Janelle Ali-Dinar, PhD | January 18, 2017

Rural Healthcare: World of Change, News, and Innovation: Part I

EDITOR’S NOTE: This is the first in a two-part series on the state of rural healthcare in America. In part two, the author will report on the Pennsylvania Rural Health Model, a new initiative by CMS being developed through the CMS Innovation Center and the State of Pennsylvania. The first month of 2017 is midway through, and change is happening rapidly. A new presidential administration is soon to take office, its …

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David M. Glaser, Esq. | January 18, 2017

Five Gotcha Medicare Myths That Can Do Harm

Because the healthcare world is so highly regulated, assertions that you “must” or “can’t” perform a particular action are common. Because the penalties for legal violations are so draconian, there is a strong incentive to heed these warnings. But sometimes the warnings mischaracterize the law. It may be that a well-intentioned employee wants to be sure that the organization isn’t even close to violating the law. Sometimes the motivation is less …

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Gracielinda Prescott | January 18, 2017

Patient Access: Seven Lessons About Patient Release of Information Requests

With more and more health information being stored and transmitted electronically, the demand for easier access to protected health information (PHI) has grown dramatically of late. At the same time, the need to protect that PHI from compromise and breach has also increased. A recent MRO white paper explored the latest regulatory initiatives from the U.S. Department of Health and Human Services (HHS) Office for Civil Rights (OCR), including the HIPAA …

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12.14.2016
The Naughty and Nice of Rural Health for 2016
The Naughty and Nice of Rural Health for 2016

We know all about the past and present of rural healthcare, but what about future prospects, conditions, and opportunities? Over the next few RACmonitor e-news publications, we will unbundle a snapshot of what a Donald Trump presidency and GOP-controlled Capitol Hill might look like. In the first edition in the series, we will take a brief walk down the painful...

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01.11.2017
The One-Midnight Rule: The Time Has Come
The One-Midnight Rule: The Time Has Come

In its Dec. 9, 2016 report, “Vulnerabilities Remain Under Medicare's Two-Midnight Hospital Policy,” the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) compared hospital admission data from fiscal years 2013 and 2014, the years before and after implementation of the controversial policy. The OIG based its comments about appropriateness of admission solely on information on the...

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01.11.2017
2017 and Rural Healthcare – Raw Uncertainties and Opportunities
2017 and Rural Healthcare – Raw Uncertainties and Opportunities

No time to rest! We face unprecedented changes, transitions, and opportunities in the world of rural healthcare, ranging from a new administration to new healthcare focuses regarding the Patient Protection and Affordable Care Act (PPACA). While President Obama worked hard to bolster legacy support of his noble cause, the flagship legislation that is the PPACA, Republicans, who now control two of...

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OIG

OIG 2017 Work Plan: Inpatient Rehabilita…

Angela Phillips, PT | 12.14.2016

OIG 2017 Work Plan: Inpatient Rehabilitation Facilities Still on the Radar

    The U.S. Department of Health and Human Services (HHS) Office of the Inspector General (OIG) released its 2017 work plan, which includes a list of reports it plans to publish...

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Feature Articles

News Alert: CMS Finalizes Reforms for Me…

Gracielinda Prescott | 01.18.2017

News Alert: CMS Finalizes Reforms for Medicare Appeals Process

  Effective Jan. 17, 2017, the Centers for Medicare & Medicaid Services (CMS) published a final rule titled Medicare Program: Changes to the Medicare Claims and Entitlement, Medicare Advantage Organization Determination,...

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IRF

OIG 2017 Work Plan: Inpatient Rehabilita…

Angela Phillips, PT - avatar Angela Phillips, PT | 12.14.2016

OIG 2017 Work Plan: Inpatient Rehabilitation Facilities Still on the Radar

    The U.S. Department of Health and Human Services (HHS) Office of the Inspector General (OIG) released its 2017 work plan, which includes a list of reports it plans to publish...

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