NASHP

AUGUST 30, 2023

The Centers for Medicare and Medicaid Services (CMS) promulgated final regulations for REHs at 87 Fed.Reg. As of June 2023, fourteen states passed legislation and/or adopted emergency regulations to allow hospitals in their state to become eligible for the new REH designation. behavioral health services). 1395x(kkk)(2).

Hospitals 52

Hospitals Regulations Medicare Medicaid 52

Best Medical Billing Company | Physicians Revenue Group, Inc.

MARCH 10, 2023

prgseo March 10, 2023 6 Tips to Improve the Revenue Cycle Management for Your Practice Healthcare providers remain occupied with their immense job responsibilities and ignore the most crucial aspect of their medical practice: quick account receivables. Revenue cycle management aims to schedule and audit patient fees.

Quality Assurance 52

Quality Assurance Accountability Healthcare Finance Regulations 52

Sheppard Health Law

JANUARY 20, 2023

To address social determinants, providers may need to resourcefully rely on non-clinical services or provide medical services in alternative settings, which may present reimbursement difficulties.

Medicaid 52

Medicaid Regulations Federal Healthcare Medicare 52

Etactics

DECEMBER 1, 2023

However, Medicare and other insurance cover a variety of different services and supplies, some of which aren’t identified by CPT codes. This is the other main set of procedure codes that classify medical services. K Codes - Temporary codes for durable medical equipment regional carriers. M Codes - Medical services.

Medicare 52

Medicare Medicaid Medical Services Prevention 52

Sheppard Health Law

JANUARY 2, 2024

At long last, the cost and market impact review (CMIR) regulations promulgated by the California Office of Health Care Affordability (OHCA) have been approved by the California Office of Administrative Law (OAL). whose costs for the same services are substantially higher compared to the statewide average).

Regulations 59

Regulations Healthcare Primary Care Health Science 59

NASHP

NOVEMBER 9, 2022

If a health benefit plan does not reimburse claims on a fee-for-service basis, the payment method used must take into account the limits specified in subsection (2)(A). 1) Definitions. C) Alternative payment methods. Such payment methods include, but are not limited to: i. Value-based payments; ii. Capitation payments; and.

Regulations 52

Regulations Medicare Tricare Hospitals 52

Etactics

OCTOBER 27, 2023

Medical identity theft can also happen if a medical professional uses a patient’s information to submit false claims to payers. Insurance account number or Medicare number. Medical identity theft poses different challenges than other forms of identity fraud. See medical collection notices they don’t recognize.

Prevention 52

Prevention Accountability Healthcare Providers Medicare 52

Etactics

JANUARY 24, 2023

million seized from… Various financial accounts High-end automobiles These include Rolls Royce, Lamborghini, and Mercedes vehicles Jewelry A lakefront home All of these assets were traceable to criminal conduct. Once he obtained patients, he cycled them through his facilities where they often failed to receive appropriate medical services.

Healthcare 52

Healthcare Physical Therapy Doctors Medicare 52

HIT Consultant

SEPTEMBER 5, 2023

John Berndt, SVP of Health North America, Valtech Also known as the Kennedy–Kassebaum Act, the Health Insurance Portability and Accountability Act of 1996 (HIPAA) defines and regulates individuals’ medical records and other individually identifiable health information, collectively known as patient healthcare information (PHI).

Regulations 98

Regulations Pharmaceuticals Healthcare Accountability 98

Sheppard Health Law

MAY 9, 2023

The DOH is now tasked with further defining the notice and disclosure process through regulations. 5] The law does not include the manner in which gross in-state revenue growth is to be calculated, and regulations will need to provide more clarity.

Regulations 52

Regulations Accountable Care Accountability Medical Services 52

NASHP

APRIL 15, 2022

ECM will be delivered through the managed care 1915(b) waiver and contracting with MCPs and is accounted for in capitation rates. Enhanced Care Management ECM is intensive care coordination for Medi-Cal managed care plan (MCP) members with high needs and complex care conditions. e), as approved by CMS.

Medicaid 59

Medicaid Public Hospital Hospitals Nursing 59

Healthcare ECONOMIST

APRIL 19, 2022

First, some background on the Dutch health system: The Netherlands has organized its basic health insurance scheme according to the model of regulated competition (van de Ven et al., Marketing and customer service. Also, “…Dutch regulation allows insurers to offer ‘group arrangements.’

Regulations 62

Regulations Accountability Pharmaceuticals Medicare 62

NASHP

OCTOBER 16, 2023

Washington has federal authority to cover the service as an early periodic screening diagnosis and treatment (EPSDT) service in its Medicaid state plan (see page 16). EPSDT services are only available to Medicaid beneficiaries under age 21.) Washington defines the coverage in regulation and details it in a billing guide.

Medicaid 52

Medicaid Medicare Regulations Accountable Care 52

Health Care Success

FEBRUARY 28, 2022

In fact, 57% of consumers said a substantial social media presence would greatly influence their decision about where to go for medical services, and 81% said it is a strong indication that a hospital offers leading-edge technologies. Account Manager. Facebook and Instagram have a unique combination of scale and targeting.

Healthcare 107

Healthcare Law Firms Regulations Accountability 107

Best Medical Billing Company | Physicians Revenue Group, Inc.

FEBRUARY 6, 2023

prgseo February 6, 2023 6 Ways to Improve Medical Claims Processing to Control Denials Medical healthcare providers face many stiff challenges with the ever-changing and volatile economy. While automation does help to make the processes seamless, most medical service providers remain undecided on adopting automation.

Integration 52

Integration Medical Practitioners Regulations Accountability 52

Etactics

SEPTEMBER 22, 2022

Payments can clear easily due to the high costs of pharmaceuticals and other services. Fortunately, the Health Insurance Portability and Accountability Act (HIPAA) does help regulate healthcare fraud. When receiving your statement, make sure to take note of any billing items or services that have not been properly documented.

Healthcare 59

Healthcare Physical Therapy Medicare Accountability 59

NASHP

DECEMBER 20, 2022

The hotline, supported by both a federal Overdose to Action grant as well as the state’s CARES Act behavioral health funding , takes advantage of SAMHSA’s modified regulations during the public health emergency, providing immediate access to tele-induction of buprenorphine and linkage to continued outpatient treatment.

Medicaid 52

Medicaid Prevention Integration Hospitals 52

KHN

NOVEMBER 14, 2022

Federal regulators, meanwhile, are almost blind to the incursion, since private equity typically acquires practices and hospitals below the regulatory radar. The firms have made inroads into ancillary services such as diagnostic and urine-testing and software for managing billing and other aspects of medical practice.

Doctors 145

Doctors Tricare Medicaid Medical Services 145

KHN

NOVEMBER 14, 2022

Federal regulators, meanwhile, are almost blind to the incursion, since private equity typically acquires practices and hospitals below the regulatory radar. The firms have made inroads into ancillary services such as diagnostic and urine-testing and software for managing billing and other aspects of medical practice.

Doctors 52

Doctors Tricare Medicaid Medical Services 52