Health Law RX

APRIL 25, 2022

In addition, the Centers for Medicare & Medicaid Services (“CMS”) issued answers to new frequently asked questions (“FAQs”). April 4, 2022 – Continued Litigation Movement. As a reminder, on February 23, 2022, the U.S.

Informed Consent 98

Informed Consent Medicaid Medicaid Medicare 98

MedTrainer

JANUARY 26, 2024

Significant fines also can be levied by the Office of Inspector General (OIG) for overbilling Medicare and Medicaid. Failure to Obtain Informed Consent: Before performing any medical procedure, healthcare providers must obtain informed consent from patients or their legal guardians.

Compliance 52

Compliance Informed Consent HIPAA Medical Billing 52

AIHC

SEPTEMBER 5, 2023

Most private insurers and Medicaid cover telebehavioral health care, but check for reimbursement restrictions and obtain professional coding and billing guidance to avoid overpayment situations. 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

Kaiser Health News

MAY 31, 2022

The Centers for Medicare & Medicaid Services has clarified repeatedly over the years that under the preventive services provisions of the ACA, removal of a polyp during a screening colonoscopy is considered an integral part of the procedure and should not change patients’ cost-sharing obligations.

ACA 108

ACA Doctors Medical Billing Hospitals 108

MedTrainer

JANUARY 15, 2025

Plans of correction are common in Centers for Medicare and Medicaid (CMS) surveys. This also means deficiencies are on the rise, especially related to upholding patient rights, including informed consent, privacy, and respect for patient autonomy.

Compliance 78

Compliance Informed Consent Nursing Homes Medicaid 78

MedTrainer

SEPTEMBER 13, 2024

Compliant Survey Ready All operations comply with established standards set by regulatory bodies, such as the Joint Commission, Centers for Medicare & Medicaid Services (CMS), or state health departments. That’s the difference between being survey-ready and compliant. Here are my suggestions.

Compliance 52

Compliance Informed Consent HIPAA Medicaid 52

Medisys Compliance

AUGUST 20, 2024

Key aspects include: CMS Behavioral Health Billing Guidelines: The Centers for Medicare & Medicaid Services (CMS) sets forth guidelines for billing behavioral health services. Providers must familiarize themselves with the laws in their state, especially concerning Medicaid billing and telehealth services.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Licensing Medical Billing Informed Consent 59

Medisys Compliance

JULY 23, 2024

Verify Coding Updates: Regularly review updates from the American Medical Association (AMA) and the Centers for Medicare & Medicaid Services (CMS) to stay current with coding changes. Ensure that informed consent is documented, which not only supports compliance but also enhances patient satisfaction and trust.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Compliance Informed Consent Medical Billing 59

Medisys Compliance

FEBRUARY 13, 2024

Ensure informed consent is obtained for treatment and billing practices. When family members are involved, utilize specific code modifiers (-96, -97) and submit detailed clinical documentation demonstrating medical necessity.

Medical Billing Outsourcing 69

Medical Billing Outsourcing Informed Consent Medical Billing Compliance 69

Medisys Compliance

FEBRUARY 29, 2024

Capture Patient Consent: Document the patient’s informed consent for receiving care via telehealth services.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Informed Consent Medical Billing Medicare 59

MedTrainer

OCTOBER 4, 2023

These federal compliance governing agencies regulate the industry at the national level: Centers for Medicare & Medicaid Services (CMS). CMS plays a crucial role in overseeing federal healthcare programs, including Medicare and Medicaid. What Are Accreditation Compliance Requirements?

Compliance 52

Compliance Fraud HIPAA Governance 52

MedTrainer

DECEMBER 7, 2023

The Medicaid and Health program of Idaho provides health coverage to eligible low-income adults, children, pregnant women, elderly adults, and people with disabilities in the state, offering a range of medical and health-related services. It also allows licensure exceptions for out-of-state providers under specific circumstances.

Compliance 52

Compliance Licensing Compliance Officers Informed Consent 52

Verisys

JANUARY 27, 2022

The Centers for Medicaid and Medicare Services (CMS) has waived video technology for certain services, and audio-only telehealth is authorized for telephone evaluations, management services, behavioral health counseling, and educational services. Clear Communication on Consent and Fees. Psychiatric consultations.

US Department of Health and Human Services 52

US Department of Health and Human Services Telemedicine Licensing Informed Consent 52

MedTrainer

NOVEMBER 5, 2023

As of the writing of this post, Colorado requires that healthcare providers obtain informed consent from patients before providing telehealth services and that a valid provider-patient relationship be established before providing telehealth services. Learn more about credentialing in Colorado.

Compliance 52

Compliance Licensing Informed Consent Public Health 52

AIHC

JANUARY 5, 2022

These don’t apply to people with coverage through programs like Medicare, Medicaid, Indian Health Services, Veterans Affairs Health Care, or TRICARE. These programs have other protections against high medical bills.

Medical Billing 52

Medical Billing Health Insurance Medicare Hospitals 52

Bill of Health

SEPTEMBER 2, 2022

Per the study, SDOH represent nearly half of the cost structure of Medicare and Medicaid. Informed Consent and Refusal. Therefore, a proper informed consent and refusal process would involve naming all the ways days could be used throughout the intervention and allowing patients to opt in or out of the individual data use cases.

Informed Consent 246

Informed Consent Medicaid Medicaid Public Health 246

Healthcare IT News - Telehealth

AUGUST 7, 2020

Patient privacy and should be protected, the governors said, and patients should provide informed consent to receive care via the specific technology used to provide it. Virtual care should enable and promote "adequate, culturally responsive, patient-centered equitable access" to healthcare. Confidentiality.

COVID-19 217

COVID-19 Informed Consent Governance Fraud 217

NY Health Law

APRIL 15, 2021

diminished quality of care, increased opportunity to violate scope of practice or informed consent laws, etc.) Pending legislation addresses the amount of reimbursement available for telehealth (both by Medicaid and commercial insurers) and permissible modalities (including asynchronous telemedicine).

Informed Consent 52

Informed Consent Malpractice Telemedicine Medicaid 52

AIHC

AUGUST 13, 2024

Those covered by the rule may include hospitals, health clinics, health insurance issuers, state Medicaid agencies, community health centers, physicians’ practices, and home health care agencies. Informed Consent : Ensure patients are fully informed of their rights and available services.

Compliance 52

Compliance ACA Health Insurance Medicaid 52

Hall Render

FEBRUARY 10, 2023

Dunleavy proposes extending Medicaid coverage for new mothers ARIZONA Banner Health pays $1.25M penalty over HIPAA failures from 2016 breach Arizona nursing school at risk of losing accreditation St. billion since pandemic U.S. billion since pandemic U.S. Luke’s Health System says it will lay off workers in Idaho.

US Department of Health and Human Services 40

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

HIT Consultant

OCTOBER 10, 2023

Under Section 1557, regulations set forth by the Centers for Medicare & Medicaid Services (CMS), the importance of providing language assistance services has been magnified, emphasizing the critical role of qualified medical interpreters in ensuring equal access to healthcare for all patients, regardless of their language proficiency.

Compliance 111

Compliance ADA Informed Consent ACA 111

Kaiser Health News

NOVEMBER 27, 2023

Earlier this year, DeSantis blasted California for being too generous with public benefit programs, such as Medicaid, which the Golden State has expanded to all eligible residents regardless of immigration status. Obamacare Florida DeSantis has refused to expand Medicaid eligibility to more people under the Affordable Care Act.

COVID-19 Vaccine 117

COVID-19 Vaccine COVID-19 Medicaid Medicaid 117

Hall Render

FEBRUARY 21, 2025

Luke’s Hospital Idaho considers end to 50-year physician-training partnership with University of Washington over Idaho values Medicaid expansion bill sparks debate on future of Idaho health care St. East Carolina University is building $265M facility to train them.

US Department of Health and Human Services 40

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