Healthcare IT Today

OCTOBER 20, 2023

This is the final article in a series about social determinants of health (SDoH). Previous articles covered the definition, collection, sharing, and use of SDoH. Food Aid Federal government food programs expanded significantly during the COVID-19 crisis. I’ll finish with a look at some specific areas of intervention.

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COVID-19 Medicaid Medicaid Doctors 132

Healthcare IT Today

OCTOBER 25, 2024

The following is a guest article by Mike Crouse, Director of Insider Risk at Everfox Ransomware attacks on the healthcare sector continue to grow, with incidents nearly doubling from 2022 to 2023—a concerning figure considering their potential to leave patients in life-or-death situations.

Ransomware 121

Ransomware Hospitals Medicaid Medicaid 121

Healthcare IT Today

OCTOBER 18, 2023

Previous articles in this series showed why social determinants of health (SDoH) are the hottest recent addition to data used by the medical industry. This article shows how organizations are collecting it. We’ve explored how SDoH data is defined and shared. The percentage is much higher in some areas.

Doctors 132

Doctors Public Health Medicare Medicare 132

Healthcare IT Today

SEPTEMBER 19, 2024

The following is a guest article by Aaron Timm, EVP and Chief Commercial Officer at Vivalink In recent years, Hospital-at-Home (HaH) programs have been accepted more widely as a way of providing acute-level care to patients at home. with its introduction of the Acute Hospital Care at Home (AHCAH) waiver in 2020.

Hospitals 99

Hospitals Governance Telemedicine Payment Systems 99

Healthcare IT Today

OCTOBER 12, 2023

The Centers for Medicare & Medicaid Services (CMS) have taken a bold step by mandating a standard for prior authorization. The federal government has been haranguing vendors and clinicians to make interoperable systems since the HITECH act was passed in 2009. A CMS fact sheet offers more details on CMS’s thinking and plans.

Electronic Medical Records 122

Electronic Medical Records Doctors Governance Medicaid 122

Hall Render

JUNE 23, 2023

In the latest effort to increase price transparency and lower prescription drug costs, the Centers for Medicare & Medicaid Services (“CMS”) issued a proposed rule (“Proposed Rule”) that, in part, intends to reveal the actual cost of drugs covered by Medicaid.

Medicaid 40

Medicaid Medicaid Governance Medicare 40

Healthcare IT Today

FEBRUARY 17, 2023

government and calls for better oversight , the Centers for Medicare & Medicaid Services announced in early February that it would investigate overbilling by those plans. This article focuses on the relatively young technologies that enable CMS to uncover overbillings, whether they be errors or fraud.

Overpayments 89

Overpayments Overpayment COVID-19 Medicare 89

Healthcare IT Today

NOVEMBER 9, 2022

Specifically, what if the Center for Medicare & Medicaid Services (CMS) rescinds the emergency orders it has put in place during the COVID-19 pandemic? This article focuses on revenue, because I and other writers frequently cover impacts of televisits on access and care plans. The premise of this article embraces an irony.

COVID-19 122

COVID-19 Doctors Telemedicine Medicare 122

AIHC

MARCH 12, 2024

Written by the AIHC Education Department This article provides an overview of how the media and government are reacting to the potential of artificial intelligence (AI) and potential threats associated with this advanced technology. A Government-Commissioned Report Released February 2024 The U.S.

Ransomware 59

Ransomware Governance Compliance HIPAA 59

Healthcare IT Today

JUNE 2, 2023

Bill Charnetski, EVP, Health System Solutions & Government Affairs at PointClickCare Traditionally, long-term and post-acute care (LTPAC) facilities have not benefited from the same health IT investments or funding as other care sectors. Thank you to everyone that left a quote for us and thank you to everyone reading this article!

Governance 121

Governance Nursing Homes Medicaid Medicaid 121

Healthcare IT Today

NOVEMBER 15, 2023

The previous article in this series explained some of the ways payers, providers, and digital health companies demonstrate that they have made a positive difference in their patients’ lives. ” This article looks at the measurements and reporting strategies used by some specific companies.

Medicare 124

Medicare Medicare Hospitals Compliance 124

Healthcare IT Today

FEBRUARY 7, 2024

This article explains the complexities that makes it so hard to implement electronic prescribing for controlled substances (EPCS), summarizes the intended impacts of the bills, and introduces Imprivata digital identity technology, which has been used in health care for such purposes for many years. Two bills in U.S.

Telemedicine 130

Telemedicine COVID-19 Doctors Medicare 130

Medisys Compliance

MARCH 5, 2024

This article explores into the details of cardiology billing, offering insights into payer audits and reimbursement challenges in cardiology billing. This complexity is reflected in the coding and billing requirements set forth by government payers such as Medicare, as well as private insurance companies.

Medical Billing Outsourcing 105

Medical Billing Outsourcing Medical Billing Compliance Governance 105

Hall Render

DECEMBER 20, 2023

For NFs, the data would be reported via means prescribed by the applicable state Medicaid agency. Hall Render blog posts and articles are intended for informational purposes only. For ethical reasons, Hall Render attorneys cannot give legal advice outside of an attorney-client relationship.

Nurses 40

Nurses Medicaid Medicaid Medicare 40

Hall Render

JUNE 20, 2022

Is housing health care and should Medicaid pay the rent? States are using Medicaid programs to cover rent, security deposits and furniture per The New York Times. State and local governments are stepping up to save facilities on the brink of closure. The following states are leading the way: TX (8); WI (7); AZ (6); and FL (5).

Medicaid 40

Medicaid Medicaid Hospitals Nurses 40

AIHC

MARCH 12, 2024

Written by the AIHC Education Department This article provides an overview of how the media and government are reacting to the potential of artificial intelligence (AI) and potential threats associated with this advanced technology. A Government-Commissioned Report Released February 2024 The U.S.

Ransomware 52

Ransomware Governance Compliance HIPAA 52

Healthcare IT Today

AUGUST 20, 2023

This article will be a weekly roundup of interesting stories, product announcements, new hires, partnerships, research studies, awards, sales, and more. That said, 66% trust their health plan more that the government or non-traditional entities such as Amazon or Walmart to their health insurance.

Health Insurance 75

Health Insurance Medicaid Medicaid FDA 75

Healthcare IT Today

OCTOBER 19, 2023

Previous articles in this series introduced the importance of social determinants of health (SDoH) and explained how it can be captured and classified. In this article, I’ll show how many hospitals, payers, and other institutions are acting on that data. She says they are currently hesitant to use it.

Department of Veterans Affairs 128

Department of Veterans Affairs Nursing Homes COVID-19 Hospitals 128

Healthcare IT Today

MARCH 24, 2023

The following is a guest article by Diana Zuskov, MPH, Associate Vice President of Healthcare Strategy at LexisNexis® Risk Solutions. In this article we explore the top lessons learned to make SDoH data effective, and three actionable examples of organizations who have turned data to analysis and action.

Health Outcomes 115

Health Outcomes Public Health Medicaid Medicaid 115

Hall Render

FEBRUARY 10, 2023

North Carolina legislators are considering a Medicaid expansion bill that includes a repeal of its CON law. Higher interest rates have resulted in fewer government and non-profit health care providers going to market to place debt. Hall Render blog posts and articles are intended for informational purposes only.

Medicaid 40

Medicaid Medicaid Hospitals Governance 40

Medisys Compliance

FEBRUARY 27, 2024

In this article, we will explore the complex landscape of radiology billing compliance, exploring key regulations, audit processes, and strategies for ensuring adherence to guidelines. Understanding Regulatory Framework Radiology billing is governed by a multitude of regulations at the federal, state, and local levels.

Compliance 59

Compliance Medical Billing Outsourcing Medicare Medicare 59

Healthcare IT Today

AUGUST 7, 2022

This article will be a weekly roundup of interesting stories, product announcements, new hires, partnerships, research studies, awards, sales, and more. Cybersecurity company Surfshark found the number of government requests for user data increased 4x from 2013 to 2020 among Apple, Google, Facebook, and Microsoft. Partnerships.

Governance 75

Governance Telemedicine Medicaid Medicaid 75

The Health Law Firm

AUGUST 24, 2012

To read the entire False Claims Act complaint filed, click here. Alleged Details in the Case Against Adventist Health System.

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Medicaid Medicaid Medicare Medicare 40

Hall Render

AUGUST 8, 2022

The web server contained ePHI, including patients’ names, Medicaid numbers, health care provider names, dates of service, dates of birth, addresses and treatment information. Further, data governance is key to proactively managing ePHI. Hall Render blog posts and articles are intended for informational purposes only.

HIPAA 73

HIPAA Governance Medicaid Medicaid 73

Health Care Law Brief

FEBRUARY 8, 2024

billion to fund Medicaid, $4.8 In addition to those provisions that look to extend current government programs, the HMH Bill proposes the following new initiatives: Provider Specific Provisions : Transforming Safety Net Hospitals. The Department of Health (“DOH”) would establish Medicaid reimbursement rates for such off-site services.

Medicaid 52

Medicaid Medicaid Nurses Licensing 52

Medisys Compliance

MAY 20, 2024

This article dives into the world of mental health services reimbursement rates, empowering providers with knowledge to navigate this complex system. Payer type: Private insurance companies, Medicare, and Medicaid have their own reimbursement structures. What are Reimbursement Rates?

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Medicare 59

Healthcare IT Today

FEBRUARY 15, 2024

Sarah Carroll, Senior Vice President, Center for Care Transformation at AVIA Health Medicaid and Medicare have become one of the biggest quiet crises in health systems today. US hospitals regularly lose $100B annually on Medicaid and Medicare patients but continue to chase higher-margin commercial patients to drive toward profitability.

Medical Device Industry 130

Medical Device Industry Medicaid Medicaid Nurses 130

Healthcare IT Today

OCTOBER 18, 2022

The following is a guest article by Jay Nakashima, Executive Director at eHealth Exchange. By selecting a national HIE (and potential future QHIN) today that is structured and governed in a way that provides flexibility, state and regional exchanges can access the benefits of broad exchange.

Electronic Medical Records 72

Electronic Medical Records Governance Public Health Medicaid 72

Healthcare IT Today

NOVEMBER 5, 2024

Karen Iapoce, Vice President, Government Programs at ZeOmega Social determinants of health, such as socioeconomic status, education, and access to healthcare, have a profound effect on population health outcomes and contribute to health disparities. The following are quotes from our brilliant Healthcare IT Today Community on this topic.

Health Outcomes 90

Health Outcomes US Department of Health and Human Services Federal Policy Governance 90

Hall Render

AUGUST 22, 2023

The Fourth Circuit recently held that providers may not defend a False Claims Act (“FCA”) lawsuit by arguing that eligibility requirements violate the Medicaid Act. the government alleged a clinical pharmacy manager for a Tennessee Walgreens falsified twelve different patients’ medical records between January 2015 and June 2016.

Medicaid 40

Medicaid Medicaid Governance Fraud 40

Jane Sarashon

DECEMBER 18, 2024

But today we report out the latest data from the Centers for Medicare and Medicaid Services (CMS) that national health spending in America reached $4.9 The rate of spending among the three other payer types – Medicare, Medicaid, and consumers’ out-of-pocket costs — grew more modestly, at 8.1%, 7.9%, and 7.2%

Medicare 52

Medicare Medicare Health Insurance COVID-19 52

AIHC

NOVEMBER 15, 2022

The Centers for Medicare & Medicaid Services (CMS) is the federal agency responsible for enforcement and has been working with the American Hospital Association (AHA) to comply with challenges related to compliance. In 2019, the federal government finalized a rule requiring hospitals to disclose the prices they negotiate with insurers.

Hospitals 52

Hospitals US Department of Health and Human Services Compliance Governance 52

Healthcare IT Today

SEPTEMBER 11, 2024

The following is a guest article by Deepti Sharma, Senior Vice President of Product Management at HSBlox Healthcare providers are continuing to form and invest in Accountable Care Organizations (ACOs) as a means of improving care quality and reducing costs.

Medicare 78

Medicare Medicare Medicaid Medicaid 78

Hall Render

MARCH 3, 2022

The Centers for Medicare & Medicaid Services (“CMS”) recently announced the ACO Realizing Equity, Access, and Community Health (“REACH”) Model. Hall Render blog posts and articles are intended for informational purposes only. Or your regular Hall Render attorney.

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Compliance Medicaid Medicaid Medicare 74

Healthcare IT Today

APRIL 20, 2023

The following is a guest article by Dave Cassel, Chief Customer Officer at Health Gorilla and Former Executive Director of Carequality Talking about privacy and security in health information exchange is tricky. Saying you want to improve it implies that it isn’t good enough now, and that’s never the message we want to send.

Governance 69

Governance Medicaid Medicaid Medicare 69

Healthcare IT Today

NOVEMBER 8, 2024

Karen Iapoce, Vice President, Government Programs at ZeOmega The integration of digital health tools, telemedicine, and mobile health applications is greatly advancing population health management by improving access to care, enabling real-time health monitoring, and offering personalized treatment plans.

Telemedicine 138

Telemedicine Health Outcomes COVID-19 Governance 138

Health Populi

AUGUST 24, 2018

I’ve frequently looked at West Virginia here in Health Populi and elsewhere as a state that bears a heavy public health burden based on a range of risk factors: smoking, health care service access and insurance coverage (with 29% of the state’s citizens covered by Medicaid, the highest share of a U.S.

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Public Health Doctors Medicaid Medicaid 72