Compliance Now

OCTOBER 10, 2023

For the 2023 ACA filing and beyond, employers that cumulatively submit at least ten forms to the IRS, including W-2s, 1099s, ACA Forms 1094/1095, and other common form series, must file all of those forms electronically. Ultimately, the ten-form aggregate threshold will necessitate electronic filing for nearly every employer.

ACA 100

ACA Governance Compliance 100

Compliance Now

OCTOBER 10, 2023

For the 2023 ACA filing and beyond, employers that cumulatively submit at least ten forms to the IRS, including W-2s, 1099s, ACA Forms 1094/1095, and other common form series, must file all of those forms electronically. Ultimately, the ten-form aggregate threshold will necessitate electronic filing for nearly every employer.

ACA 100

ACA Governance Compliance 100

Healthcare IT Today

DECEMBER 4, 2024

The ban has been opposed by ACA International, Healthcare Financial Management Association, Medical Group Management Association, and the American Hospital Association. It is important to note that these proposed changes were provided first by the CFPB after convening an SBREFA panel in 2023 and without any input from healthcare providers.

Medical Billing 103

Medical Billing ACA Compliance Governance 103

HIT Consultant

JANUARY 2, 2025

The ban has been opposed by ACA International, the Healthcare Financial Management Association (HFMA), the Medical Group Management Association (MGMA), and the American Hospital Association (AHA). Another solution is to enhance financial assistance programs and access to apply.

Medical Billing 93

Medical Billing ACA Compliance Governance 93

Compliance Now

DECEMBER 20, 2022

The good faith transition relief that formerly shielded employers from penalties for incorrect and/or incomplete ACA filings is no longer available. Employers must successfully e-File complete, accurate ACA filings by this deadline or risk exposure to information return penalties and employer mandate penalties.

Compliance 100

Compliance COVID-19 ACA Governance 100

Compliance Now

DECEMBER 20, 2022

The good faith transition relief that formerly shielded employers from penalties for incorrect and/or incomplete ACA filings is no longer available. Employers must successfully e-File complete, accurate ACA filings by this deadline or risk exposure to information return penalties and employer mandate penalties.

Compliance 100

Compliance COVID-19 ACA Governance 100

Health Populi

AUGUST 2, 2021

This gets to the affordability adjective, that first “A” in the acronym, “ACA.” ” Unaffordability to many patients-as-payors comes in the form of deductibles, and co-payments for care and medicines.

Doctors 133

Doctors COVID-19 Health Insurance ACA 133

Kaiser Health News

JANUARY 19, 2022

” The changes are part of a 400-page proposed rule governing the federal health insurance marketplace and a few states that use the federal platform for their own exchanges. Under the ACA, sliding-scale subsidies are available to help low- and moderate-income people buy coverage.

ACA 80

ACA Health Insurance Licensing Governance 80

Bill of Health

SEPTEMBER 21, 2024

For example, many view the FDA’s recent final rule governing laboratory developed tests, long an area of confusion and controversy in FDA circles, to be susceptible under Loper Bright. One such effort is a recent suit challenging HHS rules under ACA section 1557 and its prohibition against discrimination in health care.

FDA 124

FDA ACA Governance 124

Health Populi

JUNE 28, 2018

Most voters across party have told previous KFF polls they believe in more government regulation or intervention on drug costs. ” For over a year, the KFF polls have tracked that one-half of voters are in favor of the ACA. ” For over a year, the KFF polls have tracked that one-half of voters are in favor of the ACA.

Prescription Drug Pricing 74

Prescription Drug Pricing ACA Health Insurance Governance 74

Healthcare IT Today

DECEMBER 4, 2024

NCQA operates in the space between government, payers, plans, and providers. By maintaining and evolving HEDIS measures, NCQA helps standardize the collection and reporting of critical data across health plans and providers, ensuring consistency and comparability nationwide.

Public Health 67

Public Health Governance ACA Hospitals 67

Hanys

JANUARY 20, 2023

26 Government relations update Feb. 9 ACA IRS reporting: What's new for 2022, 2023 reporting years Feb. HANYS standing membership call Jan. 24 HANYS fiscal policy update call Jan. 3 HANYS standing membership call on state and federal issues Feb. 7 Regional state budget briefing | Greater New York Hospital Association Feb.

ACA 40

ACA Governance Hospitals 40

Health Populi

AUGUST 16, 2019

Co-pay accumulators are being discussed across health plan types, including government-sponsored plans like Medicare along with commercial health insurance programs. Federal government Blueprint for reducing prescription drug costs. adults think the government should end the tax break on advertising spending for drugs.

Governance 79

Governance Health Care Reform FDA ACA 79

Health Populi

OCTOBER 14, 2024

Prescription drugs (and costs) are on the minds of policymakers and legislators as well as prescribers, pharma companies, and payers — employers, government plans, health insurers and, of course, patients who co-pay or c0-share the costs of medicines. In 2024, the average patient share amounts are shown in Figure 9.6

Health Insurance 62

Health Insurance Prescription Drug Pricing COVID-19 Governance 62

Hanys

JANUARY 27, 2023

Government relations update Feb. 9 ACA IRS reporting: What's new for 2022, 2023 reporting years Feb. 3 HANYS standing membership call on state and federal issues Feb. 7 Regional state budget briefing | Greater New York Hospital Association Feb. 15 Regional state budget briefing | Iroquois Healthcare Alliance Feb.

ACA 40

ACA Governance Hospitals 40

Healthcare IT Today

NOVEMBER 19, 2022

The digitization wave triggered by the HITECH Act and the ACA has yet to hit long-term care , John learned in his conversation with Bill Charnetski at PointClickCare. Read more… Regulators Need to Pay More Attention to Long-Term Care.

ACA 87

ACA Medical Billing Hospitals HIPAA 87

Health Populi

FEBRUARY 18, 2020

Chartis found nine of these to be most important in predicting closure: average age of the plant, case mix index, government control status, percentage capital efficiency, percentage change total revenue, percentage occupancy, percentage outpatient revenue, system affiliation, and state-level Medicaid expansion status.

Hospitals 109

Hospitals Medicaid Medicaid Health Care Reform 109

YouCompli

JANUARY 28, 2025

These include the Health Insurance Portability and Accountability Act (HIPAA), the Affordable Care Act (ACA), the False Claims Act, and other legislation that governs patient care, billing practices, and safety standards.

Compliance Officers 52

Compliance Officers Regulatory Compliance Compliance Informed Consent 52

Health Populi

MARCH 7, 2018

There’s an old saw that the US government is an insurance company with an army” quips @PaulKrugman @HIMSS #HIMSS18 #HX360 #Healthinsurance #Medicare #Healthcare #Healthcosts. Fastest growing jobs in US are in #healthcare says @paulkrugman at #hx360 @himss #himss18 #Healtheconomics is US are tightly integrated into overall American economy.

ACA 48

ACA Governance Nurses Medicare 48

Healthcare Law Today

JANUARY 2, 2023

of a case where the hospital is diligently working on the claims and it's on the sixty-first day and they're still scrambling to go through their spreadsheets, you know, the government wouldn't be bringing that kind of a claim.” For example, in a 2015 case, DOJ attorneys stated in a court conference, “[T]his is not a question.

Overpayments 52

Overpayments Overpayment ACA Medicare 52

MedTrainer

JANUARY 31, 2024

federal government enacted the Federal False Claims Act (FCA) in 1863 during the American Civil War. It was passed to combat fraud by government contractors during the conflict and set the stage for future compliance regulations. Healthcare compliance isn’t a new concept. Who started the first healthcare compliance program?

Compliance 52

Compliance Fraud Governance ACA 52

Health Populi

AUGUST 29, 2018

Protecting pre-existing conditions in health insurance outranks lowering the price of prescription drugs and repealing the ACA, voters say. On a party-identification basis, this sentiment is shared across a majority of Democrats, Independents and Republicans, the third chart illustrates.

ACA 48

ACA Health Insurance Medical Billing Public Health 48

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

MedTrainer

JUNE 28, 2023

The primary goal of a Certified Fraud Examiner in healthcare is to safeguard the integrity of healthcare systems and protect patients, insurance providers, and government programs from financial losses due to fraudulent activities. Typically, that means looking at the five main Federal laws governing healthcare fraud : False Claims Act (FCA).

Fraud 52

Fraud Compliance Governance Compliance Officers 52

MedTrainer

MAY 10, 2024

This process is vital for enhancing the accessibility and affordability of mental health services, aligning with the comprehensive healthcare coverage expansions under the Affordable Care Act ( ACA ). Credentialing confirms the providers’ eligibility to bill for services under government and accreditation regulations. Effective Jan.

Licensing 52

Licensing ACA Medicare Medicare 52

Health Populi

APRIL 1, 2020

In Brand Trust and the Coronavirus Pandemic , Edelman focuses its trust lens on the pandemic and consumers’ shaken confidence in business and government institutions. will remember — and be scarred — by the Federal government’s poor response to and advance planning for the coronavirus pandemic.

COVID-19 77

COVID-19 Doctors Nurses Governance 77

MedTrainer

APRIL 8, 2024

As a healthcare professional, it is vital to maintain compliance with the 629 legal and regulatory requirements that govern the delivery of quality care. Legal And Regulatory Requirements In Healthcare More than 620 legal and regulatory requirements govern how the healthcare industry ensures patient safety, privacy, and quality of care.

Compliance 52

Compliance Governance ACA HIPAA 52

MedTrainer

AUGUST 31, 2023

Healthcare compliance refers to the process of adhering to the laws, regulations, and ethical standards that govern the healthcare industry. Let’s delve into the world of compliance with answers to the most common compliance FAQs. What Is Healthcare Compliance? What Is HIPAA and How Does It Impact Healthcare Compliance?

Compliance 52

Compliance Compliance Officers HIPAA Fraud 52

MedTrainer

JANUARY 26, 2024

In addition to HIPAA, healthcare providers may also be subject to other federal and state regulations, such as the Affordable Care Act (ACA), which includes provisions related to healthcare reimbursement and quality reporting, and state-specific regulations governing healthcare practices.

HIPAA 52

HIPAA Compliance ACA Health Insurance 52

Physician Credentialing Company

MAY 16, 2024

Regulatory Considerations When evaluating Management Services Organizations (MSOs) within healthcare, it is critical to understand the regulatory landscape that governs their operation. Compliance with Healthcare Laws MSOs must navigate a complex array of healthcare laws and regulations to ensure compliance.

Compliance 52

Compliance ACA Health Insurance Hospitals 52

Medisys Compliance

APRIL 25, 2023

In addition, you should ensure that the billing company is knowledgeable about and compliant with other relevant regulations, such as the Affordable Care Act (ACA) and the Medicare Access and CHIP Reauthorization Act (MACRA).

Regulatory Compliance 52

Regulatory Compliance ACA Medical Billing Outsourcing Compliance 52

Health Populi

FEBRUARY 7, 2020

Two of the biggest ones are the size of government and taxes. In yesterday’s Health Populi , I discussed the Bipartisan Policy Center’s modest proposal for health reform in America, which also seeks to bring us together via health policy. The gridlock comes at certain flashpoints, USA Today explains.

Nurses 93

Nurses Doctors Governance Hospitals 93

Health Populi

APRIL 3, 2023

public does not want politicians to “up-end” government-funded health programs, according to the Kaiser Family Foundation’s March 2023 Health Tracking Poll. Suddenly, the role of Federal and State governments takes on a very personal role — and value. A majority of the U.S. voters ages 18 and over. .”

Medicaid 62

Medicaid Medicaid Medicare Medicare 62

MedTrainer

AUGUST 2, 2023

Federal Government Audits These audits are performed by government agencies such as the Centers for Medicare and Medicaid Services (CMS). They review healthcare claims and billing practices to ensure accuracy, detect fraud or abuse, and assess compliance with the payer’s policies and guidelines.

Compliance 52

Compliance ACA Medicaid Medicaid 52

Compliancy Group

JANUARY 3, 2024

When auditing claims, medical records, and financial documentation, it is essential to incorporate guidance based on the following questions: Are all codes for services and supplies correct?

Medical Billing 52

Medical Billing Compliance ACA Health Insurance 52

Health Populi

FEBRUARY 6, 2020

isn’t repealing or replacing the Affordable Care Act or moving to a Medicare-for-All government-provided plan. Among all Americans, the most popular approach for improving the health care in the U.S.

Health Insurance 79

Health Insurance Medicare Medicare Medicaid 79

HIT Consultant

JUNE 5, 2024

The Affordable Care Act of 2010 (ACA) and the Medicare Access and CHIP Reauthorization Act of 2015 put providers on notice that quality of care measures, like reducing hospital readmissions and improving patient outcomes, would take precedence over fee-for-service models.

Nurses 52

Nurses Medicare Medicare Hospitals 52