Compliancy Group

JUNE 28, 2024

Provider information blocking can take place as a result of a provider’s deliberate actions or policies that prevent ePHI (the definition of EHI includes ePHI) from being lawfully shared or used for HIPAA-authorized purposes. For CAHs, payment will be reduced to 100 percent of reasonable costs instead of 101 percent.

Medicare 59

Medicare Medicare Hospitals HIPAA 59

Health Care Law Brief

JULY 25, 2023

7] In developing such “disincentives,” HHS is likely to look at its existing authority to punish conduct that rises to the level of “information blocking” by health care providers, and may look to the authority granted to it under the Health Insurance Portability and Accountability Act and the regulations promulgated thereunder (“ HIPAA ”).

HIPAA 52

HIPAA Payment Systems Compliance Licensing 52

C&M Health Law

AUGUST 3, 2023

OIG differentiated the vetting Health Insurance Portability and Accountability Act (“HIPAA”) covered entities may conduct of entities that would be their business associates before granting access and use of EHI. Additionally, such vetting applied in discriminatory or unreasonable manner could implicate information blocking.

Fraud 52

Fraud HIPAA Governance Compliance 52

Healthcare IT Today

JUNE 29, 2023

Medicare Payment Resources CMS implemented an Ambulatory Payment Classification-based payment methodology in 2008. Visit the Medicare payment resources page on the ASCA website to learn about the changes that CMS has made to the payment system and ensure that your ASC is paid appropriately.

Compliance 52

Compliance Medicare Medicare Medical Billing 52

AIHC

NOVEMBER 29, 2023

In 1983 Medicare shifted to the inpatient Prospective Payment System (PPS) and DRGs (Diagnostic Related Groups) and only paying a limited number of days to the hospital regardless of the actual length of stay. These different Acts initiated the testing of alternate forms of delivering care and payment methodologies.

Medicare 59

Medicare Medicare Medicaid Medicaid 59

AIHC

NOVEMBER 29, 2023

In 1983 Medicare shifted to the inpatient Prospective Payment System (PPS) and DRGs (Diagnostic Related Groups) and only paying a limited number of days to the hospital regardless of the actual length of stay. These different Acts initiated the testing of alternate forms of delivering care and payment methodologies.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Hall Render

NOVEMBER 25, 2024

The Nursing Facility ICPG provides that, even if an entity makes an isolated billing error, the entity still has an obligation to repay the overpayment to the government to avoid False Claims Act liability, as explained in the GCPG. It is intended only to assist nursing facilities in evaluating and mitigating their own particular risk areas.

Nurses 40

Nurses Compliance Compliance Officers Medicare 40

Hall Render

AUGUST 4, 2023

1 CMS final rule boosts Medicare hospice payments by 3.1% 1 CMS final rule boosts Medicare hospice payments by 3.1% To Address SDOH Needs U.S. sues UnitedHealth over ‘thousands’ of denied claims What’s a fair price for a prescription drug? To Address SDOH Needs U.S.

COVID-19 40

COVID-19 Hospitals Nursing Homes Nurses 40

Hall Render

SEPTEMBER 15, 2023

settlement over data breaches that violated HIPAA: HHS Madera hospital CEO offered job, $150K check. million in federal funding Dignity Health – Memorial Hospital awarded Primary Heart Attack Center Certification Kaiser trash inspections end in $49M settlement L.A. Care must pay $1.3M Was it meant to ‘improperly influence’ her?

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes COVID-19 Nurses 40

Hall Render

APRIL 21, 2023

NATIONAL 6 health systems using GPT and AI tools 100,000 nurses left industry during the pandemic, report finds AHA backs bill to delay Medicaid DSH cuts by 2 years AHA launches info hub for healthcare quality leaders AHA opposes MedPAC recommendations to Congress on site-neutral, Part B drug, wage index policies AHA ramps up 340B protection efforts (..)

US Department of Health and Human Services 40

US Department of Health and Human Services COVID-19 Nurses Nursing Homes 40