Tag: Medicare Services

supreme-court-oks-vaccine-mandate-for-healthcare-workers

CMS Updates Healthcare Worker Vaccine Mandate Guidance

CMS has issued interpretative guidance on its healthcare worker vaccine mandate following the Supreme Court’s decision to allow the mandate to be enforced while some states challenge it in courts. The guidance released a day after the Supreme Court ruling states that facilities participating in Medicare and Medicaid in 24 states must ensure their employees […]
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cyber-technology-for-medicare-audits

Cyber Technology for Medicare Audits

This is what providers can expect in 2022 in the form of new technology audits. During 2022, healthcare providers will see more options to exploit cyber technologies designed to aid them in management of Medicare audits. Below we review the informational challenges of managing an audit, and then turn to the types of cyber solutions […]
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cms-releases-medicare-advantage-part-d-proposed-rule-7-changes-to-know

CMS releases Medicare Advantage, Part D proposed rule: 7 changes to know

CMS is proposing a new rule that aims to cut prescription drug costs, increase contract vetting and improve health equity, according to a Jan. 6 news release. The proposed changes primarily target Medicare Advantage and Part D plans. CMS also noted that the proposed changes come with “modest costs” that should not affect bidding, premiums […]
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CMS COVID-19 Vaccination Rule

Centers for Medicare & Medicaid to Enforce Its COVID-19 Vaccination Rule, Sets New Deadlines

The Centers for Medicare & Medicaid Services (CMS) will enforce its COVID-19 vaccination requirement in 25 states, the District of Columbia, and other territories, according to an update released on December 28, 2021. CMS is enjoined from enforcing its COVID-19 vaccination rule in the other 25 states, which are involved in a case challenging its […]
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telehealth-key-takeaways-CY2022

Telehealth: Key Takeaways from The CY2022 PFS Final Rule

In November 2021, the Centers for Medicare and Medicaid Services (“CMS”) issued the Physician Fee Schedule Final Rule (“Final Rule”) which includes several telehealth policy updates that will go into effect in calendar year 2022.1  As a result of the COVID-19 public health emergency (“PHE”),  CMS expanded the availability of telehealth through the use of […]
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in-network-complex-covid-19-hospitalizations-cost-more-than-128k

In-Network, Complex COVID-19 Hospitalizations Cost More Than $128K

COVID-19 hospitalization costs varied by state, with the highest in-network cost averaging $128,650. According to a new FAIR Health study, COVID-19 hospitalization cost varies by state, with complex hospitalizations for COVID-19 in-network average cost maxing out at $128,650. “Behind the numbers of our COVID-19 Cost Tracker are the individuals who have contracted COVID-19. As a […]
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hhs-grants-much-needed-cash-infusion-to-rural-providers

The HHS Grants Much-Needed Cash Infusion to Rural Providers

The news coincided with the sudden worldwide emergence of the new omicron COVID-19 variant. An influx of cash couldn’t have come at a better time for the nation’s rural healthcare system. The U.S. Department of Health and Human Services (HHS) last week announced that the Health Resources and Services Administration (HRSA) has begun distributing $7.5 […]
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2022-hcpcs-level-ii-code-changes

Learn More About 2022 HCPCS Level II Code Changes

In first-quarter 2022, the HCPCS Level II code set will get a refresh with several new, revised, and deleted codes. According to the Centers for Medicare & Medicaid Services (CMS), there are: 155 new codes, 63 revised codes, and 48 deleted codes. Medical coders and billers: Familiarize yourself now with these code changes so you’re […]
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medicare-patients-in-metro-areas-more likely to report-telehealth-use

Medicare Patients in Metro Areas More Likely to Report Telehealth Use

Additionally, those who were younger than 75, lived in the west and had internet connectivity were more likely to use video or voice calls to interact with their physicians. Medicare beneficiaries living in metropolitan areas were more likely to report that they used telehealth services, a new study revealed. Published in the Journal of Evaluation […]
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millions-of-patients-receive-healthcare-data-breach-notifications

The Millions of Patients Receive Healthcare Data Breach Notifications

Utah Imaging Associates began notifying nearly 600K of a healthcare data breach, and Eskenazi Health began notifying over 1.5 million individuals. Covered entities must post a notice on the home page of its website for at least 90 days if there are more than 10 individuals with out-of-date contact information to ensure that impacted individuals […]
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