SC Practical Solutions LLC

Specialized Healthcare Consulting Services

CMS Finalizes Rule to Expand Access to Health Information and Improve the Prior Authorization Process

Final rule modernizes the health care system and reduces patient and provider burden by streamlining the prior authorization process As part of the Biden-Harris Administration’s ongoing commitment to increasing health data exchange and strengthening access to care, the Centers for Medicare & Medicaid Services (CMS) finalized the CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F)…

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Protecting PHI is the Responsibility of the Provider.

    When it comes to protecting patient Protected Health Information (PHI), healthcare providers must exercise due diligence, especially when outsourcing certain functions. The Centers for Medicare & Medicaid Services (CMS) requires that all providers, billing companies, and outsourced agencies use the Interactive Voice Response (IVR) system or your Medicare Administrative Contractor’s (MAC) eServices tool to verify…

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Finalized Rules for the Prescribing of Buprenorphine through the use of Telehealth

On January 31, 2024, the Department of Health and Human Services (HHS)  finalized rules for the prescribing of buprenorphine through the use of telehealth (rules first proposed in December 2022). In these final rules, opioid treatment programs (OTPs) will be able to use telehealth to prescribe buprenorphine without an in-person visit. It is important to…

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