Healthcare Law Blog

MARCH 17, 2022

22-05 , relating to subsidization of certain Medicare cost-sharing obligations in the context of a clinical trial involving medical devices (the “Proposed Arrangement”). IRB approved protocols, enrollment criteria, informed consent process and other rules and regulations governing good clinical trial practice).

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Medisys Compliance

FEBRUARY 29, 2024

Understanding Virtual Care Billing Codes Familiarizing yourself with the specific billing codes assigned by Medicare and private payers is paramount. Capture Patient Consent: Document the patient’s informed consent for receiving care via telehealth services. secure messaging).

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Medical Billing Outsourcing Informed Consent Medical Billing Medicare 59

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.

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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.

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AIHC

SEPTEMBER 5, 2023

Medicare covers many telebehavioral and telemental health services including audio-only services. Store-and-forward is less commonly reimbursed by Medicare and Medicaid programs. Obtaining informed consent with your patient is typically done before the first appointment.

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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.

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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.

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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.

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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.

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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.

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Medical Billing Outsourcing Informed Consent Medical Billing Compliance 69

Verisys

JANUARY 27, 2022

Department of Health and Human Services (HHS), telehealth services had a 63-fold increase with Medicare patients in 2020. Clear Communication on Consent and Fees. The APA advises that clients/patients may have varying degrees of technological skills or ability to thoroughly read and understand informed consent and billing.

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US Department of Health and Human Services Telemedicine Licensing Informed Consent 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. These guidelines cover everything from who can bill for services to the required documentation and coding practices.

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Medical Billing Outsourcing Licensing Medical Billing Informed Consent 59

Medisys Compliance

APRIL 11, 2022

In this article, we shared list of required documents for ambulatory surgery centers who are beneficiaries of Medicare. Informed consent. Complete documentation will support all procedure codes your billed and will provide complete picture for payers. Pre-operative medical record documentation. Nurses’ notes.

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Medical Billing Outsourcing Medical Billing Informed Consent Nurses 52

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?

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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. The provisions of EMTALA apply to all individuals (not just Medicare beneficiaries) who attempt to gain access to a hospital for emergency care.

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MedTrainer

DECEMBER 7, 2023

This bureau, in collaboration with the Centers for Medicare and Medicaid Services (CMS) and the Department of Health and Welfare , enforces healthcare compliance with both state and federal guidelines. The Act equates virtual care’s standard to in-person care, emphasizing sufficient provider-patient relationships and informed consent.

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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.

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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.

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Healthcare IT Today

DECEMBER 22, 2023

A STAT investigation found that clinical employees were pressured to follow an algorithm that predicts a patient’s length of stay under the guise of denying payments to people in Medicare Advantage plans. A key component placing providers at risk is the lack of informed consent by patients to use these models to drive their care.

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AIHC

AUGUST 13, 2024

Informed Consent : Ensure patients are fully informed of their rights and available services. View the Final Rule “ Nondiscrimination in Health Programs and Activities ” in the Federal Register – a Rule by the Centers for Medicare & Medicaid Services posted 05/06/2024.

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Hall Render

FEBRUARY 10, 2023

over Claims Practices Where things stand in Central California 1 month after a community hospital’s closure California hospital names Kelly Linden CEO Upcoming California health bills to watch, including a conversation with Rep.

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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.

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Hall Render

FEBRUARY 21, 2025

Improving Patient Access and Financial Stability for Hospitals and Health Systems is Focus of New Effort in Vermont VAHHS: Legislature discusses hospital and health network audits VIRGINIA Are Virginia doctors protected from extradition if they prescribe abortion pills to patients in other states?

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Drug & Device Law

DECEMBER 29, 2023

2023) (rejecting any express anti-preemption presumption in Medicare case) ( here ); Baker v. Plaintiff knew about it, too, since he signed an informed consent document mentioning it. Executive Health Resources, Inc. , UnitedHealthcare, Inc. , 3d 239 (Cal. Croda Inc. , 3d 191 (Del. Saint-Gobain Performance Plastics Corp. ,

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