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Telemedicine triage kiosks reduce ER visits by 11% for ACO

Healthcare IT News - Telehealth

The Alliance for Integrated Care of New York (AICNY) oversees the healthcare needs of roughly 6,200 dually eligible Medicare and Medicaid beneficiaries with intellectual and developmental disabilities (IDD). Many AICNY beneficiaries reside in group homes and use Federally Qualified Community Health Centers. THE PROBLEM. MARKETPLACE.

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Florida Medicaid Providers: Action is Required by October 1, 2022

Health Law RX

AHCA is sending out postcards to existing Florida Medicaid providers (Providers) alerting them to upcoming changes in the Florida Medicaid program. Providers are urged to sign into their account on the Florida Medicaid portal immediately. Direct care employees falling within this definition also include 1099 employees.

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CPT Editorial Panel suspends changes to RPM coding – what's next?

Healthcare IT News - Telehealth

RPM was initially recognized in 2019 by the Centers for Medicare and Medicaid Services through a small set of codes for remote physiologic monitoring services, enabling clinicians to seek reimbursement for gathering data from patients through certain medical devices outside the hospital setting.

Medicare 144
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Interview: Caroline Cook, Privacy Consultant, GDH Government Consulting Services

HIPAA Journal

As a teenager, I volunteered in hospitals and nursing homes. I’m currently on contract to a State Medicaid Agency’s Privacy Office. Medicaid modularity, health information exchange, patient access APIs and apps. I definitely learned on the job. I’ve worked in healthcare for over 30 years.

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The PACE Solution to Increasing Demands for Long-Term Services and Supports in the U.S.

Healthcare Law Blog

According to the Congressional Research Service, which analyzed data from the Centers for Medicare & Medicaid Services (“CMS”) National Health Expenditure Accounts (“NHEA”) on the personal health expenditures for LTSS by payer, in 2021, an estimated $467.4 billion was spent on LTSS. This represents 13.2% of LTSS spending. [5]

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Posthospital SNF Care in Indiana Generally Met Medicare Level-of-Care Requirements

Healthcare Compliance Blog

The Office of Inspector General (OIG) released their findings of an audit they conducted to determine if hospital admissions of Indiana skilled nursing facility (SNF) residents who are enrolled in both Medicare and Medicaid (dually eligible beneficiaries) were potentially avoidable, and if level-of-care requirements for Medicare were met.

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Required Training For Medicare-Enrolled Providers

MedTrainer

In FY2021, the Centers for Medicare and Medicaid Services ( CMS ) reported that Medicare processed more than 1.1 Key aspects of this training include: Content: The training covers definitions of fraud, waste, and abuse, examples of FWA in healthcare, relevant laws and regulations, and methods to identify and report suspicious activities.