Briggs Healthcare

MAY 4, 2023

This final rule will also codify regulations implementing section 118 of Division CC of the Consolidated Appropriations Act, 2021, section 11404 of the Inflation Reduction Act, and includes provisions that will codify existing sub-regulatory guidance in the Part C, Part D, and PACE programs.

Medicare 40

Medicare Regulations Nursing Primary Care 40

HIT Consultant

JUNE 16, 2022

The purpose of the No Surprises Act is to prevent surprise out-of-network bills, often for emergency services. As a result, the Centers for Medicare and Medicaid Services (CMS) has since issued new guidance regarding the IDR process for disputing parties. healthcare system. In fact, more than half of all U.S. About Lynne Rinehimer.

Regulations 52

Regulations Hospitals Medicaid Medicare 52

Triage Health Law

OCTOBER 12, 2023

Department of Health and Human Services (“HHS”) introduced a new “Strategic Plan for Oversight of Managed Care for Medicare and Medicaid” (the “ Strategic Plan ”). Medicare Advantage hit a milestone in the last year, with now a majority of Medicare beneficiaries being enrolled in a Medicare Advantage Plan. [1]

Medicare 69

Medicare Medicaid Prevention Regulations 69

HIT Consultant

OCTOBER 18, 2023

Hilton Hudson, MD, FACS, and CEO of HPC International In May 2022, a California doctor was sentenced to nearly eight years in prison for his involvement in a $12 million Medicare fraud scheme. million in reimbursements from Medicare over a three-year period. This prevents errors and helps accurately represent services provided.

Regulations 105

Regulations Accountable Care Prevention Medicare 105

Briggs Healthcare

NOVEMBER 3, 2021

CMS’ Calendar Year (CY) 2022 Physician Fee Schedule (PFS) final rule will promote greater use of telehealth and other telecommunications technologies for providing behavioral health care services, encourage growth in the diabetes prevention program, and boost payment rates for vaccine administration.

Medicare 105

Medicare Prevention Quality of Care Regulations 105

HIT Consultant

OCTOBER 30, 2023

Under the Medicare Shared Savings Program, a healthcare provider that is an Accountable Care Organization (ACO), ACO participant, or ACO provider or supplier would be deemed ineligible to participate in the program for a period of at least one year.

Medicare 95

Medicare Accountable Care Healthcare Providers Regulations 95

Healthcare It News

FEBRUARY 5, 2024

However, depending on the state and its regulations, patients may need to, at times, be seen in person. As the public health emergency of COVID is ending, state regulations are changing and fortunately telepsychiatry will still exist as part of a hybrid model.

Regulations 227

Regulations Telemedicine Remote Care Prevention 227

Bill Of Health

DECEMBER 6, 2023

To tackle this issue, federal and state governments should strengthen the regulation of insurance networks and insurers should address underlying causes of inadequate networks. Considering these substantial consequences for patients’ access to mental health care, developing solutions to prevent ghost networks is critical.

Regulations 57

Regulations Medicaid Medicare Prevention 57

Bill Of Health

MARCH 24, 2023

Each month, members of the Program On Regulation, Therapeutics, And Law (PORTAL) review the peer-reviewed medical literature to identify interesting empirical studies, policy analyses, and editorials on health law and policy issues. Characteristics of Prior Authorization Policies for New Drugs in Medicare Part D. JAMA Intern Med.

Regulations 57

Regulations Medicare Medicaid Prevention 57

Briggs Healthcare

JULY 19, 2022

In 2016, the Centers for Medicare & Medicaid Services (CMS) updated its life safety and emergency preparedness regulations to improve protections for all Medicare and Medicaid beneficiaries, including those residing in nursing homes. Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare. “In

Nursing 52

Nursing Medicaid Medicare Regulations 52

HIT Consultant

MAY 2, 2023

For decades, the industry lacked a patient-centric approach focused on efficiency, reliability, and accessibility for all populations, especially those enrolled in Medicare Advantage and Medicaid plans. In a recent study , 21% of U.S. adults without access to a vehicle or public transportation skipped needed medical care last year.

Medicaid 85

Medicaid Regulations Medicare Integration 85

HIT Consultant

SEPTEMBER 6, 2023

By transitioning to dedicated hardware in a data center, you regain full control over your servers and can chart your own course when it comes to updates and implementing security and privacy measures mandated by HIPAA regulations. HIPAA and GDPR are not the only regulators in the space either. Getting data security wrong is expensive.

Regulations 119

Regulations Medicaid Prevention Medicare 119

Home Health Care

DECEMBER 7, 2023

Daniel Gottschalk​​​​, Co‑CEO of Family Tree Private Care Balancing the need for appropriate home care regulations while preventing overregulation is crucial for the industry. Baseline regulations that set forth good business practices to keep clients and caregivers safe are essential.

Home Care 114

Home Care Regulations Nursing Prevention 114

Briggs Healthcare

AUGUST 19, 2022

Medicare requires that a reported amount be the lower of either the actual cost to the related organization or the market price for comparable services, facilities, or supplies, thereby removing any incentive to realize profits through these transactions.

Nursing 104

Nursing Medicare Regulations Accountability 104

HIT Consultant

NOVEMBER 16, 2022

Among the many challenges these staffing shortages cause is that they prevent facilities from accepting new patients because they don’t have the staff. These potentially avoidable hospitalizations roughly cost Medicare over $1 billion annually, not to mention the personal toll on a frail population and their loved ones.

Nursing 52

Nursing Telemedicine Regulations Medicare 52

p3care

MAY 2, 2022

MIPS (Merit-based Incentive Payment System) was launched by the Quality Payment Program (QPP) for the Medicare Part B healthcare providers. The rules and regulations relating to each category also change or are updated every year. Preventive Care and Early Detection: Immunization against Influenza. Categories.

Nursing 130

Nursing Prevention Quality Improvement Regulations 130

NASHP

AUGUST 30, 2023

Drafting Note : Rural emergency hospitals are defined in accordance with federal regulations, 87 Fed Reg. Definitions For the purposes of this Act: “Beds” means the number of available bed days during the most recent cost reporting period divided by the number of days in the most recent Medicare cost reporting period.

Hospitals 97

Hospitals Regulations Federal Healthcare Nursing 97

Home Health Care

NOVEMBER 7, 2023

1 of 2024 and for Medicare Advantage (MA) plans by 2025. Rao said that dropping prior authorization in MA would have come in 2024 as well had it not been for government regulations that prevented BCBS of Massachusetts from doing so.

Physical Therapy 95

Physical Therapy Patient Safety Hospitals Medicare 95

Briggs Healthcare

FEBRUARY 7, 2022

There is no longer a need to continue the required use of the FIC survey and tool on a national basis because surveyors will continue to assess infection control and prevention through the standard survey process, as applicable to the provider/supplier type.

Prevention 98

Prevention Regulations Nursing Medicare 98

Briggs Healthcare

JANUARY 20, 2023

CMS performs over 100,000 compliance surveys of Medicare and Medicaid-certified providers and suppliers, each year. Each interactive video focuses on a specific health or safety citation, with the goal of helping facilities to proactively identify and prevent these deficiencies in the future.

Quality of Care 52

Quality of Care Regulations Medicaid Prevention 52

Home Health Care

DECEMBER 16, 2021

Medicare-certified home health providers are falling short when it comes to the amount of care services they’re offering, a new survey released Thursday from the Center For Medicare Advocacy (CMA) suggests. based nonprofit law organization that is focused on health equity and improving access to comprehensive Medicare coverage.

Physical Therapy 84

Physical Therapy Medicare Nursing Regulations 84

Home Health Care

MAY 30, 2022

As part of their work, OIG investigators examined medical records for a random sample of 770 Medicare patients discharged from acute care hospitals during October 2018 – a period of relative normalcy long before the COVID-19 crisis. For nearly 25% of those individuals, the “harm events” resulted in additional costs to Medicare.

Hospitals 81

Hospitals Medicare Prevention Home Care 81

Briggs Healthcare

AUGUST 14, 2023

The SPSS is aligned with CMS expectations for State Survey Agency performance in accordance with the §1864 Agreement and all related regulations and policies intended to protect and improve the health and safety of Americans such as the State Operations Manual, the Mission and Priority Document, survey procedure guides, and other relevant documents.

Physical Therapy 52

Physical Therapy Rehabilitation Medicaid Quality of Care 52

Sheppard Health Law

NOVEMBER 2, 2023

According to the Congressional Research Service, which analyzed data from the Centers for Medicare & Medicaid Services (“CMS”) National Health Expenditure Accounts (“NHEA”) on the personal health expenditures for LTSS by payer, in 2021, an estimated $467.4 As individuals continue to live longer beyond retirement and the U.S.

Medicaid 52

Medicaid Medicare Accountability Nursing 52

Bill Of Health

JUNE 26, 2023

This prompted discussions about preventing recurrences, either through governmental regulation of biologics manufacturers or governmental manufacture of the biologics themselves. Ultimately, the industry was successful in keeping the government away from biologics manufacturing by agreeing to abide by government regulations.

Pharmaceuticals 76

Pharmaceuticals Regulations Prevention Medicare 76

Briggs Healthcare

JULY 18, 2022

The modern American nursing home, an unexpected creature of the Medicaid and Medicare programs, has evolved to provide neither a comfortable, functional “home” nor reliably excellent “nursing” (Grabowski, 2022). 2022; Ninteau & Bishop, 2022) discuss aspects of clinical care that should be targets for improvement and regulation.

Nursing 80

Nursing Regulations Medicaid Home Care 80

p3care

MAY 1, 2023

We understand the paramount necessity of identifying and preventing healthcare fraud and abuse. It’s crucial to guarantee that audits are carried out fully, and objectively following relevant rules or regulations. Well, we have a simple solution to avoid such things, i.e., depend on medical billing outsourcing companies.

Patient Safety 130

Patient Safety Healthcare Regulations Medicaid 130

Bill Of Health

OCTOBER 27, 2023

The regulation and administration of health care in the United States suggests a list of familiar institutional names — the Department of Health and Human Services, the Food and Drug Administration, Centers for Medicare & Medicaid Services, and the National Institutes of Health, to list a few.

Biotechnology 62

Biotechnology Regulations Medical Services Health Data 62

Home Health Care

AUGUST 24, 2021

On Thursday, the New York Department of Health, Codes Committee of the Public Health and Health Planning Council (PHHPC) will meet to consider implementing an emergency regulation regarding “Prevention of COVID-19 Transmission by Covered Entities.”. CMS raises payment rates for at-home vaccinations.

Regulations 98

Regulations Home Care Medicare Medicaid 98

Sheppard Health Law

MAY 31, 2022

Medical Device Regulations. Medical devices are regulated by the Food and Drug Administration (“FDA”) and many of the applications and technologies used to deliver or access healthcare in the metaverse may be classified as a medical device. [3] The introduction of the metaverse will likely exacerbate these interoperability issues.

Regulations 90

Regulations Life Sciences Medicare Healthcare 90

HIT Consultant

JUNE 9, 2022

New government regulations, like the Centers for Medicare & Medicaid Services’ interoperability rules and the Fast Healthcare Interoperability Resources (FHIR) standard enforcement, have finally been passed that support a seamless flow of medical information. Yet, the tides are turning.

Healthcare 97

Healthcare Regulations Prevention Medicaid 97

HIT Consultant

MARCH 9, 2023

Rajesh Sharma, Vice President and General Manager of Systems Integration, Data Analytics and Interoperability Product Offerings, Gainwell Technologies The Centers for Medicare and Medicaid Services (CMS) has laid the critical groundwork to create a connected healthcare system in which patients, providers, and payers can easily exchange information.

Healthcare 81

Healthcare Prevention Medicaid Integration 81

Sheppard Health Law

JUNE 2, 2023

Thus, the Court reversed the circuit court, finding that a FCA defendant “could have the scienter required by the FCA if they correctly understood [the regulation] and thought that their claims were inaccurate. Such documentation could prevent or abbreviate investigational scrutiny and mitigate FCA disputes down the road.

Regulations 52

Regulations Accountability Medicaid Prevention 52

Briggs Healthcare

MARCH 9, 2023

SAMHSA provides leadership, supports programs and services, and devotes resources to helping people act on the knowledge that behavioral health is essential to health, prevention works, treatment is effective, and people recover. The training and technical assistance provided by the COENF will be free of charge.

Nursing 52

Nursing Prevention Performance improvement Medicaid 52

Home Health Care

APRIL 22, 2024

The White House teased the finalized Medicaid Access Rule early Monday, and the Centers for Medicare & Medicaid Services (CMS) later revealed more intricate details attached to the rule. Firstly, the timeline of the rule is now clear. All of those are administrative requirements that take money to implement.

Medicaid 68

Medicaid Home Care Quality of Care Medicare 68

Sheppard Health Law

JANUARY 26, 2023

Medicaid and Medicare The Balanced Budget Act of 1997, Public Law 105–33, 111 Stat. The Medicaid and Medicare statutes also contain conscience provisions related to the performance of advanced directives, religious nonmedical healthcare providers and their patients.

Healthcare 105

Healthcare Federal Healthcare Medicaid Regulations 105

Sheppard Health Law

NOVEMBER 9, 2021

The above scenario is just one example of surprise billing that the federal No Surprises Act (the “Act”) is intended to prevent, beginning January 1, 2022. Most notably, the Act will further address surprise bills for those with insurance coverage regulated at the federal level – e.g. , Medicare beneficiaries.

Regulations 52

Regulations Hospitals Medicare Doctors 52