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Medicare Counseling Coverage Explained

Medisys Compliance

Understanding Medicare coverage for counseling can feel particularly challenging, but it is crucial. Many providers find themselves asking: What exactly does Medicare cover when it comes to outpatient mental health counseling services? This cornerstone of outpatient mental health care is generally well-covered by Medicare.

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New bill would codify Medicare reimbursement for telehealth services

Healthcare IT News - Telehealth

introduced new legislation this week that would provide for permanent Medicare payments for telehealth services at federally qualified health centers and rural health clinics. Butterfield, D-North Carolina, and Glenn Thompson, R-Pa., " WHY IT MATTERS. ON THE RECORD.

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Health Care, AI, and the Law: An Emerging Regulatory Landscape in California

Bill of Health

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.”

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2024 DOJ False Claims Act Settlements in Healthcare Recover $1.67B

Compliancy Group

A classic example is Medicare fraud. Providers who bill Medicare for services they did not actually provide and who present the bill with the knowledge that the service was not performed have committed Medicare fraud. Medicare Advantage Matters Medicare Part C is the largest part of Medicare. While the $1.67

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Merck Price Negotiation Lawsuit May Face Same Obstacles as 340B Takings Claims

Bill of Health

By Laura Dolbow Merck recently filed a lawsuit that challenges the constitutionality of the Medicare price negotiation program created by the Inflation Reduction Act. Merck argues that this form of price regulation charts a “ radical new course ” for Medicare that violates the Takings Clause of the Fifth Amendment.

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ONC launches SDOH interoperability pilot

Healthcare It News

" Since HL7 pledged to share the standards free of charge under licensing terms, many partnerships and collaborations with both public and private healthcare entities have bloomed.

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Billing Medicare and Private Payers for Telehealth Visits: What to Expect Post-Public Health Emergency

Healthcare IT News - Telehealth

Prepare Now for Anticipated Changes to Medicare and Private Payer Rules. 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. Today, Medicare reimburses for specific services when delivered via live video.