Medisys Compliance

MARCH 27, 2023

These terminologies are briefly discussed below for better understanding: Provider enrollment: This refers to the process of enrolling a healthcare provider with an insurance plan or government program, such as Medicare or Medicaid. This trust can lead to increased patient satisfaction and retention.

Medical Billing Outsourcing 52

Medical Billing Outsourcing Malpractice Governance Patient Satisfaction 52

Healthcare IT Today

APRIL 19, 2024

Programs of All-inclusive Care for the Elderly (PACE), a Medicare and Medicaid program designed for individuals aged 55 and above requiring nursing-home-level care, embraced the benefits of providing care at home prior to the pandemic, enabling this frail population to remain within their familiar home environments and communities.

Telemedicine 137

Telemedicine COVID-19 Nurses Nursing Homes 137

Dossier

SEPTEMBER 30, 2024

Inflation has increased the cost of supplies, utilities, and services, while reimbursement rates from insurance companies and government programs often fail to keep pace. For example, many hospitals grapple with reduced Medicare and Medicaid reimbursements, disproportionately affecting those serving a higher percentage of low-income patients.

Hospitals 52

Hospitals Nurses Patient Satisfaction Medicaid 52

Innovaare Compliance

MARCH 24, 2024

The Centers for Medicare & Medicaid Services (CMS) reported that in the fiscal year 2020, they recovered $3.1 A survey by the American Medical Association found that 92% of physicians reported that prior authorization requirements had a negative impact on patient clinical outcomes. 2021, January 15). 2021, April).

Fraud 52

Fraud Compliance Health Insurance Medicaid 52

MedTrainer

AUGUST 1, 2024

For healthcare executives and governing boards, understanding who audits for healthcare compliance and why these audits are essential can significantly impact an organization’s operations and business. Audits help identify areas of non-compliance, mitigate risks, and support high standards of patient care and data security.

Compliance 52

Compliance Regulations Compliance Patient Satisfaction Governance 52

Healthcare IT Today

AUGUST 24, 2023

.” Waystar will begin serving HealthPay24’s 2,000 healthcare provider locations and their patients, adding to Waystar’s existing reach of more than one million providers across care settings, and enabling millions of patients to benefit from modern patient financial experience software.

Patient Satisfaction 52

Patient Satisfaction Medicaid Medicaid Medicare 52

YouCompli

JUNE 29, 2022

Not surprisingly, both government and health plan audits have identified what Compliance professionals warmly refer to as ‘opportunities’ with respect to how telehealth services are documented, coded, and reimbursed by healthcare providers.” . Related: Telehealth policies and programs center on patient care.

Compliance Officers 52

Compliance Officers Compliance Telemedicine COVID-19 52

Innovaare Compliance

MARCH 24, 2024

The Centers for Medicare & Medicaid Services (CMS) reported that in the fiscal year 2020, they recovered $3.1 A survey by the American Medical Association found that 92% of physicians reported that prior authorization requirements had a negative impact on patient clinical outcomes. 2021, January 15). 2021, April).

Fraud 52

Fraud Health Insurance Medicaid Medicaid 52

HIT Consultant

DECEMBER 4, 2024

As hospitals faced overwhelming patient demand, the Centers for Medicare & Medicaid Services (CMS) introduced a temporary waiver program , reimbursing hospitals for treating acutely ill patients in their homes when they would otherwise be treated in a hospital.

Hospitals 52

Hospitals Patient Satisfaction Doctors Nurses 52

AIHC

SEPTEMBER 5, 2023

Increasing importance on patient satisfaction, providing efficient and quality care, and minimizing costs have also led to higher telehealth implementation. Store-and-forward is less commonly reimbursed by Medicare and Medicaid programs. This is also called “store-and-forward telemedicine.”

COVID-19 59

COVID-19 Telemedicine Informed Consent Compliance 59

AIHC

OCTOBER 20, 2023

While some descriptions conflate value-based healthcare and cost reduction, quality improvement, or patient satisfaction, those important efforts are not the same as value, which focuses primarily on improving patient health outcomes. The government is reforming healthcare into a new health ecosystem. The result?

Health Outcomes 59

Health Outcomes Medicare Medicare Governance 59

Health Care Law Brief

NOVEMBER 9, 2021

Additionally, and as we touched upon in our January 7, 2021 post on the No Surprises Act , these new measures supplement state laws governing surprise medical billing, and so in cases where a state No Surprises law applies, the state law generally determines an individual’s OON payment rate. [1]. 2] See 86 Fed.

Medical Billing 75

Medical Billing Due Diligence Compliance Patient Satisfaction 75

HIT Consultant

DECEMBER 19, 2024

When patients lose money, insurers lose members, and healthcare providers lose patients. Our team found that Medicaid members who are misassigned due to bad provider data for a single health system in one state lead to around $55 million being unnecessarily spent over a month. Public funds are at risk, too.

Patient Satisfaction 52

Patient Satisfaction Governance Medicaid Medicaid 52

Bill of Health

JANUARY 23, 2024

Medicaid pays for more than 40% of births in the U.S., Examining efforts at the federal and state level, I highlight three options, leveraging Medicaid as a policy lever. In the past, when individuals were Medicaid-eligible due to pregnancy, federal law required states to provide coverage for at least 60 days postpartum.

Medicaid 113

Medicaid Medicaid Patient Satisfaction Health Insurance 113

Healthcare IT Today

JANUARY 9, 2025

Director, Insights Strategy at Tendo In 2025, quality will solidify its role as the ultimate differentiator in healthcare, shaping not only patient outcomes but also the reputation and success of organizations. Innovators in Medicare and Medicaid will bridge gaps by delivering high-quality, cost-effective care.

Nurses 94

Nurses Medicare Medicare Medicaid 94

Kaiser Health News

OCTOBER 13, 2022

For the first time, Medicare Advantage plans are poised to enroll more than half of the Medicare population despite allegations that many of the largest insurers are getting billions of dollars in overpayments from the federal government.

ACA 74

ACA Medicare Medicare Governance 74

Hall Render

SEPTEMBER 20, 2024

Vincent, Indianapolis Colts announce new partnership Franciscan Health launches 24/7 ambulance to help patients in rural counties Lilly to make $1.8B Luke’s Children’s Hospital opens new inpatient rehab unit LC State Radiographic Science Program Ranked No. headcount among top 10 biopharma employers shrinks New Mass.

US Department of Health and Human Services 40

US Department of Health and Human Services Nurses Hospitals Nursing Homes 40

Hall Render

OCTOBER 13, 2023

Vincent Partners With Park Plaza Mall on Community Health Programs Former Arkansas Medical Board Chair Brian Hyatt Arrested for Medicaid Fraud New Provider in Arkansas Focuses on No-Rush Health Care Walker Foundation Pledges $1M to UAMS Radiation Oncology Center Five nonprofits to split $5.9 Luke’s receives $1.5

Nurses 40

Nurses Hospitals Nursing Homes Doctors 40

Healthcare It News

AUGUST 7, 2023

The passing of the Telehealth Expansion Act of 2023 shows the federal government’s commitment to health equity, emphasizing the importance of increasing access to quality healthcare for all citizens, regardless of location or socioeconomic status.

US Department of Health and Human Services 246

US Department of Health and Human Services Governance Patient Satisfaction Health Outcomes 246

Hall Render

MARCH 22, 2024

Louis contractor says nursing home owner owes him $350K KAI Designs and Builds New Outpatient Center in Missouri Advocacy group says pricing at Kansas City hospitals isn’t clear for patients Kansas City University receives $5M gift from Sunderland Foundation Missouri takes steps to improve its dismal maternal mortality rate.

Nursing Homes 40

Nursing Homes US Department of Health and Human Services Nurses Hospitals 40

HIT Consultant

OCTOBER 10, 2023

Focus on Language The effective delivery of healthcare is more than just a commitment to medical excellence; it’s also a commitment to cultural competency and equitable access for all patients. This enhances patient satisfaction and fosters trust in the healthcare provider-patient relationship. Carla Fogaren R.N.,

Compliance 111

Compliance ADA Informed Consent ACA 111

Health Populi

JUNE 28, 2019

Sanders, noting his call for big new government benefits like universal health care through Medicare for All and free college tuition. Senator Harris, too, mentioned government benefits like free college and Medicare for All as her health plan preference. Lester Holt began with Sen. “We don’t have a health care system in the U.S.

Medicare 74

Medicare Medicare Health Insurance Governance 74

Hall Render

SEPTEMBER 6, 2024

His family wants answers AdventHealth looks to build new 400-bed hospital in Lakeland Birmingham-based company breaks ground on $31 million Florida hospital project Easterly Government Properties Inc. drug developers. drug developers. under new CFO SSM Health St.

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes Nurses Hospitals 40