Med-Net Compliance

NOVEMBER 8, 2022

On November 3, 2022, the OIG released the results of a recent inspection of a nursing home by the Texas Health and Human Services (HHS) Office of Inspector General Audit and Inspections Division (OIG Inspections).

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Nursing Homes Nurses US Department of Health and Human Services Licensing 59

Total HIPAA

JANUARY 4, 2021

HIPAA breaches involving fewer than 500 individuals, which occurred during 2020 , must be reported to the US Department of Health and Human Services (HHS) by Monday, March 1, 2021. 351 Days. -15 15 Hours. -26 26 Minutes. -8 Reporting HIPAA Breaches: When Should I Contact HHS? Definition of HIPAA Breaches.

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Healthcare IT Today

JANUARY 6, 2023

As we head into 2023, we wanted to kick off the new year with a series of 2023 Health IT predictions. Digitally-enabled care is the future of telehealth – “telehealth” has become industry norm since the start of the pandemic and used as a catchall term for everything from virtual doctor’s appointments to at-home testing kits.

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Innovaare Compliance

JUNE 21, 2023

The Inflation Reduction Act of 2022 has wide-ranging impact on payments for drugs used by Medicare beneficiaries, whether they are administered in the provider’s office (Part B) or used in the ambulatory setting (Part D). Between 2008-2021, Medicare Part B drug spending per enrollee grew on average at 9.2 percent annually.

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US Department of Health and Human Services Medicare Medicare Medicaid 52

Verisys

JUNE 13, 2023

Centers for Medicare & Medicaid Services : The US Department of Health and Human Services has issued a final rule update concerning guidelines for COVID-19 vaccination requirements for Long-Term Care Facilities (LTC) and Intermediate Care for Individuals with Intellectual Disabilities (ICFs-IID).

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COVID-19 Vaccine US Department of Health and Human Services COVID-19 Licensing 52

Total HIPAA

JANUARY 18, 2022

HIPAA breaches involving fewer than 500 individuals which occurred during 2021 must be reported to the US Department of Health and Human Services (HHS) by Tuesday, March 1, 2022. Read on to learn what is considered a breach, how to report them, and other ins and outs of the reporting process! 35 Minutes.

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AIHC

NOVEMBER 15, 2022

Written by Joanne Byron , BS, LPN, CCA, CHA, CHCO, CHBS, CHCM, CIFHA, CMDP, COCAS, CORCM, OHCC, ICDCT-CM/PCS The Federal Hospital Price Transparency Rule helps Americans know the cost of a hospital item or service before receiving it. In the US, hospital prices vary widely but are not visible to patients or the public.

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Hospitals US Department of Health and Human Services Compliance Governance 52

Provider Trust

MARCH 21, 2023

US Department of Health and Human Services (HHS) Office of Inspector General Christi A. For example, an OIG report from 2021 examined various Medicare Advantage companies and found that they received over $9 billion in risk adjustment payments in just one year. Medicare Advantage will be no exception.

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Provider Trust

JANUARY 26, 2022

Luckily for all us, there’s a spectrum–and it was created with visibility and safety in mind. Department of Justice (DOJ), the U.S. And when patient care and reimbursements are on the line, even one bad actor can put an entire organization’s reputation in jeopardy. How the OIG Finds & Prosecutes Healthcare Fraud.

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Fraud US Department of Health and Human Services Medicaid Medicaid 52

Healthcare Law Today

FEBRUARY 6, 2023

As of 2019 almost 95% of such persons had Medicare coverage and about half of those also had some sort of supplemental health insurance coverage. The United States is aging, and becoming more obese, and the need for cardiologists will increase as a result. Moreover, 40% of Americans are considered medically obese.

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US Department of Health and Human Services Electronic Medical Records Medicare Medicare 52

Physician Credentialing Company

OCTOBER 17, 2024

In the healthcare sector, healthcare organizations and practitioners provide medical services to patients and ask for reimbursement in return from the insurers. There are many codes assigned for the service provided to the patients, and CPT code 99214 is very important for billing office or outpatient medical patient visits.

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Medval Compliance Blog

MARCH 10, 2022

by Frank Fairchok, Vice President of Medicare Reporting Services. Last week, the Centers for Medicare & Medicaid Services (CMS) advanced the rulemaking process in two long-awaited areas. 0938-AT85 – Medicare Secondary Payer and Future Medicals (CMS-6047). 0938-AT85 – Medicare Secondary Payer and Future Medicals (CMS-6047).

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Healthcare IT Today

JANUARY 4, 2023

The following is a guest article by Nate Maslak, Founder & CEO at Ribbon Health. The ability to seek treatment from a doctor specializing in your specific medical need is beneficial and improves health outcomes. And consumers have come to expect and demand this personalization. Personalized Healthcare in Action . million in 2020.

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US Department of Health and Human Services Doctors COVID-19 Health Outcomes 66

Healthcare Law Blog

MARCH 25, 2022

Various smaller health insurance issuers have challenged the risk-adjustment program under the Patient Protection and Affordable Care Act (ACA), alleging, among other things, that its underlying methodology favors larger insurers. See Vista Health Plan, Inc. United States Dep’t of Health & Hum. The Risk-Adjustment Program.

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HIT Consultant

JANUARY 5, 2022

However, as a board-certified physician in addiction medicine and chief medical officer of a nationwide addiction medicine practice, waiting on government funding was not an option as we treated patients struggling with opioid use disorder (OUD) during the COVID pandemic. We need to do more.

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Healthcare Law Blog

JANUARY 14, 2022

And since the conference was virtual, what better topic to start us off today than a consideration of the new Virtual-First trend that surfaced in 2021. We’ll follow that with a dive onto the couch to consider the conference’s mental health offerings and where the behavioral health sector is heading.

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US Department of Health and Human Services Hospitals Medicaid Medicaid 52

Hall Render

APRIL 29, 2022

County Struggles with Income Affect Social Determinants of Health. HHS puts $90 million toward addressing health disparities through data. Nearly half of rural hospitals lose money on childbirth services. Alabama Medicaid enrollment increases as pandemic requirement continues. CMS Proposes $1.6B

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Healthcare IT News - Telehealth

SEPTEMBER 28, 2022

David Gray When President Joe Biden recently declared on national television that “the pandemic is over,” he offered a glimpse into the strategy his administration will be using on COVID-19 going forward: We’re ready to move on. What this means for telehealth and connected health policy.

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Hall Render

JUNE 21, 2024

NATIONAL 50% of U.S. to buy property. NATIONAL 50% of U.S. to buy property. NATIONAL 50% of U.S. to buy property. The deal fell through, but that won’t solve Bartlett’s budget issues. Kenai Peninsula Borough Assembly considers $38.5M Kenai Peninsula Borough Assembly considers $38.5M

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US Department of Health and Human Services Nursing Homes Nurses Hospitals 40

Healthcare IT News - Telehealth

SEPTEMBER 27, 2022

David Gray When President Joe Biden recently declared on national television that “the pandemic is over,” he offered a glimpse into the strategy his administration will be using on COVID-19 going forward: We’re ready to move on. What this means for telehealth and connected health policy.

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Hall Render

MARCH 25, 2022

Dr. Lorna Breen Health Care Provider Protection Act becomes law. Here are the top health systems by patient reviews. Sensitive health data of 50 million Americans hacked or breached last year: analysis. Private equity’s pandemic-era health care push. Alabama lawmaker’s push to extend postpartum Medicaid coverage. $12

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Hall Render

APRIL 22, 2022

HHS Secretary Outlines FY 2023 Mental Health Investments at Senate Hearing. million in ARP funds to train health workers in local communities. million in ARP funds to train health workers in local communities. Patient generated data can be a key factor in reducing health inequity. HHS is giving $226.5 HHS is giving $226.5

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Hall Render

MARCH 31, 2023

in 2022, survey finds Senate votes to end COVID-19 national emergency Why are 600+ rural hospitals at risk of closing? in 2022, survey finds Senate votes to end COVID-19 national emergency Why are 600+ rural hospitals at risk of closing? What happens if it disappears?

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US Department of Health and Human Services Nursing Homes COVID-19 Nurses 40

Hall Render

SEPTEMBER 16, 2022

4 Health Systems Join Provider-Created Data Collective to Improve Care. Full 4th Circuit to tackle Medicaid fraud standard under False Claims Act. Why asking about social determinants of health is so important. Alabama Women’s Health Center Suffers Data Breach, 34K Impacted. Amazon wants to add payer strategy muscle.

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US Department of Health and Human Services COVID-19 Nurses Nursing Homes 40

Hall Render

NOVEMBER 4, 2022

CVS Health, Walgreens each to settle all opioid cases for $5B. Cullman Regional to build north Alabama’s 1st freestanding emergency department. USDA funds 11 rural Alabama health care projects with $7.3 Rural Alabamians getting improvements in health care with federal grant. CMS bumps ASC payments to 3.8

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US Department of Health and Human Services COVID-19 Nursing Homes Nurses 40

Hall Render

AUGUST 19, 2022

Amazon to offer behavioral health services through Ginger partnership. CDC, amid criticism for COVID-19 response, plans reorganization as public health threats grow. House approves sweeping climate, tax, health care package. Joint Commission’s New Accreditation Standards Tackle Health Disparities. CALIFORNIA.

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Hall Render

OCTOBER 4, 2024

NATIONAL 5 Stark law issues physicians are closely watching Anti-monopoly advocates urge FTC to block McKesson, Cardinal Health’s big-ticket oncology acquisitions Biden administration doles out $68.5M

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US Department of Health and Human Services Nursing Homes Nurses Hospitals 40

Hall Render

JANUARY 7, 2022

CDC shortens COVID isolation rules for health workers. FDA expands use of Pfizer vaccine, green-lights boosters for children 12-15. Health systems eye outpatient sector as hospital M&A continues to slump. Inflation jump took a bite out of 2021 physician compensation. COVID-19 hospitalizations up in 34 states.

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Hall Render

APRIL 26, 2024

NATIONAL 5 numbers on the rise of Stark law violations 3 takeaways on the new federal data privacy proposal after its first public showcase 80% of Change Healthcare restored after cyberattack Authentication failure blamed for Change Healthcare ransomware attack Biden administration issues new rule to protect privacy of those seeking reproductive health (..)

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Compliancy Group

DECEMBER 16, 2022

At first glance, the Department of Health and Human Services’ Office for Civil Rights HIPAA enforcement for the year 2022 appears to be lax. One theory holds that a 2021 court case (resolved against OCR) has scared OCR off of enforcing the Security Rule. In the January 14, 2021 decision striking down a $4.3

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Hall Render

JULY 8, 2022

SCOTUS won’t hear challenge to health worker vaccine mandate. Why health systems are choosing Amazon as their cloud provider. Worst health system data breaches of 2022, according to Wired. Alabama Department of Corrections picks new medical, mental health care provider. UAB names interim health system CEO.

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Hall Render

APRIL 14, 2023

NATIONAL 94% of Organizations Experienced a Cyberattack in 2022 AHA blog: Strengthening crisis management in rural health care Biden signs bill ending Covid-19 national emergency Cancer drug shortages are creating dire circumstances for some patients CMS Releases FY24 IPPS Proposed Rule, Seeks to Boost Rates by 2.8%

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HIT Consultant

OCTOBER 6, 2022

Most clinics were required to send the patients through the emergency departments to seek specific treatment, thus reducing streamlined care through primary care physicians. The pandemic also revealed that the United States has failed to draft efficient health insurance policies. The least preparedness of the U.S.

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Hall Render

JANUARY 28, 2022

FDA halts use of antibody drugs that don’t work vs. omicron. Safety-net hospitals face the worst of the US’ nursing shortage. State health officer discusses Alabama’s COVID-19 peak. Alabama lawmakers talking about how to use next round of federal pandemic relief funds.

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Hall Render

MARCH 17, 2023

NATIONAL AMA pressures federal government to fix prior authorization problem plaguing radiology AHA pushes back on new 340B alliance Biden’s $6.8T Lawmakers are now mulling limits.

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US Department of Health and Human Services COVID-19 Nursing Homes Nurses 40

Hall Render

NOVEMBER 11, 2022

How CVS, Amazon and Walgreens are pushing into primary care, home health. Like ordering from Amazon: Where health tech is heading, according to 3 CIOs. Medical groups to Biden: ED boarding at a ‘crisis point’ Nursing home groups request public health emergency extension. deal to combine with Summit Health.

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US Department of Health and Human Services Nursing Homes COVID-19 Nurses 40

Hall Render

OCTOBER 14, 2022

Biden administration extends COVID public health emergency. Bill would use CMS’s Five-Star system to punish consistently 1-star nursing homes. USDA awards health care grants to rural hospitals in Mississippi, Alabama. East Alabama Health Joins Apprentice Partnership. Unity Health appoints new CEO.

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US Department of Health and Human Services COVID-19 Nursing Homes Nurses 40