Compliancy Group

MARCH 22, 2024

depend on Medicare to get the healthcare they need. Remaining in good standing with Medicare has several advantages. Compliance Program A comprehensive way to avoid Medicare exclusion is to develop an organization-wide compliance program, one of the Centers for Medicare and Medicaid Services (CMS) requirements.

Medicare 52

Medicare Medicare Compliance Compliance Officers 52

HIPAA Journal

MARCH 14, 2022

CRMC said at this stage of the investigation it does not appear that the attackers gained access to its electronic medical record database; however, the files accessed or potentially accessed by the attackers included information such as patient names, addresses, birth dates, medical information, and health insurance information.

Electronic Medical Records 142

Electronic Medical Records Health Insurance HIPAA Licensing 142

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 standardization of documentation for prior authorization also enables physicians to submit requests within their familiar electronic medical record systems, reducing the burden on providers.

Electronic Medical Records 122

Electronic Medical Records Doctors Governance Medicaid 122

HIT Consultant

JANUARY 16, 2023

“In fact, the core asset of many FHIR apps is to take information out of an electronic health record and do useful things with it, such as identify trends, provide clinical decision support or handle a niche area not covered by a commercial electronic medical record system.”. PhD, a co-author on this study.

Electronic Medical Records 98

Electronic Medical Records Medicaid Medicaid Medicare 98

Compliancy Group

FEBRUARY 28, 2025

In the post-COVID world, many healthcare organizations have ramped up their telehealth services and use of electronic medical records (EMRs). In April 2020, overall telehealth use for office visits and outpatient care was 78 times higher than it was in February 2020.

Ransomware 52

Ransomware Compliance HIPAA COVID-19 52

Healthcare IT News - Telehealth

JULY 18, 2022

We also work with VitalNet to support integration across multiple hospital disparate electronic medical record systems in our tele-stroke program, and use Amwell carts and Cisco Room kit minis for partners. "We procured enterprise-wide, Epic-integrated Zoom for Healthcare for our direct-to-consumer telemedicine services.

COVID-19 196

COVID-19 Telemedicine Electronic Medical Records Hospitals 196

HIT Consultant

APRIL 25, 2022

What You Should Know: – Blue Cross Blue Shield of Michigan (BCBSM) today announced a joint venture with Nashville-based Honest Medical Group to offer physicians comprehensive operational, clinical, and financial support for shared accountability Medicare contracts. Cost-Effective Patient Care for Medicare Patients.

Electronic Medical Records 52

Electronic Medical Records Medicare Medicare Governance 52

HIPAA Journal

DECEMBER 30, 2022

Also, the breach notification letters stated, in bold and underlined text, that electronic medical records had not been accessed when the next paragraph made it clear that the information contained in medical records had in fact been accessed.

Electronic Medical Records 110

Electronic Medical Records HIPAA Fraud Medicaid 110

HIT Consultant

MAY 24, 2022

– The funding will fuel growth of the provider/payer platform that integrates with the electronic medical records (EMR) to identify high-value tactical care and coding interventions. For example, KAID Health improves Medicare Advantage coding accuracy and completeness at a large multi-specialty group.

Electronic Medical Records 52

Electronic Medical Records Medicare Medicare 52

Compliancy Group

DECEMBER 13, 2024

For example, some medical identity thieves take insurance information and make fraudulent claims to Medicare or Medicaid for services or goods. Identity theft can also result in the entry of false data into electronic medical records (EMRs) or the creation of fictitious EMRs in victims names.

Compliance Officers 94

Compliance Officers Compliance Electronic Medical Records Fraud 94

Health Care Law Brief

APRIL 12, 2023

On April 5, the Centers for Medicare & Medicaid Services (“CMS”) released the 2024 Medicare Advantage and Prescription Drug Benefit Programs Final Rule (“Final Rule”), which will be codified at 42 C.F.R. The SRFs include low-income subsidy, dual eligibility (meaning eligible for Medicare and Medicaid) and disability.

Medicare 52

Medicare Medicare Overpayment Overpayments 52

Compliancy Group

DECEMBER 20, 2024

In late February of 2019, Gulf Coast discovered that between early September of 2018 and early February of 2019 (after the contractor stopped providing services), the contractor had impermissibly accessed Gulf Coasts electronic medical record (EMR) system and accessed the ePHI of approximately 34,310 individuals.

Ransomware 98

Ransomware HIPAA Fraud Electronic Medical Records 98

HIT Consultant

SEPTEMBER 18, 2023

The newest value-based payment program purposely designed to address SDOH is the ACO Realizing Equity, Access, and Community Health (ACO REACH) model, launched by the Centers for Medicare & Medicaid Services (CMS). million people enrolled in Medicare that year, less than 2% had claims that incorporated Z codes.

Health Outcomes 88

Health Outcomes Electronic Medical Records Medicaid Medicaid 88

Compliancy Group

DECEMBER 6, 2024

In late February of 2019, Gulf Coast discovered that between early September of 2018 and early February of 2019, the contractor had impermissibly accessed Gulf Coasts electronic medical record (EMR) system and accessed the electronic protected health information (ePHI) of approximately 34,310 individuals.

HIPAA 97

HIPAA Electronic Medical Records Compliance Medicare 97

Provider Trust

JULY 25, 2022

ProviderTrust analyzed the public outpatient Medicare claims data of a large health system. billion in Medicare charges. billion in Medicare charges. The total Medicare billings for just these 18 excluded providers totaled over $3 million. Recent OIG Enforcement Actions.

Electronic Medical Records 52

Electronic Medical Records Licensing Medicare Medicare 52

Healthcare IT Today

OCTOBER 18, 2022

This list would include major healthcare payers like the Centers for Medicare & Medicaid Services and Tricare, public health agencies like the Centers for Disease Control and Prevention, and the Department of Education, which coordinates supportive health services for some student populations.

Electronic Medical Records 72

Electronic Medical Records Governance Public Health Medicaid 72

HIT Consultant

JUNE 5, 2023

While some customers appreciate HRS’ integration with electronic medical records (EMR), others desire deeper and more automated integration of patient data. Some customers also express dissatisfaction with slow development and issues related to electronic medical records (EMR) integration.

Electronic Medical Records 52

Electronic Medical Records Medicare Medicare 52

Health Populi

OCTOBER 8, 2018

At the time of the signing of HITECH, Medicare and healthcare costs were seen as a key driver of America’s long-term deficit spending at this low point in the national economy. One rationale for adopting digital health records was to be able to measure, and then better manage, health care outcomes and, eventually, spending.

Hospitals 61

Hospitals Health Insurance Health Outcomes Telemedicine 61

Healthcare Law Blog

FEBRUARY 1, 2023

Congress’s expansion of access to telehealth takes steps to ensure continuity of care for Medicare beneficiaries and provides regulators with additional time to determine which flexibilities will become permanent, indicating a success for the telehealth industry as well as a reminder that there is more legislation to come.

Electronic Medical Records 52

Electronic Medical Records Medicare Medicare COVID-19 52

Healthcare Law Today

FEBRUARY 6, 2023

As of 2019 almost 95% of such persons had Medicare coverage and about half of those also had some sort of supplemental health insurance coverage. Moreover, 40% of Americans are considered medically obese. The ACL projects that by 2040 that percentage will grow to over 80 million Americans or almost 22% or our population.

US Department of Health and Human Services 52

US Department of Health and Human Services Electronic Medical Records Medicare Medicare 52

HIT Consultant

DECEMBER 19, 2023

Unlocking the Power of Whole Chart Analysis KAID Health’s flagship platform, Whole Chart Analysis, leverages cutting-edge natural language processing (NLP) to unlock the true potential of electronic medical records (EMRs). Outperformed physicians in identifying surgical risks at a major medical center. ”

Electronic Medical Records 40

Electronic Medical Records Medicare Medicare 40

HIPAA Journal

MARCH 16, 2023

The third-party forensic investigation confirmed the attacker accessed files that contained patients’ protected health information; however, its electronic medical record system was not affected. 95% of the compromised files only included an individual’s name.

Electronic Medical Records 64

Electronic Medical Records Health Insurance Ransomware HIPAA 64

Healthcare IT Today

NOVEMBER 3, 2022

Experience presenting results to technical and non-technical audiences required, including experience with data visualization tools (e.g., Tableau, ggplot).

Electronic Medical Records 78

Electronic Medical Records Public Health Medicaid Medicaid 78

HIT Consultant

JUNE 19, 2024

This strategic initiative aims to ensure seamless, high-quality care for WakeMed’s diverse patient population, including Medicaid, Medicare, commercially insured, and uninsured patients, particularly those transitioning between WakeMed and other community providers. This feature is crucial for optimizing clinical decision-making.

Electronic Medical Records 52

Electronic Medical Records Hospitals Medicaid Medicaid 52

Health Blawg

JULY 2, 2018

The first two codes to come out of committee – one for remote monitoring, and one for physician-to-physician consultation over an electronic medical record – have gone through the CPT editorial panel and are now at the point where the relevant committee needs to assign monetary values to them.

Payment Systems 60

Payment Systems Electronic Medical Records Medicare Medicare 60

Health Blawg

JULY 2, 2018

The first two codes to come out of committee – one for remote monitoring, and one for physician-to-physician consultation over an electronic medical record – have gone through the CPT editorial panel and are now at the point where the relevant committee needs to assign monetary values to them.

Payment Systems 60

Payment Systems Electronic Medical Records Medicare Medicare 60

Health Blawg

JULY 2, 2018

The first two codes to come out of committee – one for remote monitoring, and one for physician-to-physician consultation over an electronic medical record – have gone through the CPT editorial panel and are now at the point where the relevant committee needs to assign monetary values to them.

Payment Systems 60

Payment Systems Electronic Medical Records Medicare Medicare 60

Health Blawg

JULY 2, 2018

The first two codes to come out of committee – one for remote monitoring, and one for physician-to-physician consultation over an electronic medical record – have gone through the CPT editorial panel and are now at the point where the relevant committee needs to assign monetary values to them.

Payment Systems 60

Payment Systems Electronic Medical Records Medicare Medicare 60

Health Blawg

JULY 2, 2018

The first two codes to come out of committee – one for remote monitoring, and one for physician-to-physician consultation over an electronic medical record – have gone through the CPT editorial panel and are now at the point where the relevant committee needs to assign monetary values to them.

Payment Systems 60

Payment Systems Electronic Medical Records Medicare Medicare 60

Compliancy Group

SEPTEMBER 16, 2024

In November, updates for 2024 appeared in the OIG General Compliance Program Guidance, including recommendations for Medicare, nursing facilities, and other industry-specific entities. This comprehensive document governs patient care, worker safety, and privacy and confidentiality of protected health information (PHI).

Compliance 52

Compliance Compliance Officers Fraud Electronic Medical Records 52

Compliancy Group

MARCH 19, 2024

You can break down regulatory compliance into the following issues: Patient safety : Providers and all staff who care for or interact with patients must take all the necessary measures to control infection, prevent medical errors, and protect patient and employee safety. name, phone number).

Regulatory Compliance 52

Regulatory Compliance Compliance US Department of Health and Human Services ACA 52

AIHC

APRIL 10, 2024

HIPAA guarantees patients access to their paper medical records. Be sure to use web sites that give you information that is accurate such as Centers for Medicare and Medicaid Services , Health and Human Services, Office of Civil Rights and U S Government Agencies. Since 2009, HITECH has given “teeth” to HIPAA law.

Compliance 99

Compliance US Department of Health and Human Services HIPAA Electronic Medical Records 99

AIHC

APRIL 5, 2022

Providers may take documentation “short cuts” or feel overwhelmed with implementation of a new EMR (electronic medical record) system and clone or make documentation errors. It can result in a situation where insurance opens an investigation or decides to initiate periodic audits on your claims and records.

Fraud 52

Fraud Medicare Medicare Compliance 52

Healthcare IT Today

JULY 27, 2022

The demand for home health services is projected to grow nearly eight percent annually through 2030, which is fueled by the majority of the Baby Boomer generation reaching the Medicare age of 65 and growing orthopedic-related diseases. .

Electronic Medical Records 66

Electronic Medical Records Health Outcomes Nurses Medicare 66

HIT Consultant

JANUARY 16, 2025

For instance, patient and family engagement was one of five policy priorities in the Centers for Medicare & Medicaid Services (CMS) Electronic Health Record (EHR) Incentive program under the HITECH Act (Health Information Technology for Economic and Clinical Health Act).

COVID-19 52

COVID-19 Electronic Medical Records Doctors Medicaid 52

HIPAA Journal

JANUARY 31, 2024

CA Healthcare Provider 2,364,359 Hackers hack access to its network between August 30, 2023, and September 1, 2023 Centers for Medicare & Medicaid Services MD Health Plan 2,342,357 MOVEit Transfer vulnerability exploited at Maximus Inc. million individuals, followed by violations of the HIPAA Breach Notification Rule.

Ransomware 128

Ransomware HIPAA Hospitals Compliance 128

AIHC

APRIL 10, 2024

HIPAA guarantees patients access to their paper medical records. Be sure to use web sites that give you information that is accurate such as Centers for Medicare and Medicaid Services , Health and Human Services, Office of Civil Rights and U S Government Agencies. Since 2009, HITECH has given “teeth” to HIPAA law.

Compliance 52

Compliance US Department of Health and Human Services HIPAA Electronic Medical Records 52