MedTrainer

MARCH 30, 2024

Download our Credentialing Reality Worksheet to find out! Download Now Credentialing Software Drives Speedy Provider Enrollments Credentialing software offers several benefits that help credentialers speed up the provider enrollment process. How much are enrollment delays costing your organization?

Malpractice 98

Malpractice Licensing Medicaid Medicaid 98

Medval Compliance Blog

FEBRUARY 8, 2022

The Centers for Medicare & Medicaid Services (CMS) announced yesterday that it will be hosting a Workers’ Compensation Medicare Set-Aside (WCMSA) webinar next Thursday, February 17, 2022 at 1:00 pm ET. The post CMS to Host Workers’ Compensation Medicare Set-Aside Webinar appeared first on Medval.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Healthcare IT Today

APRIL 9, 2025

Patients, too, play a rolereusing passwords, downloading unsecured apps, sharing information with third parties hands attackers the keys. Consider Change Healthcare breach or the mass exploitation event related to a vulnerability in MOVEit, which affected nearly a million active Medicare beneficiaries. Reputations can tank.

Due Diligence 64

Due Diligence Hospitals Compliance Ransomware 64

HIPAA Journal

OCTOBER 7, 2022

On August 5, 2022, Anthem discovered that an unauthorized individual had gained access to a database and downloaded files containing plan members’ protected health information, including names, addresses, dates of birth, phone numbers, email addresses, Medicare ID numbers, and Medicaid ID numbers.

HIPAA 112

HIPAA Health Insurance Medicaid Medicaid 112

Health Blawg

JANUARY 9, 2018

We are now back to the status quo ante, at least with respect to the question of whether and how texting may be used in hospitals subject to the Medicare Conditions of Participation (i.e., Fear not, gentle reader. most hospitals). Patient records must be kept confidential. Fear not, gentle reader. most hospitals).

HIPAA 113

HIPAA Hospitals Medicare Medicare 113

MedTrainer

APRIL 18, 2024

Behavioral health credentialing exploded in 2023 and 2024 as providers could enroll in Medicare for the first time. Download Now Common Challenges in Behavioral Health Credentialing Where behavioral health credentialing diverges from typical provider credentialing is Medicare enrollment.

Medicare 52

Medicare Medicare Licensing Compliance 52

Compliancy Group

JANUARY 31, 2025

The attack started when an employee downloaded a malicious file, allowing threat actors to access the health systems servers. Centers for Medicare & Medicaid Services In May 2023, the Clop group exploited a zero-day vulnerability to gain unauthorized access to the networks of 2,500 companies. 3,998,163 patients PHI exposed.

Ransomware 52

Ransomware HIPAA Medicare Medicare 52

Healthcare IT Today

AUGUST 26, 2022

When VBC programs were expanded as part of the Affordable Care Act in 2010 and the Medicare Access and CHIP Reauthorization Act (MACRA) in 2015, there was hope that the existing fee-for-service model would begin to decline. You can download the MGMA report here: [link].

Health Outcomes 107

Health Outcomes Medicare Medicare 107

Healthcare IT News - Telehealth

SEPTEMBER 8, 2022

"These medical devices, while valuable on their own, can be better utilized if we can ensure the patient receiving the device has access to some type of internet service and has access to download related apps for a smart device such as an iPad. Twitter: @SiwickiHealthIT. Email the writer: bsiwicki@himss.org. Enterprise Taxonomy:

Nurses 207

Nurses Telemedicine COVID-19 Health Outcomes 207

Healthcare IT Today

JANUARY 5, 2024

Patients can also seek treatment without a referral by downloading the app from Google Play or the Apple Store. PursueCare accepts most major insurances, including Medicare and Medicaid, and offers low-cost self-pay programs for uninsured or underinsured patients.

FDA 119

FDA Medicaid Medicaid Hospitals 119

Healthcare IT Today

NOVEMBER 14, 2023

Medicare Advantage programs are vaunting their support for “wellness,” and you see wellness campaigns at pharmacies, employers, and elsewhere. Process indicators are the basis of the Medicare’s Star ratings , probably the most important measures clinicians pay attention to. Do these programs give us what we seek?

Medicare 117

Medicare Medicare COVID-19 Doctors 117

Healthcare IT News - Telehealth

FEBRUARY 15, 2023

In the past, many of these innovations were limited in coverage and use to Medicare seniors. One of the biggest advances in home-based technologies is the array of accessible mobile apps that anyone can download. Today they’re used much more broadly. What are a few of the most important advancements, and why are they important?

Doctors 209

Doctors Hospitals Medicare Medicare 209

Health Populi

MARCH 12, 2020

For example, only health care providers that have an existing relationship with a Medicare patient would be eligible per the requirements in the legislation. Check out this last public health poster about Medicare and COVID-19. That’s Medicare, Australia-style, adopting telehealth in this coronavirus era.

COVID-19 122

COVID-19 Telemedicine Medicare Medicare 122

Verisys

NOVEMBER 8, 2023

The NPI improves the Medicare and Medicaid programs, other federal and private health programs, and the overall effectiveness and efficiency of the healthcare industry by simplifying administration and enabling the efficient electronic transmission of health information. Providers also need an NPI to enroll in Medicare.

Fraud 97

Fraud HIPAA Medicare Medicare 97

Medval Compliance Blog

MARCH 18, 2022

The Centers for Medicare & Medicaid Services (CMS) will be hosting an overview of the new “Go Paperless” feature available in the Medicare Secondary Payer Recovery Portal (MSPRP) on Thursday, April 13 at 1:00 pm ET. The webinar will feature opening remarks and a presentation, followed by a question and answer session.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

MedTrainer

FEBRUARY 27, 2025

OIG exclusion list monitoring is vital in maintaining compliance with Centers for Medicare & Medicaid Services (CMS) regulations, as well as National Committee for Quality Assurance (NCQA) credentialing standards , among other federal healthcare provisions. Be ready for inspections from OSHA, OCR, CMS, and OIG.

Compliance 52

Compliance Malpractice Fraud Licensing 52

MedTrainer

JULY 28, 2023

OIG Inspections in Healthcare The OIG focuses its resources on oversight of Medicare and Medicaid — programs that represent a large portion of the federal budget. Download “Compliance Reports You Can’t Live Without” for OIG reporting templates and tips. Medicare/Medicaid Compliance Reviews. What Prompts an OIG Inspection?

Fraud 98

Fraud Compliance Medicaid Medicaid 98

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. In 2021, the Patient Access API, which allows patients to download their data through their preferred third-party app, became available to healthcare beneficiaries.

Electronic Medical Records 117

Electronic Medical Records Doctors Governance Medicaid 117

Healthcare IT News - Telehealth

APRIL 24, 2023

"For each billing cycle, I simply download that data and make it available to our billing partners for submission. RESULTS Siddiqi said it is important to note that this is still early days for RTM reimbursement, so his experience may be one of the first to be made public in the country.

Patient Satisfaction 164

Patient Satisfaction Medicare Medicare Telemedicine 164

YouCompli

OCTOBER 16, 2024

Tip 3: Read, Understand, and Follow Local Coverage Determinations Local coverage determinations (LCDs) are policies published by Medicare Administrative Contractors (MAC) that usually contain detailed requirements and explanations for compliance Medicare coverage. Download a PDF Tip Sheet of this Article Below CJ Wolf, MD, M.Ed.

Compliance 52

Compliance Medicare Medicare Hospitals 52

Health Populi

FEBRUARY 21, 2023

The second graphic titled “ready to start your health journey” kicks off the downloading of the app and creating an account, and ends with a $10 off grocery coupon. Once upon a time in digital health, it was Fitbit, Nike, Garmin, and Apple who were populating the app stores with health tracking apps.

Medical Device Industry 62

Medical Device Industry Medicare Medicare FDA 62

Provider Trust

SEPTEMBER 12, 2022

There are many reasons an individual or entity may be excluded, but the OMIG is primarily concerned with the fraud, waste, and abuse of Medicaid services by providers and Medicare patients and members. The second option offers multiple downloadable formats that offer full access to the exclusion list.

Medicaid 52

Medicaid Medicaid Fraud Licensing 52

YouCompli

DECEMBER 3, 2024

Working at a behavioral health hospital, you will need to review state regulations, Joint Commission standards, and Medicare requirements. If you are in clinical research, this means looking at the FDA requirements, ICH-GCP Guidelines, and other applicable regulations. Andrea has taught first grade in Willoughby, Ohio for 25 years.

Nurses 52

Nurses FDA Medicare Medicare 52

Medisys Compliance

APRIL 14, 2022

The Advance Beneficiary Notice of Noncoverage (ABN) i.e., form CMS-R-131, is issued by providers (including independent laboratories, home health agencies, and hospices), physicians, practitioners, and suppliers to Original Medicare (fee for service – FFS) beneficiaries in situations where Medicare payment is expected to be denied.

Medicare 52

Medicare Medicare Medical Billing Medical Billing Outsourcing 52

Health Blawg

JANUARY 9, 2018

We are now back to the status quo ante, at least with respect to the question of whether and how texting may be used in hospitals subject to the Medicare Conditions of Participation (i.e., Fear not, gentle reader. most hospitals). Patient records must be kept confidential. Fear not, gentle reader. most hospitals).

HIPAA 60

HIPAA Medicare Medicare Hospitals 60

HIT Consultant

NOVEMBER 10, 2021

– Downloads of medical apps increased 65% last year. Centers for Medicare and Medicaid Service (CMS) approved dozens of new telehealth services last year, and payers are beginning to offer virtual-first health plans, where patients first see a virtual provider before making an in-person appointment.

COVID-19 105

COVID-19 Telemedicine Medicaid Medicaid 105

Health Blawg

JANUARY 9, 2018

We are now back to the status quo ante, at least with respect to the question of whether and how texting may be used in hospitals subject to the Medicare Conditions of Participation (i.e., Fear not, gentle reader. most hospitals). Patient records must be kept confidential. Fear not, gentle reader. most hospitals).

HIPAA 60

HIPAA Hospitals Medicare Medicare 60

Health Blawg

JANUARY 9, 2018

We are now back to the status quo ante, at least with respect to the question of whether and how texting may be used in hospitals subject to the Medicare Conditions of Participation (i.e., Fear not, gentle reader. most hospitals). Patient records must be kept confidential. Fear not, gentle reader. most hospitals).

HIPAA 60

HIPAA Hospitals Medicare Medicare 60

Health Blawg

JANUARY 9, 2018

We are now back to the status quo ante, at least with respect to the question of whether and how texting may be used in hospitals subject to the Medicare Conditions of Participation (i.e., Fear not, gentle reader. most hospitals). Patient records must be kept confidential. Fear not, gentle reader. most hospitals).

HIPAA 60

HIPAA Hospitals Medicare Medicare 60

Health Blawg

JANUARY 9, 2018

We are now back to the status quo ante, at least with respect to the question of whether and how texting may be used in hospitals subject to the Medicare Conditions of Participation (i.e., Fear not, gentle reader. most hospitals). Patient records must be kept confidential. Fear not, gentle reader. most hospitals).

HIPAA 60

HIPAA Hospitals Medicare Medicare 60

Health Blawg

JANUARY 9, 2018

We are now back to the status quo ante, at least with respect to the question of whether and how texting may be used in hospitals subject to the Medicare Conditions of Participation (i.e., Fear not, gentle reader. most hospitals). Patient records must be kept confidential. Fear not, gentle reader. most hospitals).

HIPAA 60

HIPAA Hospitals Medicare Medicare 60

MedTrainer

MAY 21, 2024

The Centers for Medicare and Medicaid Services (CMS) defines behavioral health as the emotions and behaviors that affect your overall well-being. It generally refers to mental health and substance use disorders, life stressors and crises , and stress-related physical symptoms.

Compliance 52

Compliance Medicaid Medicaid HIPAA 52

Provider Trust

FEBRUARY 16, 2023

Amwell also found that the Medicare Opt Out list data was largely outdated, which led to delayed findings. The Approach Amwell added Medicare Opt Out and OFAC monitoring to its instance of the ProviderTrust Passport platform to keep up with the surge of providers that were onboarded during the COVID-19 pandemic.

COVID-19 52

COVID-19 Medicare Medicare Compliance 52

HIPAA Journal

JANUARY 30, 2023

Tennant, MA The full schedule for the event can be downloaded here – HIPAA Summit Schedule (PDF). The pre-conference basic training day is included in the basic HIPAA Summit registration and includes 8 training sessions, followed by a HIPAA Workforce Training Faculty Q&A.

US Department of Health and Human Services 81

US Department of Health and Human Services HIPAA Compliance Medicaid 81

MedTrainer

MAY 10, 2024

It can also be a prerequisite for enrolling with an insurance network or Medicare for the first time. Download Now That’s the process of credentialing one mental health provider with one payer. Credentialing confirms the providers’ eligibility to bill for services under government and accreditation regulations. Effective Jan.

Licensing 52

Licensing ACA Medicare Medicare 52

Natalia Mazina

JULY 20, 2022

Our firm has prepared policies and procedures (and patient notices) that comply with the above requirements, available for download here. As to Medicare, part D beneficiaries can be enrolled into auto-refill programs but under certain circumstances, such as notice, opt-in and opt-out options, refunds for unwanted medications, etc.

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

YouCompli

SEPTEMBER 18, 2024

There’s another incredibly helpful resource that some might not be as familiar with: the list of services that Medicare Administrative Contractors (MACs) include in their Target, Probe and Educate (TPE) plan. Items and services that have high national error rates and are a financial risk to Medicare.

Compliance 52

Compliance Medicare Medicare Medicaid 52