Healthcare IT News - Telehealth

JUNE 15, 2020

This past week, Centers for Medicare and Medicaid Services Administrator Seema Verma said she "can't imagine going back" to making beneficiaries return to in-person visits after the agency's relaxation of telehealth regulations in response to the coronavirus pandemic.

Telemedicine 204

Telemedicine Licensing HIPAA COVID-19 204

Healthcare IT News - Telehealth

JANUARY 25, 2021

Authorize the Centers for Medicare and Medicaid Service to continue reimbursement for telehealth for 90 days beyond the end of the public health emergency. Make permanent the disaster waiver authority, enabling Health and Human Service to expand telehealth in Medicare during all future emergencies and disasters.

COVID-19 214

COVID-19 Medicare Medicare Telemedicine 214

Bill of Health

OCTOBER 19, 2023

There are approximately 370,000 nurse practitioners that are licensed in the United States, and that number is growing. They provide a substantial amount of care to Medicare and Medicaid patients. Given that medical residency programs are federally funded, this very same opportunity should be afforded to APRN and PA programs.

Nurses 279

Nurses Medicare Medicare Medicaid 279

Healthcare IT News - Telehealth

OCTOBER 2, 2020

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. Examples of states that have used waivers under the Medicaid program to test expanded access to telehealth. Blunt Rochester in a statement. WHY IT MATTERS.

US Department of Health and Human Services 163

US Department of Health and Human Services COVID-19 Medicaid Medicaid 163

Healthcare IT News - Telehealth

JANUARY 12, 2021

From a regulatory and policy perspective, the reforms would: Require Medicaid telehealth reimbursement for services regardless of where the patient or provider is located in a non-facility setting. Develop interstate licensing reciprocity for states in the Northeast region for specialties with historical access shortage.

COVID-19 216

COVID-19 Telemedicine Medicaid Medicaid 216

Healthcare IT News - Telehealth

MARCH 18, 2020

On Tuesday, Centers for Medicare and Medicaid Services expanded its Medicare telehealth coverage during the COVID-19 pandemic to enable more patients to get virtual care services from their providers.

COVID-19 202

COVID-19 HIPAA Nursing Homes Medicare 202

Healthcare IT News - Telehealth

OCTOBER 5, 2022

how streamlined licensing and credentialing can help with the psychiatrist shortage. How can telehealth, combined with streamlined licensing and credentialing, help solve the nation's current psychiatrist shortage? Telehealth, however, does so directly and immediately. More than three-quarters of U.S.

Licensing 181

Licensing Telemedicine Nursing Homes Hospitals 181

Healthcare IT News - Telehealth

MARCH 13, 2019

The analysis, based on interviews with Medicaid officials from seven states and representatives from 19 Federally Qualified Health Centers in those states, points to insufficient reimbursement as a leading culprit for this lag, in addition to other logistical, policy, and operational barriers.

Medicaid 137

Medicaid Medicaid Telemedicine Licensing 137

Healthcare IT News - Telehealth

SEPTEMBER 3, 2020

In his study, Auerswald found that labor market barriers to entry, such as licensing requirements, and technical barriers to entry, such as regulatory approvals and interoperability standards, constitute "the most significant barriers to entrepreneurial entry.

Licensing 165

Licensing Medicare Medicare Governance 165

MedTrainer

MARCH 30, 2024

Built-in Automation Keep the enrollment process moving forward with automated reminders for providers to send documents, notification of recredentialing deadlines, and license expiration. Choose software with dynamic graphs that show application age, average time to complete applications, and number of closed applications per credentialer.

Malpractice 98

Malpractice Licensing Medicaid Medicaid 98

Provider Trust

APRIL 30, 2024

This year, as always, the Medicaid Fraud Control Units (MFCUs) released an annual report dissecting the exclusions, enforcements, and overall takeaways from their work throughout the previous fiscal year (FY). for every $1 spent How ProviderTrust Can Help With nearly 80 million individuals covered by Medicaid, every data point counts.

Fraud 52

Fraud Medicaid Medicaid Licensing 52

HIPAA Journal

FEBRUARY 16, 2022

The system contained patients’ names, birth dates, insurance card numbers, driver’s license numbers, and copies of patients’ insurance cards and driver’s licenses. The attackers compromised FCHC’s old dental system which contained the PHI of patients who had received dental services prior to August 31, 2020.

Ransomware 129

Ransomware Hospitals Licensing HIPAA 129

Healthcare IT News - Telehealth

JUNE 3, 2020

He noted the moves by the Centers for Medicare and Medicaid Services to reimburse providers for services and allow telehealth care between states , and the relaxed HIPAA regulations around technology use , as important contributors to the uptick in telehealth availability. Telehealth in the long term.

Telemedicine 213

Telemedicine COVID-19 HIPAA Medicare 213

HIPAA Journal

JULY 4, 2024

SkinCure Oncology has notified 13,434 patients about an email attack that occurred in June 2023, and the Wisconsin Department of Health Services has announced a breach of the personal information of 19,150 Medicaid recipients. The helpline is manned Monday to Friday from 8:00 a.m. to 5:30 p.m. Central Time.

Medicaid 115

Medicaid Medicaid Fraud Licensing 115

Healthcare IT News - Telehealth

JUNE 1, 2020

"Especially hard hit have been safety-net clinics serving medically underserved and rural areas, many facing alarming drops in Medicaid and Medicare reimbursements as a result of the drop in face-to-face consultations," wrote the report authors.

COVID-19 205

COVID-19 Electronic Medical Records Telemedicine Licensing 205

The Health Law Firm Blog

OCTOBER 5, 2023

Board Certified by The Florida Bar in Health Law Do you have a medical, pharmacist, counselor, or nursing license in more than one state? Do you have a license in more than one profession? By George F. Indest III, J.D., Have you been notified that an investigation has been opened against your professional [.]

Licensing 52

Licensing Nurses Medicaid Medicaid 52

Healthcare IT News - Telehealth

SEPTEMBER 9, 2024

Meanwhile, the American Telemedicine Association is pleading with the Centers for Medicare and Medicaid Services for expanded flexibilities and further guidance on payment and coverage. Licenses that allowed physicians to practice across state lines and provided reimbursement parity due to the pandemic have now expired.

Telemedicine 160

Telemedicine Licensing Health Outcomes Governance 160

Healthcare IT News - Telehealth

JULY 28, 2020

More than 100 physician groups, led by the American Medical Association, told the Centers for Medicare and Medicaid Services in no uncertain terms this past week that, while they supported temporary regulatory relaxations in response to COVID-19, they were strongly opposed to certain rules changes being made permanent. WHY IT MATTERS.

COVID-19 201

COVID-19 Public Health Nurses Medicare 201

Healthcare IT News - Telehealth

NOVEMBER 10, 2020

The Centers for Medicare and Medicaid Services (CMS) is expected to issue new rules for telehealth in the release 2021 Physician Fee Schedule later this year. This includes meeting all state-level telehealth, licensing, and credentialling requirements. Ensure licensing and credentialling is in proper order for all providers.

Public Health 157

Public Health Medicare Medicare COVID-19 157

Healthcare IT Today

NOVEMBER 2, 2023

Since January 2022 , the Centers for Medicare & Medicaid Services (CMS) and other federal agencies have had their eyes on California with the launch of the nation’s largest-ever program to transform the healthcare system for vulnerable communities.

Medicaid 124

Medicaid Medicaid Licensing Medicare 124

HIPAA Journal

MARCH 10, 2022

Individuals whose Social Security number, driver’s license, state identification number, or financial account information may have been involved have been offered complimentary credit monitoring services. The breach has been reported to the HHS’ Office for Civil Rights as affecting up to 25,745 individuals. Dr. Douglas C.

Ransomware 132

Ransomware Licensing Health Insurance HIPAA 132

HIPAA Journal

MARCH 25, 2022

The files contained first and last names, Social Security numbers, drivers’ license information, dates of birth, health insurance information, medical treatment information, and financial account information. The attached file contained information such as member names, ID numbers, Medicare/Medicaid numbers, and dates of birth.

Health Insurance 118

Health Insurance Licensing Ransomware Fraud 118

HIPAA Journal

OCTOBER 17, 2022

The exposed information included names, dates of birth, Social Security numbers, driver’s license numbers, clinical/diagnosis information, health insurance member ID numbers, medical record numbers, and Medicare or Medicaid numbers. Valle De Sol said it has not received any reports from patients to suggest any misuse of their data.

Health Insurance 124

Health Insurance Licensing Fraud HIPAA 124

Healthcare IT News - Telehealth

JANUARY 23, 2023

In 2023, HIMSS will not only be working to prop up telehealth further with really strong data on how these services help patients to achieve broader reform, but will also work at the state level with licensing boards to discuss how telemedicine can reach more patients. Creating standards synergy for 'Interoperability 3.0'

Medicare 171

Medicare Medicare Governance Medicaid 171

Healthcare Law Blog

OCTOBER 21, 2022

For informational purposes only, a link to the federal Centers for Medicare and Medicaid Services (CMS) Open Payments web page is provided here. It can be found here.

Licensing 97

Licensing Medicaid Medicaid Hospitals 97

HIT Consultant

FEBRUARY 5, 2024

All certifications and licenses must be verified for every provider who administers services to patients. This includes each practitioner’s education, medical training, residency, licenses, as well as any certifications issued by a board in the physician’s area of specialty. Mistake No. 4: Not updating and verifying information.

Malpractice 96

Malpractice Licensing Due Diligence Hospitals 96

Bill of Health

OCTOBER 17, 2024

Finally, SB 1120 constrains the unfettered use of AI tools to approve or deny medical treatments, by requiring a licensed health care professional to still make individualized determinations for each member of a health insurance plan. The law has been referred to as the “ Physicians Make Decisions Act.”

Medicare 150

Medicare Medicare Health Insurance Licensing 150

The Health Law Firm Blog

SEPTEMBER 20, 2023

Board Certified by The Florida Bar in Health Law Florida's Agency for Health Care Administration (AHCA) has come under fire for failing to make Medicaid final orders accessible to the public. Indest III, J.D., On April 11, 2023, an attorney asked a Florida appeals court to revive her suit against [.]

Medicaid 52

Medicaid Medicaid Overpayments Overpayment 52

The Health Law Firm Blog

AUGUST 24, 2023

Board Certified by The Florida Bar in Health Law Florida's Agency for Health Care Administration (AHCA) has come under fire for failing to make Medicaid final orders accessible to the public. Indest III, J.D., On April 11, 2023, an attorney asked a Florida appeals court to revive her suit against [.]

Medicaid 52

Medicaid Medicaid Overpayments Overpayment 52

HIPAA Journal

SEPTEMBER 9, 2022

Those emails contained patient information such as names, dates of birth, Social Security numbers, medical information, health insurance information, driver’s license numbers, and state ID numbers. The information exposed varied from patient to patient. Notification letters were sent to all affected individuals in August.

Licensing 111

Licensing Health Insurance Fraud HIPAA 111

HIPAA Journal

MAY 19, 2022

The breach was reported to the HHS’ Office for Civil Rights as affecting 114,007 individuals. Legal action was taken on behalf of the individuals affected by the breach, with the class including all individuals residing in the United States and its territories who were notified in November 2019 that their information had been exposed.

Licensing 120

Licensing HIPAA Health Insurance Medicaid 120

Bill of Health

FEBRUARY 23, 2023

On August 19, 2022 the Centers for Medicare and Medicaid Services announced plans to require nursing facilities to vaccinate most employees to continue to receive federal reimbursements. States that sought to inhibit vaccine mandates faced alternative arguments framed in federal conditional spending powers and preemption.

COVID-19 182

COVID-19 Public Health COVID-19 Vaccine Governance 182

HIPAA Journal

OCTOBER 7, 2022

On August 5, 2022, Anthem discovered that an unauthorized individual had gained access to a database and downloaded files containing plan members’ protected health information, including names, addresses, dates of birth, phone numbers, email addresses, Medicare ID numbers, and Medicaid ID numbers.

HIPAA 110

HIPAA Health Insurance Medicaid Medicaid 110

HIPAA Journal

MARCH 14, 2022

A subset of patients also had their Social Security numbers, driver’s license numbers, and/or financial account information exposed. That subset of patients has been offered a complimentary 12-month membership to credit monitoring services. CRMC said it has found no evidence to date to indicate any patient information has been misused.

Electronic Medical Records 136

Electronic Medical Records Health Insurance HIPAA Licensing 136

Jerri Lynn Ward

JUNE 24, 2024

Please recall that these reviews have been moved to the Licensing and Credentialing unit and will no longer be performed by Survey Operations staff. Texas HHSC has published guidance on the Revised NATCEP Survey Process that went into effect in March 2024.

Licensing 104

Licensing Nurses Medicaid Medicaid 104

Compliancy Group

FEBRUARY 16, 2024

In one case, the dentist himself was involved, practicing on a revoked license. We also covered two Medicaid fraud schemes , one resulting in billions of dollars in billing for medical supplies that were never received. As a result, his license was revoked in 2015. Dentist Ordered to Pay $8.5M Dentist Ordered to Pay $8.5M

Fraud 52

Fraud Licensing Medicaid Medicaid 52

MedTrainer

JULY 28, 2023

Earlier this year, an in-depth OIG investigation resulted in a six-day trial of a former Louisiana health clinic CEO , who was ultimately convicted of Medicaid fraud and sentenced to 82 months in federal prison. Medicare/Medicaid Compliance Reviews. The OIG performs regular compliance reviews of Medicare and Medicaid providers.

Fraud 98

Fraud Compliance Medicaid Medicaid 98