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HHS OIG: 2 in 5 Medicare beneficiaries used telehealth during first pandemic year

Healthcare It News

Department of Health and Human Services Office of Inspector General released a study examining how Medicare beneficiaries used telehealth during the first year of the COVID-19 pandemic. "Telehealth was critical for providing services to Medicare beneficiaries during the first year of the pandemic," read the report.

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COVID-19 presents a new chance to make telehealth accessible to the underserved

Healthcare IT News - Telehealth

Even as the Centers for Medicare and Medicaid Services moved to make telehealth more accessible – such as by reimbursing providers for services and allowing care between states – Smith said virtual care is still not available to everyone who needs it.

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

Compliancy Group

The federal False Claims Act prohibits someone from knowingly presenting or causing a false claim for payment if the federal government will pay for that claim. A classic example is Medicare fraud. Medicare Advantage Matters Medicare Part C is the largest part of Medicare. Acadia Healthcare Company: $16.6M

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Fixing Medicare Advantage Payments

Healthcare IT Today

There’s widespread consensus that payments to Medicare Advantage Organizations (MAOs) are a mess. These programs, which care for more than 30 million of the nearly 64 million Medicare enrollees , operate on the cutting edge of health care and suffer serious problems in data collection and billing.

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FirstHealth of the Carolinas solves access problem with Virtual Provider program

Healthcare It News

First, the program offers an initial access point for patients who present to the Convenient Care clinics or emergency rooms and who do not have a primary care provider, said Stephen Kapa, administrative director of telehealth services at FirstHealth of the Carolinas.

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Hospice Update: Surveyors Called to Identify Quality of Care Concerns and Potential Fraud Referrals

Hall Render

The Centers for Medicare & Medicaid Services (CMS) is reinforcing its emphasis on hospice quality of care and identifying fraud. Hospice surveys are performed before their initial certification for Medicare participation. Identifying Fraud : Detecting practices that jeopardize patient safety or Medicare program integrity.

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