals with elevated suicide risk.

Medicaid 123

Medicaid Medicaid Medicare Medicare 123

Healthcare IT News - Telehealth

JULY 23, 2020

"Why are you [as a provider] going to invest in changing workflow, educating patients on the value of telehealth, doing all that work, not knowing if this is going to end … in 2021?" " she said. She also pointed out that many state governments have also been in limbo waiting for the federal government to take action.

COVID-19 192

COVID-19 Electronic Medical Records Medicare Medicare 192

Healthcare It News

FEBRUARY 28, 2023

UPMC Central Pennsylvania, a hospital that in 2021 achieved Stage 7, the top of the HIMSS Electronic Medical Record Adoption Model, has been a leader in telemedicine, with more than two dozen robust virtual care programs. The virtual-first primary care was launched in January of 2021 to a ten-county geography in central Pennsylvania.

Electronic Medical Records 281

Electronic Medical Records Telemedicine Health Insurance COVID-19 281

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. ON THE RECORD. healthcare system at the expense of patients."

Fraud 152

Fraud Telemedicine Medicare Medicare 152

HIT Consultant

OCTOBER 14, 2021

Before HLTH 2021 kicks off in Boston on October 17th, here are 15 predictions from digital health executives to watch: Siva Namasivayam, co-founder and CEO of Cohere Health. In 2021, health systems will shift their focus from facilitating basic two-way video visits to implementing strategic enterprise-wide virtual care delivery solutions.

COVID-19 98

COVID-19 FDA Medicare Medicare 98

Healthcare It News

JANUARY 4, 2022

"The adoption of hospital-at-home programs across the country has been rapid, with nearly 200 hospitals participating in the Centers for Medicare and Medicaid Services’ Acute Hospital Care at Home program in only a year since its launch," said Majmudar.

COVID-19 359

COVID-19 Hospitals Nurses Medicaid 359

Healthcare IT News - Telehealth

SEPTEMBER 14, 2020

The plan, which will be available January 1, 2021, through Kaiser Foundation Health Plan of Washington direct to employer groups and consumers, will center telehealth as a foundational modality of care for patients with non-urgent issues. THE LARGER TREND.

Telemedicine 187

Telemedicine Medicaid Medicaid Doctors 187

Bill of Health

FEBRUARY 23, 2023

Over 1,500 state anti-public health bills – introduced to thwart emergency powers, dismiss emergency declarations, prohibit masks, eliminate vaccine mandates, and restrict social distancing – were introduced between January 1, 2021 – May 20, 2022. Yet, only 185 of these bills actually passed. Local school districts were crafty, too.

COVID-19 182

COVID-19 Public Health COVID-19 Vaccine Governance 182

Bill of Health

MARCH 15, 2022

Further, safety net programs, such as Medicaid and Supplemental Security Income (SSI), have stringent rules that prevent people with disabilities from working while simultaneously forcing them to live in poverty. However, expanding safety net programs , such as SSI and Medicaid, would be important as an interim measure.

COVID-19 246

COVID-19 ADA Medicaid Medicaid 246

HIPAA Journal

FEBRUARY 15, 2022

Chicago’s South Shore Hospital has started notifying 115,670 current and former patients about a December 2021 cyberattack on its network. Suspicious activity was identified on its network on December 10, 2021, and prompt action was taken to contain the incident.

Hospitals 125

Hospitals Health Insurance HIPAA Medicaid 125

Med-Net Compliance

JULY 11, 2022

The report says that in FY 2021 the DOJ opened 831 new criminal healthcare fraud investigations. HHS-OIG also excluded 1,689 individuals and entities from participation in Medicare, Medicaid, and other federal healthcare programs. In FY 2021, the FBI opened 593 new healthcare fraud investigations.

Fraud 59

Fraud Compliance Medicaid Medicaid 59

HIPAA Journal

MARCH 14, 2022

Capital Region Medical Center (CRMC) in Jefferson City, MO has recently confirmed patient information was accessed by unauthorized individuals in a December 2021 cyberattack that took its network and phone systems offline for several days. The attack was detected on December 17, 2021, when network systems were disrupted.

Electronic Medical Records 136

Electronic Medical Records Health Insurance HIPAA Licensing 136