Redox

SEPTEMBER 26, 2023

Top stories CMS creates all-payer model for states CMS is offering an all-payer funding opportunity of up to $12M for eight states to improve population health. Read more Cloud The 411 on FHIR stores Heard about FHIR stores, but not quite sure what they do—or why you might want to build one? Wonder no more. Two CMIOs weigh in.

FHIR 105

FHIR Drug Development Telehealth Digital Health 105

Healthcare IT Today

APRIL 19, 2024

We wanted to find out more about how the company is helping healthcare organization collect SDOH information. SDOH Data is Vital for ACO Reach CMS’ Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) model is designed to improve the quality of care for people with traditional Medicare.

Accountable Care 99

Accountable Care HIPAA Healthcare IT Nursing 99

Healthcare IT Today

DECEMBER 12, 2023

The latest policy update from The Centers for Medicare and Medicaid Services (CMS) adds key provisions to the December 2022 proposed rule requiring adoption of a new NCPDP SCRIPT standard version. In the lead-up to a final rule, CMS is giving the industry impetus and edict to accelerate a new era in medication management.

EHR 84

EHR Interoperability Medicare Health Information 84

Redox

JANUARY 24, 2024

My debut focused on how the CMS proposed Interoperability and Prior Authorization rule would dramatically improve prior authorization processes with electronic processing via APIs. CMS just finalized the CMS Interoperability and Prior Authorization Final Rule CMS-0057-F , or what many have called the “Interop 3” rule.

FHIR 59

FHIR Interoperability HIPAA 59

FierceHealthIT

OCTOBER 1, 2018

It’s the big question on the minds of many in the physician practice world: Will the Centers for Medicare & Medicaid Services issue a final rule in the coming weeks that includes a controversial proposal to consolidate evaluation and management (E/M) billing codes?

Medicare 102

Medicare 102

Healthcare IT News - Telehealth

APRIL 3, 2024

However, Karin Schifter-Maor, CEO of Essence SmartCare, a senior and chronic care technology and services company, told Healthcare IT News that the current CMS program relies too heavily on manual processes and in-person care. RPM technologies could scale and sustain CMS' hospital at-home program she said in March.

Healthcare IT 146

Healthcare IT Patient Experience Medicare Telehealth 146

Healthcare IT Today

OCTOBER 12, 2023

The Centers for Medicare & Medicaid Services (CMS) have taken a bold step by mandating a standard for prior authorization. I talked to Nikki Henck, Senior Director of Utilization Management at Sagility , about the implementation and potential impact of this proposed requirement, which, if finalized, will be enacted in January 2026.

FHIR 99

FHIR Interoperability Medicare Healthcare IT 99

FierceHealthIT

SEPTEMBER 19, 2023

Troubled insurtech Bright Health must shell out about $380 million to the Centers for Medicare & Medicaid Services (CMS) over the next 18 months, according to a recent

Medicare 62

Medicare 62

FierceHealthIT

JUNE 23, 2023

The Centers for Medicare & Medicaid Services released new details Thursday about how it plans to collect patient data as a condition of coverage for a new class of Alzheimer’s drugs, once the m | CMS released new details Thursday about how it plans to collect patient data as a condition of coverage for a new class of Alzheimer’s drugs, once the (..)

Medicare 78

Medicare 78

Healthcare IT Today

FEBRUARY 22, 2023

A recent article of mine explored how CMS is using AI to find suspicious payments that deserve investigation. CMS requires chart reviews to catch overpayments. But Medicare Advantage plans do their own chart reviews to improve the quality of care as well as to avoid penalties from CMS. They’re valuable for many reasons.

Medicare 88

Medicare Medical Billing Healthcare IT Health IT 88

DrKumo Remote Patient Monitoring

APRIL 11, 2024

In this digital age, where technology is advancing at an unprecedented pace, the Centers for Medicare Services (CMS) plays a crucial role in regulating and supporting RPM services. This article provides an in-depth exploration of CMS’s involvement in RPM, its significance, challenges, and future prospects.

Medicare 40

Medicare Telehealth Health Data Mobile Health 40

Healthcare IT Today

JUNE 17, 2022

For those of us following the Price Transparency rule, it’s been clear that CMS was serious about this happening (See the increased in price transparency penalties) and that many healthcare organizations weren’t in compliance.

Healthcare IT 76

Healthcare IT 76

FierceHealthIT

MAY 2, 2018

A proposed rule change last month would require hospitals to share data as a requirement of participating in Medicare.

Medicare 77

Medicare 77

Healthcare IT News - Telehealth

DECEMBER 14, 2021

While Congress and CMS have considered permanently expanding access to telehealth and virtual care, there is a big price tag attached. CMS has taken regulatory action to increase availability of telehealth. This is an important issue in light of widespread concern about physician burnout. However, CMS can't do it alone.

Accountable Care 170

Accountable Care Medicare Telehealth Public Health 170

Society for Participatory Medicine

JUNE 17, 2022

Quickly submit a letter TODAY JUNE 17 demanding that CMS not give in to industry pressure on this vital patient empowerment issue. Go to the CMS comment page and in the “ Comment* ” field, write “Do not suppress safety data!!! On the line “What is your comment about?” I know this is short notice.

Medicare 94

Medicare 94

Healthcare IT News - Telehealth

SEPTEMBER 27, 2021

"CMS and state efforts to evaluate and oversee telehealth are critical to meeting Medicaid enrollees' behavioral health needs and to safeguarding the Medicaid program from potential fraud, waste and abuse," wrote OIG officials. THE LARGER TREND. The concern is not without merit. billion in alleged losses. ON THE RECORD.

Telehealth 175

Telehealth Telemedicine Public Health Healthcare IT 175

Healthcare IT Today

JUNE 21, 2022

This week’s chat will be hosted by John Lynn (@techguy) from @hcittoday on the topic “Price Transparency” Most of you probably know about the CMS hospital price transparency rule that hospitals must post their pricing in […].

Healthcare IT 90

Healthcare IT Health IT 90

FierceHealthIT

MAY 2, 2018

States looking to propose changes to their Medicaid programs should consider whether their ideas would be a "bridge to self-sufficiency," said CMS Administrator Seema Verma.

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Digital Health Global

AUGUST 24, 2023

Trilliant Health opens access to its dynamic provider directory, making information about America’s 2.7 The Centers for Medicare and Medicaid Services (CMS) has decreed that accurate provider directory information is critical to patient access, care coordination, information exchange and public health data reporting, and we agree. .

Digital Health 88

Digital Health Public Health Medicare Health Data 88

Healthcare IT News - Telehealth

APRIL 12, 2021

It is estimated that disparities cause about $93 billion in excess medical care costs and $42 billion in lost productivity annually, not to mention economic losses due to premature death. CMS granted that RPM could be furnished to new patients as well as established patients during the PHE. CMS is proposing keeping this flexibility.

Telehealth 204

Telehealth Digital Health Primary Care Nursing 204

FierceHealthIT

APRIL 8, 2020

America's Essential Hospitals is concerned about the method CMS is using to disperse $30B in grant funding to providers, but more help is on the way.

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Clear Arch Health

MARCH 11, 2024

First Name * Last Name * Company Name * Phone * Email * I am interested in learning about RPM PERS CCM Contact Center Services EHR Integration Strategic Partner RPM + PERS CAPTCHA Name This field is for validation purposes and should be left unchanged. Δ

EHR 72

EHR 72

Telebehavioral Health Institute

JANUARY 12, 2023

In January 2023, the Centers for Medicare & Medicaid Services (CMS) rolled out a new telehealth “indicator” to make information about Medicare telehealth providers on publically-available clinician profile pages more readily available. Research Supporting Use of the Telehealth Indicator. 2021 (2021).

Medicare 52

Medicare Telehealth Telemedicine Public Health 52

Healthcare IT News - Telehealth

AUGUST 6, 2021

How are patients feeling about telehealth now? More about this episode: Report shows 'vast improvement' in state telehealth reimbursement policies. CMS will reimburse for 11 new telehealth services during the public health emergency. How COVID-19 has changed the way US consumers think about healthcare (McKinsey).

Telehealth 162

Telehealth Public Health 162

Digital Health Global

SEPTEMBER 19, 2023

ACO-Predict offers the same algorithms ClosedLoop used to win both the CMS AI Challenge and Best in KLAS recognition in 2021 and 2022. The solution can be live in as little as a few hours and requires no IT integration as data flows directly from CMS via the BCDA data feed.

Medicare 88

Medicare Accountable Care Digital Health 88

Electronic Health Reporter

FEBRUARY 11, 2019

Following the release of its proposed new rules designed to improve the interoperability of electronic health information, members of leadership from the Centers for Medicare & Medicaid Services (CMS) hosted a call to provide additional detail about the proposed rule, and to answer questions from the media.

Interoperability 107

Interoperability Leadership Medicare Health Information 107

Telebehavioral Health Institute

OCTOBER 4, 2022

The GAO investigation was focused on urging the Office for Civil Rights (OCR) and the Centers for Medicare & Medicaid Services (CMS) to take steps to mitigate these risks. Professional training is appropriate for providers who are unclear about their post-COVID HIPAA mandates. GAO Recommendations for CMS.

HIPAA 52

HIPAA Telehealth Medicare Health Information 52

Electronic Health Reporter

MARCH 10, 2020

The Centers for Medicare & Medicaid Services (CMS) issued a fact sheet with additional guidance for healthcare providers and patients about the telehealth benefits in the agency’s Medicare program. Illegal copying is prohibited. The fact sheet is part of […].

Medicare 79

Medicare Telehealth 79

Healthcare IT News - Telehealth

MAY 14, 2021

"With new areas across the country experiencing significant challenges to the capacity of their health care systems, our job is to make sure that CMS regulations are not standing in the way of patient care for COVID-19 and beyond," said then-CMS Administrator Seema Verma at the time. ON THE RECORD.

Healthcare IT 194

Healthcare IT Medicare 194

Telebehavioral Health Institute

OCTOBER 4, 2022

The GAO investigation was focused on urging the Office for Civil Rights (OCR) and the Centers for Medicare & Medicaid Services (CMS) to take steps to mitigate these risks. GAO Recommendations for CMS. The GAO report discusses, among other issues, the following: CMS lacks complete data on CME telehealth visits.

HIPAA 52

HIPAA Telehealth Medicare Health Information 52

Healthcare IT Today

APRIL 4, 2024

About Carenet Health Carenet Health helps organizations simplify and power the business of healthcare through people, technology, and industry-leading insights. About Health Dialog Health Dialog Services Corporation is a leading provider of population health management solutions. Learn more at carenethealth.com.

Pharmaceuticals 98

Pharmaceuticals Nursing Healthcare IT Health IT 98

Telebehavioral Health Institute

OCTOBER 4, 2022

The GAO investigation was focused on urging the Office for Civil Rights (OCR) and the Centers for Medicare & Medicaid Services (CMS) to take steps to mitigate these risks. GAO Recommendations for CMS. The GAO report discusses, among other issues, the following: CMS lacks complete data on CME telehealth visits.

HIPAA 52

HIPAA Telehealth Medicare Health Information 52

Healthcare IT News - Telehealth

SEPTEMBER 25, 2020

The proposed CMS rules would make permanent additions to the telehealth services list nine codes that were temporarily covered during the COVID-19 public health emergency. The group also noted that some of CMS' attempts to clarify questions around remote patient monitoring may serve to instead disrupt current clinical practices.

Telehealth 122

Telehealth Medicare Public Health Telemedicine 122

Telebehavioral Health Institute

NOVEMBER 2, 2022

During COVID-19, the Centers for Medicare & Medicaid Services (CMS) facilitated the use of telehealth services through regulatory flexibility and expanded telehealth allowances. OIG Recommends Three Home-Health Telehealth Measures for CMS. It also suggests that CMS evaluate how home health can better serve patients. .

Telehealth 52

Telehealth Medicare 52

Healthcare IT News - Telehealth

MARCH 4, 2021

A new advocacy group called Moving Health Home launched on Wednesday, bringing together some heavy hitters – major health systems, care delivery services and technology vendors – who say they want to effect a shift in thinking about treating patients at home, and want to adjust reimbursement models accordingly. WHY IT MATTERS.

Medicare 212

Medicare Telehealth Hospital IT Healthcare IT 212

FierceHealthIT

MARCH 27, 2019

Details are finally out about a new artificial intelligence challenge aimed at creating tools to better predict patient health outcomes. The Centers for Medicare & Medicaid Services announced on Wednesday it is launching the CMS Artificial Intelligence Health Outcomes Challenge with the potential for projects to win up to $1.65

Medicare 111

Medicare 111

Health Populi

FEBRUARY 14, 2018

Health Populi’s Hot Points: Prices of services and goods continue to be a key cost driver in American healthcare, which is old but continuing news that the CMS forecast assumes in its financial model. That equates to 18.4% of the Gross Domestic Product (GDP) and $12,230.40 of health spending per person. healthcare.

Medicare 198

Medicare Primary Care Public Health Health Policy 198