Jane Sarashon

FEBRUARY 4, 2024

As a constant observer and advisor across the health/care ecosystem, for me the concept of a “health plan” in the U.S. Furthermore, health plan members now see themselves as medical bill payers, seeking value and consumer-level services for their health insurance premium investment. is getting fuzzier by the day.

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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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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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Healthcare Law Blog

DECEMBER 7, 2022

On December 5, 2022, the Department of Health and Human Services (“ HHS ”), Office of Inspector General (“ OIG ”), released their Semiannual Report to Congress for the period beginning on April 1, 2022, and ending on September 30, 2022 (the “ Semiannual Report ”). [1]. million $1.19 billion Questioned Costs $1.17

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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 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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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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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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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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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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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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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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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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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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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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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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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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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

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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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

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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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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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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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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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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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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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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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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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

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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Healthcare IT News - Telehealth

OCTOBER 17, 2022

Since the COVID-19 public health emergency was declared in 2020, the Department of Health and Human Services has renewed the legislation every 90 days. But by definition, an "emergency" can't last forever. What's at stake.

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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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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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Hall Render

SEPTEMBER 15, 2023

NATIONAL 988 suicide hotline adds support for American Sign Language 3 Takeaways from Physician Compensation Trends Adventist Health completes merger with Montebello’s ailing Beverly Hospital AHA-supported bill to protect health care workers introduced in Senate AHA weighs in on CMS’ proposed ASC payment system AHA submits comments on CY 2024 (..)

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