Electronic Health Reporter

DECEMBER 18, 2024

This article is copyrighted strictly for Electronic Health Reporter. Illegal copying is prohibited.

Medicare 91

Medicare Medicare Governance 91

Electronic Health Reporter

NOVEMBER 8, 2022

This article is copyrighted strictly for Electronic Health Reporter. With 82% of 2022 claims denials associated with Medicare, and third-party audit volume rapidly climbing, hospitals and health systems are under intense pressure to protect and grow revenues. Illegal copying is prohibited.

Medicare 103

Medicare Medicare Hospitals 103

Electronic Health Reporter

JUNE 26, 2020

This article is copyrighted strictly for Electronic Health Reporter. CMS announced Medicare will nearly […]. CMS announced Medicare will nearly […]. The article CMS Updates Payment For Certain COVID-19 Lab Tests appeared first on electronichealthreporter.com. Illegal copying is prohibited.

COVID-19 172

COVID-19 Medicare Medicare 172

Electronic Health Reporter

SEPTEMBER 12, 2022

This article is copyrighted strictly for Electronic Health Reporter. The article How Modern Technology Revolutionizes Medicare Buying Process appeared first on electronichealthreporter.com. The article How Modern Technology Revolutionizes Medicare Buying Process appeared first on electronichealthreporter.com.

Medicare 91

Medicare Medicare 91

Electronic Health Reporter

JANUARY 17, 2019

The Patient Driven Payment Model (PDPM) is more than just a new name attached to Medicare payment reform. The article What Is the Patient Driven Payment Model: How Skilled Nursing Providers Can Get Ahead of PDPM appeared first on electronichealthreporter.com. Instead, payment will be determined […].

Nurses 184

Nurses Medicare Medicare 184

Electronic Health Reporter

MAY 10, 2024

This article is copyrighted strictly for Electronic Health Reporter. Illegal copying is prohibited. Intuity Medical, Inc., Intuity Medical, Inc.,

FDA 91

FDA Medicare Medicare 91

Healthcare IT Today

OCTOBER 23, 2024

The following is a guest article by David Lareau, CEO at Medicomp Systems A couple of years ago, we predicted an impending “explosion” of Medicare Advantage (MA) fraud and penalties. The Failure of Reactive Approaches The current approach to combating Medicare fraud is woefully inadequate.

Medicare 80

Medicare Medicare Fraud Doctors 80

MRO Compliance

SEPTEMBER 19, 2023

The Centers for Medicare and Medicaid Services (CMS) Medicare Advantage Risk Adjustment Data Validation (RADV) audit season peaks from March through April every year. View Full Article  Health information (HI) professionals nationwide anticipate a looming tsunami of payer requests for medical records.

Medicare 130

Medicare Medicare Medicaid Medicaid 130

Electronic Health Reporter

OCTOBER 19, 2022

This article is copyrighted strictly for Electronic Health Reporter. The article The Inflation Reduction Act: The Impact of Medicare Negotiation of Prescription Drug Prices on Hospitals and Health Systems appeared first on electronichealthreporter.com. Illegal copying is prohibited. In August, H.R.

Prescription Drug Pricing 91

Prescription Drug Pricing Medicare Medicare Hospitals 91

Medisys Compliance

NOVEMBER 27, 2024

Medicare covers certain podiatry services, but billing for them requires strict adherence to guidelines to ensure compliance and maximize reimbursement. What Does Medicare Cover for Podiatry Services? Routine Foot Care Exceptions: Medicare covers routine foot care (e.g., nontraumatic amputation of a foot).

Medicare 59

Medicare Medicare Medical Billing Outsourcing Medical Billing 59

Fierce Healthcare

JULY 30, 2024

As artificial intelligence rapidly makes inroads in healthcare, federal agencies already have the authority to regulator AI at the hospital bedside, according to some healthcare researche | An article published in JAMA Health Forum argues that through the conditions of participation in Medicare and Medicaid, CMS has the authority to oversee how hospitals (..)

Hospitals 133

Hospitals Medicaid Medicaid Medicare 133

MRO Compliance

MARCH 20, 2023

Three Tech Takeaways from RISE: Health Plans Focus on Engagement, Collaboration and Compliance March 20, 2023 Health IT Answers by Beth Friedman, FINN Partners It has been said that wherever Medicare goes, so do all the rest of the payers. View Full Article

Compliance 130

Compliance Medicare Medicare 130

Healthcare IT Today

NOVEMBER 26, 2024

The following is a guest article by Andrew Mignatti, Co-Founder and CEO at careviso As Medicare annual open enrollment is underway, healthcare providers soon face the overwhelming task of verifying benefits for millions of patients.

Medicare 58

Medicare Medicare Patient Satisfaction Hospitals 58

Bill of Health

DECEMBER 27, 2022

A full posting of abstracts/summaries of these articles may be found on our  website. Frequency of Approval and Marketing of Biosimilars With a Skinny Label and Associated Medicare Savings. Getting the Price Right: Lessons for Medicare Price Negotiation from Peer Countries. Beall RF, Glazer T, Ahmad H, et al. Healthcare Policy.

Medicare 147

Medicare Medicare Medicaid Medicaid 147

Medisys Compliance

DECEMBER 16, 2024

Skilled Nursing Facility (SNF) Medicare Part B billing is a specialized area of medical billing that requires detailed knowledge of Medicare guidelines, consolidated billing rules, and exclusions. Understanding Medicare Part B in SNFs Medicare Part B covers outpatient services provided to residents in a Skilled Nursing Facility (SNF).

Medicare 59

Medicare Medicare Medical Billing Outsourcing Medical Billing 59

MRO Compliance

JULY 12, 2023

Accurate, properly documented, interoperable patient data is required to achieve CMS’s goal for 100 percent of Medicare (and the majority of Medicaid) beneficiaries to be enrolled in some type of accountable, or value-based, care arrangement by 2030. View Full Article

Medicaid 130

Medicaid Medicaid Medicare Medicare 130

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. A full posting of abstracts/summaries of these articles may be found on our  website.

Medicare 147

Medicare Medicare Medicaid Medicaid 147

Electronic Health Reporter

NOVEMBER 5, 2024

This article is copyrighted strictly for Electronic Health Reporter. The healthcare industry is at a pivotal juncture, with $320 million in Medicare readmission penalties impacting 2,273 hospitals this year alone. Illegal copying is prohibited. By Caroline Hodge, CEO and co-founder, Dimer Health.

Medicare 113

Medicare Medicare Hospitals 113

Electronic Health Reporter

OCTOBER 6, 2022

This article is copyrighted strictly for Electronic Health Reporter. The Centers for Medicare and Medicaid Services (CMS) has made no secret of its intentions to crack down on fraud, abuse, and waste, throwing more budget dollars into audits, heightening program […]. Illegal copying is prohibited. By Dana Finnegan, MDaudit.

Fraud 113

Fraud Medicaid Medicaid Medicare 113

Bill of Health

JULY 1, 2022

A full posting of abstracts/summaries of these articles may be found on our? Coverage of New Drugs in Medicare Part D. Bloomfield D, Lu Z, Kesselheim AS. Improving the quality of US drug patents through international awareness. 2022 May 17;377:e068172. Cohen PA, Avorn J, Kesselheim AS. 2022 May 10;377:e069400. 2022 May 3.

COVID-19 208

COVID-19 FDA Medicare Medicare 208

Bill of Health

OCTOBER 17, 2024

This article seeks to summarize these developments in the law. This aligns with recent guidance from the Centers for Medicare and Medicaid Services that Medicare Advantage plans may not make a determination of medical necessity solely based on algorithms using broad data sets. AB 3030 focuses on the use of generative AI.

Medicare 150

Medicare Medicare Health Insurance Licensing 150

Medisys Compliance

JULY 15, 2024

Introduction As an internal medicine practitioner, staying updated with the latest Medicare billing changes is crucial for maximizing reimbursements and ensuring compliance. This article explores these changes, providing insights to help you navigate the evolving landscape of Medicare billing.

Medicare 59

Medicare Medicare Medical Billing Outsourcing COVID-19 59

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. offering in-home treatment.

Medicare 124

Medicare Medicare Hospitals Compliance 124

Healthcare IT News - Telehealth

JANUARY 11, 2023

This article was updated with additional comments. Guth also said that Medicaid program respondents also indicated that they are awaiting federal guidance to inform their long-term telehealth policy decisions, such as Medicare policies. WHY IT MATTERS.

Medicaid 163

Medicaid Medicaid Medicare Medicare 163

Bill of Health

OCTOBER 11, 2023

The selections feature topics ranging from a review of the regulatory consequences of the FDA’s accelerated approval of eteplirsen, to a comparison of the safety and effectiveness of generic and brand-name fluticasone-salmeterol for COPD, to an analysis of free speech challenges to Medicare drug price negotiation under the Inflation Reduction Act.

Patient Advocacy 147

Patient Advocacy Medicare Medicare FDA 147

MedTrainer

AUGUST 8, 2024

As of March 2024, over 67 million in the United States are Medicare beneficiaries. Medicare is the single largest payer for healthcare services in the United States. In FY2021, the Centers for Medicare and Medicaid Services ( CMS ) reported that Medicare processed more than 1.1 Here’s what you need to know.

Medicare 52

Medicare Medicare Compliance Medicaid 52

Healthcare IT Today

DECEMBER 28, 2022

According to the article, an increasing number of health systems in metro Chicago – as well as elsewhere in the U.S. For example, the NorthShore University HealthSystem has begun billing patients when clinicians respond to some types of messages coming in through the portal, the article said.

Medicare 110

Medicare Medicare Hospitals Telemedicine 110

Bill of Health

OCTOBER 7, 2022

A full posting of abstracts/summaries of these articles may be found on our? County-level variation in cardioprotective antihyperglycemic prescribing among medicare beneficiaries. Reforming Patient Cost Sharing for Cancer Medications in Medicare Part D. Bendicksen L, Kesselheim AS, Rome BN. 2022 Aug;162(2):433-435. Lancet Oncol.

Prescription Drug Pricing 130

Prescription Drug Pricing FDA Medicare Medicare 130

Medisys Compliance

JULY 19, 2024

Introduction The landscape of Medicare and Medicaid billing for behavioral health services has undergone significant changes recently. This article discusses the latest changes, providing a comprehensive guide to navigating the evolving billing landscape. All rights reserved.

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

Bill of Health

NOVEMBER 17, 2022

A full posting of abstracts/summaries of these articles may be found on our? Medicare’s National Coverage Determination for Aducanumab – A One-Off or a Pragmatic Path Forward? Brown BL, Mitra-Majumdar M, Darrow JJ, Moneer O, Pham C, Avorn J, Kesselheim AS. 2022 Oct 5;379:e071752. Dhruva SS, Ramachandran R, Ross JS.

FDA 189

FDA World Health Medicaid Medicaid 189

Electronic Health Reporter

OCTOBER 17, 2023

This article is copyrighted strictly for Electronic Health Reporter. to enhance medication adherence among its Medicare […] The article FutureRx Part D Stars Selected by Imperial Health Plans appeared first on electronichealthreporter.com. Illegal copying is prohibited.

Medicare 91

Medicare Medicare 91

Jane Sarashon

FEBRUARY 27, 2024

In addition to highlighting the Patient’s Bill of Rights, NABIP’s keynotes and general sessions will speak to similar topics being brainstormed at VIVE this week — including mental health, maternal health, pharmacy and prescription drugs (pricing, PBMs), population health, and Medicare and Medicaid innovations.

ACA 118

ACA Prescription Drug Pricing Health Insurance Hospitals 118

Healthcare IT Today

NOVEMBER 13, 2024

Contact us here with a link to the open position and we’ll be happy to feature it in next week’s article at no charge! Clinical Integration Analyst – North Memorial Health BI Developer – Phelps Health Director of Information Technology & Project Management – Pueblo Community Health Center, Inc.

Due Diligence 122

Due Diligence Medicare Medicare Hospitals 122

Healthcare IT Today

NOVEMBER 17, 2024

This article will be a weekly roundup of interesting stories, product announcements, new hires, partnerships, research studies, awards, sales, and more. Medicare Advantage led the way, with 43% of dollars in downside risk. Welcome to the weekly edition of Healthcare IT Today Bonus Features.

Medicare 92

Medicare Medicare Hospitals 92

Healthcare IT Today

FEBRUARY 17, 2023

Amid swirling accusations that Medicare Advantage Organizations (MAOs) are overbilling the U.S. government and calls for better oversight , the Centers for Medicare & Medicaid Services announced in early February that it would investigate overbilling by those plans. They expect to recoup 4.7 billion dollars through this program.

Overpayment 89

Overpayment Overpayments COVID-19 Medicare 89

Healthcare IT Today

NOVEMBER 22, 2022

The following is a guest article by John Wallace, PT, OCS, Senior Vice President of RCM at WebPT. The number of Medicare TPEs and commercial payer take-back audits alone is skyrocketing. They also look to flag “items and services that have high national error rates and are a financial risk to Medicare.” Tricare and Medicare).

Overpayments 111

Overpayments Overpayment Medicare Medicare 111

Healthcare Law Today

NOVEMBER 30, 2022

On November 1, 2022, the Centers for Medicare and Medicaid Services (CMS) released its final 2023 Medicare Physician Fee Schedule (PFS) rule. Telehealth and other digital health modalities continue to increase in importance for Medicare populations and corresponding health care providers.

Medicare 132

Medicare Medicare Telemedicine Nurses 132