MedTrainer

SEPTEMBER 20, 2023

Watch this one-demand webinar for insider tips straight from seasoned compliance surveyors. If you want to obtain or retain CMS certification in order to be reimbursed by services provided to patients with a Medicare/Medicaid health plan, you must comply with HIPAA rules and regulations. What Is the Scope of a CMS Inspection?

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Medicaid Medicaid Medicare Medicare 97

Provider Trust

JULY 17, 2023

In our recent webinar, ProviderTrust’s Chief Compliance Officer, Donna Thiel, shared her expertise and valuable feedback from the 2023 HCCA Compliance Institute. In this post, we recap the key takeaways from the webinar. With this update, organizations must ask themselves which state exclusion lists they should monitor.

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Compliance Nursing Homes Nurses Fraud 52

Medisys Compliance

JANUARY 31, 2024

Introduction Understanding the details of Medicare coding and claims submission can be daunting for anyone. This article serves as a guide to help you avoid billing mistakes for Medicare and ensure smooth claims processing for your Medicare patients. Ensure they have current Medicare coverage and no pending eligibility changes.

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Provider Trust

JULY 25, 2022

In a recent webinar , ProviderTrust Founder Michael Rosen and Chief Compliance Officer Donna Thiel detailed ways in which your organization can effectively monitor your unique provider populations. ProviderTrust analyzed the public outpatient Medicare claims data of a large health system. billion in Medicare charges.

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Electronic Medical Records Licensing Medicare Medicare 52

Healthcare IT News - Telehealth

JULY 18, 2022

It scaled training through its CE-accredited portal Telehealth Village, though webinars with providers, tip sheets and training videos, and hosted Project ECHO programs across multiple disciplines with community partners.

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McBrayer Law Blog

FEBRUARY 8, 2022

Posted In Centers for Medicare & Medicaid Services (“CMS”) , COVID-19 , Mandatory vaccination policies More > Tags: Centers for Medicare & Medicaid Services , CMS , COVID-19 , employer mandate , Healthcare Compliance Issues , Healthcare Provider , Healthcare Providers , Mandatory vaccination.

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Healthcare IT Today

JULY 16, 2024

The Centers for Medicare & Medicaid Services (CMS) finalized new standards for electronic prescribing on June 13, concluding a complicated, 18-month regulatory process that came in fits and starts and went by without attracting much industry scrutiny. Register to attend Nick’s webinar on July 18, 2024.

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MedTrainer

JUNE 9, 2022

Over the past two years or so, Centers for Medicare and Medicaid Services (CMS) surveys have been much less frequent in response to the pandemic. Also, check out our recent webinar with surveyor Dr. David Shapiro for his tips and insight on how to be prepared for surveys. Take a look at what we do.

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Compliance Medicaid Medicaid Medicare 86

Health Care Law Brief

FEBRUARY 2, 2024

While still subject to legislative approval, the Executive Budget incorporates the recently approved amendment (“Waiver Amendment”) to New York’s Medicaid Section 1115 Demonstration that includes $7.5 billion in Medicaid investments over the next three years. Services will be delivered via a two-tiered system.

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Medicaid Medicaid Medicare Medicare 52

Verisys

APRIL 3, 2025

Compliance Penalties Regulatory agencies like the Centers for Medicare & Medicaid Services (CMS) and The Joint Commission enforce strict medical credentialing standards to ensure healthcare providers meet necessary qualifications and maintain patient safety.

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US Department of Health and Human Services Licensing Compliance Malpractice 52

Healthcare Law Blog

SEPTEMBER 6, 2023

On September 1, 2023, the Centers for Medicare and Medicaid Services (CMS) issued a long-awaited proposal to establish new federal minimum staffing standards for long-term care facilities. [1] Join us for our webinar “ CMS Proposes Minimum Staffing Requirements for Skilled Nursing Facilities ” on September 27, 2023.

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Redox

JUNE 30, 2023

Get the details Continuous care New care coordination payment model issued CMS has introduced a Making Care Primary (MCP) model to improve primary care management for Medicare and Medicaid patients. New research from IDC points to the worst offenders, and health system CMIOs weigh in during our “Shortlist Makers” webinar.

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Telemedicine Medicaid Medicaid Medicare 52

Hall Render

JANUARY 24, 2024

CMS introduced an updated Medicare Cost Report e-Filing system (“MCReF”) and related templates to allow Medicare Part A providers the ability to electronically file to their Medicare contractor supporting documentation in addition to their cost report for fiscal years ending on or after December 31, 2017.

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Medisys Compliance

JULY 31, 2024

Key considerations include: Medicare: Medicare has established specific coverage criteria for various immunotherapies. Medicaid: Coverage and reimbursement policies differ by state. Understanding Reimbursement Rates and Payer Policies Reimbursement rates for immunotherapy vary among payers.

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Medical Billing Outsourcing Medical Billing Medicare Medicare 59

Provider Trust

OCTOBER 19, 2023

8, 2023 | 12pm CST Reserve Your Spot With new regulations and a changing payer demographic—marked by health plans entering new contracts such as Medicare Advantage—the demands for credentialing support can quickly outpace an organization’s available resources. Wednesday, Nov. And respondents hope technology can help.

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Verisys

DECEMBER 23, 2021

Medicare, Medicaid, and TRICARE: How Enrollment Standards Differ. Provider enrollment in Medicare, Medicaid, TRICARE, and other government health programs all involve a lengthy process, with some variation. The following items are required for enrollment in Medicare: A primary place of service must be in operation.

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Medicare Medicare Medicaid Medicaid 52

Provider Trust

MAY 26, 2023

Learn about the steps healthcare organizations should take to effectively adapt to the changing landscape resulting from the increasing percentage of Medicare and Medicaid enrollees in managed care, and the projected shift to Medicare Advantage plans.

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Compliance Compliance Officers Medicaid Medicaid 52

MedTrainer

MARCH 8, 2024

These financial incentives are from agencies such as the Centers for Medicare and Medicaid Services (CMS) and the Health Resource & Services Administration (HRSA) , who are working to achieve health equity and improve public health. WEBINAR: Maximize Funding Streams Starting With 340B Watch Now What is Value-Based Care?

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Medicaid Medicaid Medicare Medicare 52

Medisys Compliance

JULY 9, 2024

This can include workshops, webinars, and continuing education courses. So, stay informed about updates through professional organizations, coding webinars, and continuous education. References: Centers for Medicare & Medicaid Services. Employ certified coders who are knowledgeable in cardiology coding.

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Medical Billing Outsourcing Medical Billing Compliance Medicaid 59

Medisys Compliance

AUGUST 23, 2024

The compliance process involves understanding and following payer-specific guidelines, particularly those set by Medicare. Example: Medicare’s guidelines for oncology coding are detailed and specific. Example: Medicare guidelines often change, particularly regarding how certain treatments like radiation therapy should be coded.

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Medical Billing Outsourcing Compliance Medicare Medicare 59

Medisys Compliance

DECEMBER 12, 2023

In this article, we will explore the most important behavioral health billing updates planned for 2024, focusing on both Medicare and commercial payers. Behavioral Health Billing Updates: For Medicare 1. Get training: Consider attending training sessions or webinars on the new billing updates to ensure you are fully prepared.

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Medical Billing Medical Billing Outsourcing Medicare Medicare 59

MedTrainer

JULY 29, 2024

Regulatory compliance includes legal mandates directed by both federal and state governing bodies, including the Occupational Safety and Health Administration ( OSHA ), Centers for Medicare & Medicaid Services ( CMS ), Health Resources & Services Administration ( HRSA ), and the Office of Inspector General ( OIG ) of the U.S.

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Compliance US Department of Health and Human Services Regulatory Compliance Compliance Officers 52

MedTrainer

AUGUST 5, 2024

WEBINAR: Hear how Kasey Krabler of Rocky Mountain Surgical Center completes privileging in 30 days. Proper privileging documentation is also critical to meet the standards of regulatory bodies such as the Centers for Medicare and Medicaid Services ( CMS ) and the National Committee for Quality Assurance ( NCQA ).

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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. This article explores into the key considerations for optimizing billing for virtual care in primary care, ensuring you receive proper reimbursement for your services. secure messaging).

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Medical Billing Outsourcing Informed Consent Medical Billing Medicare 59

MedTrainer

NOVEMBER 14, 2023

WEBINAR: Identifying Compliance Priorities To Make a Big Impact Watch Now Consequences of Non-Compliance Without question, the importance of compliance extends beyond just meeting the requirements. The Stark Law is primarily enforced by the Centers for Medicare and Medicaid Services.

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MedTrainer

FEBRUARY 5, 2024

Provider enrollment is when a healthcare provider is registered with insurance networks or government payers , like Medicaid or Medicare. Watch this on-demand webinar to get tips to speed up your enrollment process. Watch this on-demand webinar to get tips to speed up your internal credentialing process.

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MedTrainer

OCTOBER 13, 2023

In fact, my colleague and I did an entire webinar on the evolution of credentialing earlier this year. Credentialing is evolving. There have been monumental shifts in credentialing in the past few years. And we spent very little time on what’s becoming the biggest challenge in credentialing. Because no one talks about it.

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Fraud Medicaid Medicaid Medicare 52

Health Populi

JULY 16, 2018

90% of the execs polled said that health care costs are confusing given the current payor mix they have to deal with, from Medicare and Medicaid to any number of commercial insurers, union plans, and other payors in the mix.

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Health Insurance Medicaid Medicaid Doctors 54

MedTrainer

OCTOBER 16, 2023

Hear from a compliance veteran in this webinar: Identifying Compliance Priorities To Make a Big Impact What Are the Key Healthcare Compliance Regulations? Stark Law The Stark Law , primarily enforced by Centers for Medicare & Medicaid Services (CMS), deals specifically with physician referrals.

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Compliance US Department of Health and Human Services HIPAA Medicaid 52

AIHC

OCTOBER 23, 2024

Watch these recorded webinars posted to the AIHC YouTube channel, then decide. Introduction to Auditing for Compliance Webinar Checklist Guide to Performing an Audit Webinar What is a Business System Audit? You may consider enrolling in the online Auditing for Compliance course. Undecided about becoming an auditor?

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Compliance Overpayments Overpayment Medicaid 52

MedTrainer

SEPTEMBER 10, 2024

Webinar: Tips To Efficiently Meet Healthcare Training Requirements Watch Now 8 Misconceptions About Healthcare Compliance Education Healthcare compliance education is foundational, which makes it even more important to avoid these common misconceptions.

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Hall Render

DECEMBER 4, 2023

The Centers for Medicare & Medicaid Services (“CMS”) finalized significant updates to the Hospital Price Transparency regulation for the first time since the rule took effect on January 1, 2021. Register for the webinar here.

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MedTrainer

JUNE 25, 2024

These regulations may include federal and state laws, guidelines from regulatory bodies such as the Centers for Medicare & Medicaid Services ( CMS ), Health Insurance Portability and Accountability Act ( HIPAA ) rules, and standards set by accreditation organizations like The Joint Commission.

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Compliance Health Insurance Medicaid Medicaid 52

MedTrainer

MARCH 14, 2024

As the Centers for Medicare and Medicaid Services outlines, privileging isn’t required for every healthcare provider but is a requirement for those conducting medical services within a hospital or ambulatory surgery center (ASC). Watch this on-demand webinar for insights to improve your internal credentialing.

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Malpractice Licensing Hospitals Compliance 52

MedTrainer

FEBRUARY 20, 2024

Insurance credentialing is the process where a healthcare organization registers a healthcare professional through specific insurance networks or government payers , like Medicare or Medicaid, to receive reimbursement for services rendered during a patient’s visit.

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Licensing Medical Billing Compliance Medicaid 52

Healthcare Law Blog

AUGUST 31, 2023

The Court agreed with the Departments that this was reasonable, given the nature of air ambulance services, and the likely lack of sufficient information for purposes of calculating the QPA otherwise. * * * For additional information, please consider registering and attending our upcoming No Surprises Act webinar series.

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HIT Consultant

DECEMBER 4, 2024

As hospitals faced overwhelming patient demand, the Centers for Medicare & Medicaid Services (CMS) introduced a temporary waiver program , reimbursing hospitals for treating acutely ill patients in their homes when they would otherwise be treated in a hospital.

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