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Hospitals Medicare US Department of Health and Human Services 
Healthcare It News
APRIL 5, 2024
Northwestern Medicine, the Nevada Health Link, Cohere Health and Kyruus Health are partnering withDell Technologies, Google Cloud Marketplace and others to offer providers and payers ways to tackle the daily challenges that delay care approvals and prevent patients from seeking care and enrolling in health plans.
Healthcare IT News - Telehealth
JUNE 30, 2020
"Much of this transformation is dependent on temporary flexibilities extended to health systems and providers that are limited to the duration of the COVID-19 public health emergency declaration," the letter read.
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Healthcare IT News - Telehealth
AUGUST 24, 2020
" CMH, which serves more than 400,000 people in the state, saw a significant decline in in-office visit numbers, said Martel, as well as a drop in the number of those seeking care through the emergency department and hospital admissions.
Health Populi
MAY 16, 2019
At least one in three people who have tried out virtual health care have done so because they use technology in all aspects of life and want to do the same with their healthcare. A common theme at health care meetings these days is how and when health care will meet its Amazon, Apple, or Uber moment? ” .
Healthcare It News
JULY 11, 2024
Touted as the product of 10 years of work, the most recent proposed rule issued July 10 by the Office of the National Coordinator for Health IT will usher in an age of automation for healthcare interoperability through application programming interface-based exchange capabilities, officials said on Wednesday.
Healthcare IT News - Telehealth
NOVEMBER 25, 2020
Department of Health and Human Services' final rules regarding the Physician Self-Referral Law (also known as the Stark Law) and the Federal Anti-Kickback Statute. The American Telemedicine Association this week issued a statement in response to the U.S. WHY IT MATTERS.
Healthcare IT News - Telehealth
MAY 6, 2020
According to a study published last week in the Journal of the American Informatics Association, virtual urgent care visits at NYU Langone Health grew by 683%, and non-urgent virtual-care visits grew by a staggering 4,345% percent between March 2 and April 14. As COVID-19 continues to hammer the U.S.,
Healthcare IT News - Telehealth
OCTOBER 2, 2020
The Telehealth Improvement for Kids’ Essential Services, or TIKES, Act of 2020 would require the Secretary of the U.S. Department of Health and Human Services to issue guidance to states about how to increase access to telehealth under Medicaid and the Children’s Health Insurance Program.
Healthcare IT News - Telehealth
JUNE 8, 2022
The Department of Health and Human Services once again (for the ninth time) extended the public health emergency this past month , stretching it beyond mid-July. But sooner or later, that provision of the Public Health Service Act will draw to a close. We spoke recently with Allison M.
Healthcare IT Today
JUNE 30, 2024
News HHS revealed disincentives for providers that commit information blocking , with organizations subject to lower scores and reduced reimbursements under the Medicare Promoting Interoperability Program and ineligible for MSSP participation for at least one year. RCM services vendor Savista launched Sophia , a patient-facing digital agent.
Healthcare IT Today
MAY 16, 2024
Mike Semel, President and Chief Security Officer of Semel Consulting The Ascension health system data breach can’t be easily separated from the United Healthcare Change Health breach that recently caused a huge financial and medical impact across the healthcare sector and may have breached the personal information for a third of Americans.
126 
Healthcare IT Today
OCTOBER 16, 2023
It’s always been pretty obvious that factors such as wealth, race, education, and the quality of food and water have enormous impacts on health. Given that the field is increasingly digitized and data-driven, health IT is responsible for collecting and analyzing social determinants of health (SDoH).
Healthcare IT Today
AUGUST 28, 2023
Stephen Sofoul, SVP, Data & Decision Science Services at MultiPlan A critical challenge lies in the shortage of experienced financial analysts or data analysts capable of effectively analyzing the wealth of information that the healthcare industry holds. However, with healthcare being ever-evolving our regulations are also ever evolving.
Healthcare IT News - Telehealth
JULY 10, 2019
As healthcare manages the twin challenges of a shrinking workforce and an expanding patient population , hospitals and health systems are faced with some fundamental challenges. hospitals – 65 percent of expenditure, on average – goes to labor costs. People worry now about nursing retirements, etc.
Healthcare Compliance Blog
MAY 19, 2022
An acute care hospital in Oklahoma has paid over $1.1 million to settle allegations that it violated the False Claims Act by submitting false claims to Medicare. Throughout the investigation, the hospital cooperated with the above entities. The hospital agreed to pay the United States $1,151,770.50 to resolve the claims.
The Health Law Firm
OCTOBER 9, 2013
Board Certified by The Florida Bar in Health Law The University of Miami Hospital allegedly owes Medicare $3.7 This is according to an audit report of the hospital’s billing practices that found the hospital allegedly overbilled the health care program in 2009 and 2010. Indest III, J.D.,
Med-Net Compliance
OCTOBER 26, 2022
The US Department of Health and Human Services (HHS) Office of Inspector General (OIG) has announced that they will be enhancing their focus on potentially preventable hospitalizations of Medicare-eligible skilled nursing facility (SNF) residents. and 42 CFR § 483.25).
Healthcare IT News - Telehealth
JUNE 4, 2021
But for health IT, things sped up. When new technologies were needed to solve fast-moving healthcare challenges, hospitals and health systems could not afford to wait the time it normally took to stand up IT. John Jay Kenagy, senior vice president and CIO at Legacy Health, based in Portland, Oregon. ( @OurLegacyHealth ).
The Health Law Firm
NOVEMBER 9, 2012
Board Certified by The Florida Bar in Health Law. The AHA is seeking a court order declaring the practice invalid, saying it violates the Medicare Act. Four hospital systems in Michigan, Missouri and Pennsylvania have joined the AHA as plaintiffs in the suit. Indest III, J.D.,
Healthcare IT Today
JANUARY 6, 2023
As we head into 2023, we wanted to kick off the new year with a series of 2023 Health IT predictions. Digitally-enabled care is the future of telehealth – “telehealth” has become industry norm since the start of the pandemic and used as a catchall term for everything from virtual doctor’s appointments to at-home testing kits.
Jane Sarashon
FEBRUARY 4, 2024
As a constant observer and advisor across the health/care ecosystem, for me the concept of a “health plan” in the U.S. Furthermore, health plan members now see themselves as medical bill payers, seeking value and consumer-level services for their health insurance premium investment. is getting fuzzier by the day.
HIPAA Journal
MARCH 29, 2024
While it is currently unclear what types of data were stolen in the attack, UnitedHealth Group said personally identifiable health information, eligibility and claims information, and financial information are likely to have been compromised. United Health Group has also confirmed that it has paid out more than $3.3 40% of the $3.3
99 
Health Law Checkup
MARCH 17, 2022
In response to the COVID-19 pandemic, the Centers for Medicare & Medicaid Services (CMS) issued almost 200 “blanket” waivers which automatically apply to health care providers including hospitals, other healthcare facilities, and healthcare professionals.
Health Law Checkup
MARCH 14, 2022
In response to the COVID-19 pandemic, the Centers for Medicare & Medicaid Services (CMS) issued almost 200 “blanket” waivers which automatically apply to health care providers including hospitals, other healthcare facilities, and healthcare professionals.
The Health Law Firm
JANUARY 28, 2014
Health care providers were told they would not be able to submit any new appeals until the existing backlog clears, which could take two or more years. Indest III, J.D., Indest III, J.D.,
YouCompli
AUGUST 22, 2023
Approximately 65 million Americans are enrolled in Medicare – about 34 million in traditional Medicare and the rest in Medicare Advantage. Traditional Medicare is administered by the federal government, and individuals pay a separate monthly premium for hospital visits, doctors/outpatient, and prescription drugs.
52 
The Health Law Firm
FEBRUARY 20, 2016
Board Certified by The Florida Bar in Health Law On February 9, 2016, the D.C. Circuit ordered the US District Court for the District of Columbia to reconsider a lawsuit seeking to compel the Department of Health and Human Services (HHS) to meet statutory deadlines for reviewing Medicare claims denials.
The Health Law Firm
NOVEMBER 28, 2018
Board Certified by The Florida Bar in Health Law On November 2, 2018, a federal judge in Washington, D.C. said the US Department of Health and Human Services (HHS) has until the end of 2022 to completely clear out its backlog of thousands of Medicare billing appeals. Indest III, J.D.,
HIT Consultant
SEPTEMBER 28, 2021
Jeremy Delinsky, Chief Operating Officer of Devoted Health. When America’s seniors went to their first doctor’s appointment, they couldn’t have imagined that their health history would be stored anywhere but in a manila folder. With multiple conditions come, multiple providers, specialists, and care pathways.
Verisys
JANUARY 19, 2022
By outsourcing medical credentialing, hospitals can significantly reduce their costs. By outsourcing medical credentialing, hospitals can significantly reduce their costs. Due to the complex nature of medical credentialing, it requires coordination between several disparate departments within an organization. Human Resources.
Compliancy Group
JUNE 6, 2024
Many compliance violations in healthcare arise from financial conflicts of interest, particularly when providers get kickbacks or achieve financial gain from their referral services. Department of Health and Human Services, enforces the Stark Law. CMS Updates in 2023 : Voluntary self-referral disclosure laws.
Jane Sarashon
MARCH 12, 2024
That’s TMI for me to write about in the Health Populi blog, but this story has a current-events twist: the pharmacist could not electronically link with my insurance company to transact my payment. He tried a few work-flows, and ended up using a discount card which in the moment worked for us, and I paid the marked-down discount price.
AIHC
NOVEMBER 15, 2022
Written by Joanne Byron , BS, LPN, CCA, CHA, CHCO, CHBS, CHCM, CIFHA, CMDP, COCAS, CORCM, OHCC, ICDCT-CM/PCS The Federal Hospital Price Transparency Rule helps Americans know the cost of a hospital item or service before receiving it. In the US, hospital prices vary widely but are not visible to patients or the public.
52 
Healthcare IT Today
SEPTEMBER 17, 2024
An ongoing lawsuit between two health IT companies raises questions that call for more discussion. has led independent observers to predict a shake-up in health care and the potential for future lawsuits. Department of Health & Human Services should be applied. PointClickCare Technologies, Inc. )
Med-Net Compliance
JUNE 22, 2022
A registered nurse from a veteran’s hospital in Detroit pleaded guilty to charges related to COVID-19 vaccination record cards fraud. Issue: Legitimate vaccination cards are being stolen from healthcare facilities and then used in a fraudulent manner. Participating in the fraud can result in the person(s) being prosecuted.
AIHC
APRIL 10, 2024
Checklist for Individual & Small Group Practices Written by: Nancie Lee Cummins, CFE, CHA, CIFHA, OHCC, CHCM, CHCO, CORCM This article provides an overview of Health Information Technology for Economic and Clinical Health Act (HITECH) and basic checklist of policies and procedures for compliance of smaller health care organizations.
99 
HIT Consultant
JANUARY 5, 2022
However, as a board-certified physician in addiction medicine and chief medical officer of a nationwide addiction medicine practice, waiting on government funding was not an option as we treated patients struggling with opioid use disorder (OUD) during the COVID pandemic. We need to do more.
Innovaare Compliance
JUNE 21, 2023
The Inflation Reduction Act of 2022 has wide-ranging impact on payments for drugs used by Medicare beneficiaries, whether they are administered in the provider’s office (Part B) or used in the ambulatory setting (Part D). Part B drugs have had the fastest spending growth for drugs for Medicare. percent annually.
YouCompli
DECEMBER 7, 2022
Do your hiring managers and Human Resources colleagues know what to look for? Department of Health and Human Services Office of Inspector General (OIG) has the authority to exclude individuals and entities from federally funded healthcare programs. Provision of unnecessary or substandard services.
52 
YouCompli
FEBRUARY 22, 2023
Raising prices on your hospital’s chargemaster can also raise your level of compliance grief. Most federal healthcare payors such as Medicare and Medicaid reimburse most providers on a prospective basis. It is “prospective” because hospitals and other providers know ahead of time what they will be reimbursed.
52 
Compliancy Group
MARCH 19, 2024
Hospitals and private practices aren’t the only enterprises with compliance obligations within this sector. Insurance carriers, cloud service providers, pharmacies, medical equipment manufacturers, and other organizations in this industry must comply with various health and safety regulations. No other industry in the U.S.
YouCompli
NOVEMBER 30, 2022
How to use the SBAR Framework. The same tool nurses use to communicate about health emergencies – can help you secure investment in your compliance department. . While its primary use is in clinical cases, healthcare professionals across the organization are finding it useful for communicating with clinical leaders.
Healthcare Law Blog
JANUARY 26, 2024
On December 13, 2022, the Centers for Medicare and Medicaid Services (“CMS”) issued a proposed rule, titled Advancing Interoperability and Improving Prior Authorization Processes (“Proposed Rule”), to improve patient and provider access to health information and streamline processes related to prior authorizations for medical items and services.
MedTrainer
FEBRUARY 29, 2024
The World Health Organization (WHO) defines a near miss as “an error that has the potential to cause an adverse event [patient harm] but fails to do so because of chance or because it is intercepted.” More than three-fourths (77%) were due to emergency department overcrowding and medication administration errors.
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