Podcasts about final rule

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Best podcasts about final rule

Latest podcast episodes about final rule

Group Practice Tech
Episode 518: Mental Health Parity on Pause: What the Final Rule Non-Enforcement Means for Providers

Group Practice Tech

Play Episode Listen Later May 23, 2025 18:52


Welcome solo and group practice owners! We are Liath Dalton and Evan Dumas, your co-hosts of Group Practice Tech. In our latest episode, we unpack what mental health providers need to know about the recently announced non-enforcement of the 2024 Final Rule of the Mental Health Parity and Addiction Equity Act. We discuss: The history and purpose of the Parity Act What has not changed with the Parity Act Key provisions of the 2024 Final Rule The implications of the non-enforcement of this rule State laws and states with stronger parity protections What you can do as a provider to advocate for parity Resources on parity we recommend Listen here: https://personcenteredtech.com/group/podcast/ For more, visit our website. Resources U.S. Department of Labor MHPAEA page The Kennedy Forum Parity Resource Guide Parity Track (state-specific info) APA Mental Health Parity Efforts NASW Parity Policy Efforts ACA 2025 Policy Agenda AAMFT Federal Advocacy Efforts PCT Resources Parity Checklist for Providers PDF version of Parity Checklist Docx version of Parity Checklist Group Practice Care Premium weekly (live & recorded) direct support & consultation service, Group Practice Office Hours -- including monthly session with therapist attorney Eric Ström, JD PhD LMHC + assignable staff HIPAA Security Awareness: Bring Your Own Device training + access to Device Security Center with step-by-step device-specific tutorials & registration forms for securing and documenting all personally owned & practice-provided devices (for *all* team members at no per-person cost) + assignable staff HIPAA Security Awareness: Remote Workspaces training for all team members + access to Remote Workspace Center with step-by-step tutorials & registration forms for securing and documenting Remote Workspaces (for *all* team members at no per-person cost) + more HIPAA Risk Analysis & Risk Mitigation Planning service for mental health group practices -- care for your practice using our supportive, shame-free risk analysis and mitigation planning service. You'll have your Risk Analysis done within 2 hours, performed by a PCT consultant, using a tool built specifically for mental health group practice, and a mitigation checklist to help you reduce your risks.

Agent Survival Guide Podcast
Recent ACA Coverage Changes Reversed with 2025 Marketplace Proposed Rule

Agent Survival Guide Podcast

Play Episode Listen Later May 14, 2025 10:58


We breakdown the 2025 Marketplace Proposed Rule and highlight what we think agents like you should know!    Read the text version    Contact our Under-65 Sales Team!   Resources: CMS Finalizes Improvements to Marketplace Plan Selection with 2026 Final Rule: https://ritterim.com/blog/cms-finalizes-improvements-to-marketplace-plan-selection-with-2026-final-rule/ Everything Agents Need to Know About Selling in State-Based Marketplaces: https://ritterim.com/blog/everything-agents-need-to-know-about-selling-in-state-based-marketplaces/ Everything You Need to Know About the ACA OEP: https://ritterim.com/blog/everything-you-need-to-know-about-the-aca-oep/ How to Help Clients Navigate ACA Marketplace Subsidies & Taxes: https://lnk.to/qzlRwV Lawsuit Changes DACA Recipients' Affordable Care Act Eligibility: https://ritterim.com/blog/lawsuit-changes-daca-recipients-affordable-care-act-eligibility/ Learn with Knight School: https://ritterim.com/knight-school/ Meet Ritter's Under-65 Sales Team: https://ritterim.com/meet-your-sales-team/ Steps to Get Ready for OEP: Federal Exchange States & State Based Exchanges: https://lnk.to/SyqM9T   References:   “2025 Marketplace Integrity and Affordability Proposed Rule.” CMS.Gov, Centers for Medicare & Medicaid Services, https://www.cms.gov/newsroom/fact-sheets/2025-marketplace-integrity-and-affordability-proposed-rule Accessed 23 Apr. 2025.   Follow Us on Social!  Ritter on Facebook, https://www.facebook.com/RitterIM Instagram, https://www.instagram.com/ritter.insurance.marketing/ LinkedIn, https://www.linkedin.com/company/ritter-insurance-marketing TikTok, https://www.tiktok.com/@ritterim X, https://x.com/RitterIM and YouTube, https://www.youtube.com/user/RitterInsurance     Sarah on LinkedIn, https://www.linkedin.com/in/sjrueppel/ Instagram, https://www.instagram.com/thesarahjrueppel/ and Threads, https://www.threads.net/@thesarahjrueppel  Tina on LinkedIn, https://www.linkedin.com/in/tina-lamoreux-6384b7199/   Not affiliated with or endorsed by Medicare or any government agency.   Contact the Agent Survival Guide Podcast! Email us ASGPodcast@Ritterim.com or call 1-717-562-7211 and leave a voicemail.

1st Talk Compliance
HIPAA Privacy Rule to Support Reproductive Healthcare Privacy Compliance

1st Talk Compliance

Play Episode Listen Later May 12, 2025 20:10


In this episode of 1st Talk Compliance, Kevin Chmura is joined by Rachel Rose, JD, MBA, to discuss the HIPAA Privacy Rule to Support Reproductive Healthcare Privacy, passed in 2024. With the reproductive healthcare landscape being very dynamic, this new rule has already passed one compliance date, with a second important date coming in February 2026. Tune in to learn about this new rule, and what it means in terms of reproductive health, patient privacy, and the legality between different states. In addition, learn some best practices for implementing the requirements of this rule into your practice. Kevin Chmura Rachel, thank you for joining us. Appreciate you joining us and looking forward to a timely discussion.   Rachel V. Rose Thank you, Kevin, for having me, as well as to Panacea and First Healthcare Compliance, it's always my pleasure to coordinate and converse with you on our favorite healthcare compliance topics.   Kevin Chmura And it's always great having you helping us with this and your expertise is invaluable. And you helped us and were the contributor, really writer, of an e-book on this particular subject that will be released very soon. Really this podcast is somewhat of a companion piece to that. And so what we're talking about today is the HIPAA privacy rule to support reproductive health care privacy, passed in 2024. Reproductive health is a prominent and evolving topic within the healthcare policy landscape. It really, major changes have come down in recent years, and so there's just a ton. So we thought it would be great to publish a book to get everybody up to speed and, but moreover, this podcast is an opportunity for people to hear directly from the person who helped us develop that. And that is Rachel. So, Rachel, I wonder, can you just start off by giving us a synopsis of the 2024 Final Rule, maybe some key terms we should be thinking about?   Rachel V. Rose Sure. As you mentioned, Kevin, the reproductive healthcare landscape is very dynamic and the rule itself was issued on April 22nd of 2024 with an effective date of June 25th of 2024. And basically what an effective date does is to start the clock running as to when certain requirements need to be implemented. In this particular rule, which I will refer to as the HIPAA Reproductive Rule, has two prongs of compliance dates. The first already passed and that had to be done by December 23rd, 2024. And for your clients who were with First Healthcare Compliance or Panacea at the time, they were able to access FAQs. And the first prong of the requirements really addressed every applicable item that I'll run through, with the exception of the notice of privacy practices. Now, for anyone who's been in the healthcare sector for a long time, and for anyone who goes to the doctor, a dentist or even a pharmacy to pick something up, we all know we have to sign the HIPAA authorization form, and then covered entities are required to post their notice of privacy practices. So the updated privacy practices, which need to include some of the reproductive health requirements among other items, does not need to be done until February 16 of 2026. So this is similar to the staggering of the compliance dates which we saw with the Final OmnibusRrule, which was published in the Federal Register, it's hard to believe, but going on over 12 years ago and that was January 25th of 2013. Now specifically, the HIPAA reproductive rule really prohibits the disclosure of protected health information related to in these terms I need you to focus on: lawful reproductive health care in certain circumstances. And the reason it's important is because legal means that whatever service or good is being sought, it has to be legal within the jurisdiction where the individual is receiving that care or that good, so to speak. And so if we want to take certain types of surgeries or certain types of procedures that in a viable fetus's lif...

Agent Survival Guide Podcast
5 Things from the CMS 2026 MA and Part D Final Rule

Agent Survival Guide Podcast

Play Episode Listen Later May 2, 2025 9:19


Join Sarah as she dives back into CMS regulations! This week, she highlights 5 regulations from the 2026 Medicare Advantage and Part D Final Rule.   Contact the Agent Survival Guide Podcast! Email us ASGPodcast@Ritterim.com or call 1-717-562-7211 and leave a voicemail.   Resources: 5 Things About the 2026 CMS MA and Part D Rate Announcement: https://lnk.to/asgf20250411 CMS 2025 Marketplace Integrity & Affordability Proposed Rule: https://lnk.to/asgf20250314 CMS Updates to MA and Part D for CY 2026: https://lnk.to/asgf20250425 Expanded Medicare Telehealth Benefits Extended Through September 2025: https://ritterim.com/blog/expanded-medicare-telehealth-benefits-extended-through-september-2025/  Recent ACA Coverage Changes Reversed with 2025 Marketplace Proposed Rule: https://ritterim.com/blog/recent-aca-changes-reversed-with-2026-marketplace-proposed-rule/   References: “CMS Finalizes 2026 Payment Policy Updates for Medicare Advantage and Part D Programs.” CMS.Gov, Centers for Medicare and Medicaid Services, 7 Apr. 2025, www.cms.gov/newsroom/press-releases/cms-finalizes-2026-payment-policy-updates-medicare-advantage-and-part-d-programs. “Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly (CMS-4208-F).” CMS.Gov, Centers for Medicare & Medicaid Services, 4 Apr. 2025, www.cms.gov/newsroom/fact-sheets/contract-year-2026-policy-and-technical-changes-medicare-advantage-program-medicare-prescription-final. “Medicare and Medicaid Programs; Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly.” Federalregister.Gov, Federal Register, 15 Apr. 2025, www.federalregister.gov/documents/2025/04/15/2025-06008/medicare-and-medicaid-programs-contract-year-2026-policy-and-technical-changes-to-the-medicare.     Follow Us on Social! Ritter on Facebook, https://www.facebook.com/RitterIM Instagram, https://www.instagram.com/ritter.insurance.marketing/ LinkedIn, https://www.linkedin.com/company/ritter-insurance-marketing TikTok, https://www.tiktok.com/@ritterim X, https://x.com/RitterIM and YouTube, https://www.youtube.com/user/RitterInsurance     Sarah on LinkedIn, https://www.linkedin.com/in/sjrueppel/ Instagram, https://www.instagram.com/thesarahjrueppel/ and Threads, https://www.threads.net/@thesarahjrueppel  Tina on LinkedIn, https://www.linkedin.com/in/tina-lamoreux-6384b7199/   Not affiliated with or endorsed by Medicare or any government agency.

Clinical Chemistry Podcast
Help Us to Help You: Recommendations for Continued Enforcement Discretion for Common Infectious Disease Test Modifications under the FDA Final Rule

Clinical Chemistry Podcast

Play Episode Listen Later Apr 25, 2025 18:22


Agent Boost Marketing Podcast
Episode 83: Medicarians Take-aways and 2026 Cms Final Rule!

Agent Boost Marketing Podcast

Play Episode Listen Later Apr 14, 2025 58:22


Updates, Medicarians Recap & AI in Healthcare | Episode 83Agent Boost is back in the studio after an intense travel schedule! In this episode, Dan and Mike discuss their recent trip to the Medicarians 2025. Key topics include the latest CMS call letter and its implications, exciting updates in funding for Medicare Advantage plans, and the role of artificial intelligence in healthcare. They also delve into the industry's focus on ancillary products, and share their thoughts on the effectiveness of ship counselors based on a recent JAMA survey. Don't miss insights on navigating the complex world of Medicare!

To the Extent That...
Cyber Security and Data Privacy: S5E3: The Impact of the EU NIS2 Directive and the DOJ Rule on Bulk Sensitive Data Transfers on the Healthcare Industry

To the Extent That...

Play Episode Listen Later Apr 9, 2025 24:55


In Episode 3, host Jordan L. Fischer, Esq. interviews Corey Dennis, Chief Privacy Officer & Assistant General Counsel at Legend Biotech, where he leads the global privacy, cybersecurity, and artificial intelligence legal programs. In this episode, Jordan and Corey walk through two recent developments that are impacting data strategies in the healthcare and life sciences industry: the EU NIS2 Directive and the Department of Justice ("DOJ") Final Rule on the bulk transfer of sensitive data to “countries of concern” or “persons of concern.” Corey provides practical insights into the way that both of these new requirements are impacting businesses, as well as considerations for businesses who are required to comply with these changes. For more information on Corey Dennis, visit: https://www.linkedin.com/in/corey-m-dennis-cipp/. To contact our host, Jordan L. Fischer, Esq., regarding this podcast or to inquire into becoming a guest, please contact Ms. Fischer at jordan@jordanfischer.me.

Supreme Court Opinions
Bondi v. Vanderstok

Supreme Court Opinions

Play Episode Listen Later Apr 1, 2025 76:22


In this case, the court considered this issue: Did the ATF exceed its statutory authority in promulgating its Final Rule purporting to regulate so-called “ghost guns”?The case was decided on March 26, 2025.The Supreme Court held that the Gun Control Act of 1968 authorizes the ATF to regulate weapon parts kits and unfinished frames or receivers that can be readily converted into functional firearms. Justice Neil Gorsuch authored the 7-2 majority opinion of the Court.  Weapon parts kits qualify as “weapons” under the statute when they contain all necessary components to build a gun and their intended function is clear. Everyday language permits describing incomplete objects by their intended use, just as a disassembled rifle remains a “weapon.” The statute reinforces this understanding by treating starter guns as firearms even though they require modification. A kit like Polymer80's “Buy Build Shoot,” which can be assembled in about 20 minutes using common tools, meets the law's definition because it can be “readily converted” into a functioning firearm, just as a blocked-barrel starter gun qualifies when easily modified for live fire. While not all kits may fall under this definition, the statute clearly covers at least some, making a facial challenge to the rule invalid.  The definition of “frame or receiver” also includes partially complete versions that can be finished quickly with standard tools. Ordinary language and the statute's serialization requirements support this reading, as identification numbers are required on unfinished frames and receivers. Law enforcement has long treated such components as regulated firearms, and even the challengers conceded that some unfinished frames fall within the law's scope. While some objects may be too incomplete to qualify, the statute reaches at least those requiring only minimal work, making ATF's rule facially consistent with the law. Concerns about unintended consequences under the National Firearms Act are misplaced, as the government disavowed any authority to classify AR-15 receivers as machine guns, and the doctrines of lenity and constitutional avoidance do not apply where the statute's meaning is clear.Justices Sonia Sotomayor, Brett Kavanaugh, and Ketanji Brown Jackson each joined the majority opinion and also wrote separate concurring opinions.Justices Clarence Thomas and Samuel Alito each authored dissenting opinions.The opinion is presented here in its entirety, but with citations omitted. If you appreciate this episode, please subscribe. Thank you. 

Agent Survival Guide Podcast
CMS 2025 Marketplace Integrity & Affordability Proposed Rule

Agent Survival Guide Podcast

Play Episode Listen Later Mar 14, 2025 13:40


  The Friday Five for March 14, 2025: Design Overhaul Coming to Apple OS? Google, Chrome & uBlock Origin Content Marketing Gamification Ritter Roadshows are Back for 2025! CMS 2025 Marketplace Integrity & Affordability Proposed Rule   Design Overhaul Coming to Apple OS? Clark, Adam. “Apple Plans Major Software Overhaul, Says Report. Why the iPhone Maker Needs a Change.” Barrons.Com, Barron's, 11 Mar. 2025, www.barrons.com/articles/apple-price-stock-iphone-ios-update-10249921. Mehta, Ivan. “Apple's next Major OS Updates Will Bring the Biggest Design Overhaul in Years.” Techcrunch.Com, TechCrunch, 11 Mar. 2025, techcrunch.com/2025/03/11/apples-next-major-os-updates-will-bring-the-biggest-design-overhaul-in-years/. Jackson, Fiona. “iPhone 17 Leaks Show Off Groundbreaking Designs.” Techrepublic.Com, TechRepublic, 10 Mar. 2025, www.techrepublic.com/article/apple-iphone-17-leaks/. Barr, Kyle. “Your iPhone Home Screen Could Look Entirely Different Very Soon.” Gizmodo.Com, Gizmodo, 11 Mar. 2025, gizmodo.com/your-iphone-home-screen-could-look-entirely-different-really-soon-2000574330.   Google, Chrome & uBlock Origin: Weatherbed, Jess. “Google's Chrome Extension Cull Hits More uBlock Origin Users.” Theverge.Com, The Verge, 3 Mar. 2025, www.theverge.com/news/622953/google-chrome-extensions-ublock-origin-disabled-manifest-v3. Maxwell, Thomas. “Google Is Hobbling Popular Ad Blocker uBlock Origin on Chrome.” Gizmodo.Com, Gizmodo, 4 Mar. 2025, gizmodo.com/google-is-hobbling-popular-ad-blocker-ublock-origin-on-chrome-2000570878. Wallen, Jack. “Once uBlock Origin Stops Working on Chrome, You Have 2 Options.” Zdnet.Com, ZDNET, 4 Mar. 2025, www.zdnet.com/article/once-ublock-origin-stops-working-on-chrome-you-have-2-options/. Yee, Alaina. “Ublock Origin Is Officially Dead for Chrome, but Ad Blockers Live On.” Pcworld.Com, PCWorld, 25 Feb. 2025, www.pcworld.com/article/2595287/ublock-origin-is-officially-dead-for-chrome-but-ad-blockers-live-on.html.   Content Marketing Gamification: Sadick, Barbara. “6 Most Expensive Medical Procedures, Ranked.” Health.Usnews.Com, U.S. News & World Report, 3 Mar. 2025, health.usnews.com/health-care/patient-advice/articles/most-expensive-medical-procedures-ranked.   Ritter Roadshows are Back for 2025: Learn More About the 2025 Season of Ritter Roadshows: https://ritterim.com/roadshows/   CMS 2025 Marketplace Integrity & Affordability Proposed Rule: “2025 Marketplace Integrity and Affordability Proposed Rule.” CMS.Gov, Centers for Medicare & Medicaid Services, 10 Mar. 2025, www.cms.gov/newsroom/fact-sheets/2025-marketplace-integrity-and-affordability-proposed-rule. “CMS Takes Aim to Reduce Improper Enrollments and Promote More Affordable Health Insurance Marketplaces for Millions of Consumers.” CMS.Gov, Centers for Medicare & Medicaid Services, 10 Mar. 2025, www.cms.gov/newsroom/press-releases/cms-takes-aim-reduce-improper-enrollments-and-promote-more-affordable-health-insurance-marketplaces. “Enhanced Premium Tax Credits for ACA Health Plans: Who They Help, and Who Gets Hurt If They're Not Extended.” Commonwealthfund.Org, Commonwealth Fund, 18 Feb. 2025, www.commonwealthfund.org/publications/explainer/2025/feb/enhanced-premium-tax-credits-aca-health-plans. “Patient Protection and Affordable Care Act; Marketplace Integrity and Affordability .” Cms.Gov, Centers for Medicare & Medicaid Services, 10 Mar. 2025, www.cms.gov/files/document/MarketplacePIRule2025.pdf.   Resources: Clarification on HHS Proposed Rule Comment Periods: https://lnk.to/asgf20250307 CMS Finalizes Improvements to Marketplace Plan Selection with 2026 Final Rule: https://lnk.to/asg652 Diversify Your Insurance Portfolio & Reap Real Rewards: https://lnk.to/asg651 On the Road with Damon Logan: https://lnk.to/FCJ7Mg On the Road with Jason Meyers: https://lnk.to/j6QzBq   Follow Us on Social! Ritter on Facebook, https://www.facebook.com/RitterIM Instagram, https://www.instagram.com/ritter.insurance.marketing/ LinkedIn, https://www.linkedin.com/company/ritter-insurance-marketing TikTok, https://www.tiktok.com/@ritterim X, https://x.com/RitterIM and Youtube, https://www.youtube.com/user/RitterInsurance     Sarah on LinkedIn, https://www.linkedin.com/in/sjrueppel/ Instagram, https://www.instagram.com/thesarahjrueppel/ and Threads, https://www.threads.net/@thesarahjrueppel  Tina on LinkedIn, https://www.linkedin.com/in/tina-lamoreux-6384b7199/   Contact the Agent Survival Guide Podcast! Email us ASGPodcast@Ritterim.com or call 1-717-562-7211 and leave a voicemail. Not affiliated with or endorsed by Medicare or any government agency.

The Broker Link
BREAKING NEWS: CMS Proposes 2025 Final Rule for ACA Marketplace

The Broker Link

Play Episode Listen Later Mar 12, 2025 22:11


As expected, the new administration is proposing changes to the ACA Marketplace.  CMS, the Centers for Medicare & Medicaid Services, has issued the "2025 Marketplace Integrity and Affordability Proposed Rule," and we are breaking it down. In this episode of The Broker Link, we talk with The Brokerage Inc. Health Director of Operations, Belynda DiCiaccio, about what these proposed changes could mean for the ACA Marketplace. Some of the topics include: Strengthening Income Verification Modifying Eligibility Redetermination Procedures Implementing Pre-Enrollment Verification for SEPs Adjusting the Open Enrollment period And more! Learn more about partnering with The Brokerage Inc. by visiting our website, www.thebrokerageinc.com. Remember to like, share, and subscribe to our show!  New episodes are available every Tuesday. Join our Community! Linkedin: https://www.linkedin.com/company/the-brokerage-inc-/   Facebook:  https://www.facebook.com/thebrokerageinc/  Instagram:  https://www.instagram.com/thebrokerageinc/  YouTube:  https://www.youtube.com/@TheBrokerageIncTexas  Website:  https://thebrokerageinc.com/ 

Agent Survival Guide Podcast
CMS Finalizes Improvements to Marketplace Plan Selection with 2026 Final Rule

Agent Survival Guide Podcast

Play Episode Listen Later Mar 10, 2025 9:55


  Press play to hear the breakdown of the 2026 ACA final rule affects you and your clients!   Read the text version    Contact the Agent Survival Guide Podcast! Email us ASGPodcast@Ritterim.com or call 1-717-562-7211 and leave a voicemail.   Register with Ritter Insurance Marketing: https://app.ritterim.com/public/registration/   Resources: 2025 ACA Open Enrollment Hits All-Time High: https://lnk.to/asgf20250124 Agent Requirements for ACA Sales: https://ritterim.com/blog/agent-requirements-for-aca-sales/ Carriers with Ritter Insurance Marketing: https://ritterim.com/products/by-carrier/ FAQs About Selling On-Exchange & Off-Exchange Under-65 Plans: https://ritterim.com/blog/faqs-about-selling-on-exchange-off-exchange-under-65-plans/   How Agents Can Protect Clients from Unauthorized ACA Plan Switching: https://ritterim.com/blog/how-agents-can-protect-clients-from-unauthorized-aca-plan-switching/ How to Help Clients Navigate ACA Marketplace Subsidies & Taxes: https://lnk.to/Lw5Dmc Meet Your Sales Team: https://ritterim.com/meet-your-sales-team/ Questions to Ask Clients Shopping for an ACA Plan: https://lnk.to/ZmW0rd What ACA Agents Can Expect From the 2026 Proposed Marketplace Rule: https://ritterim.com/blog/what-aca-agents-can-expect-from-the-2026-proposed-marketplace-rule/ Understanding ACA Plan Metal Tiers: https://ritterim.com/documents/understanding-aca-plan-metal-tiers.pdf   Forms: ACA Consumer Authorization Live Call Script: https://ritterim.com/documents/aca-consumer-authorization-live-call-script.pdf ACA Consumer Marketplace Authorization Form: https://ritterim.com/documents/aca-consumer-marketplace-authorization-form.pdf ACA Eligibility Application Attestation Form: https://ritterim.com/documents/aca-eligibility-application-attestation.pdf ACA Eligibility Application Attestation Script: https://ritterim.com/documents/aca-consumer-eligibility-application-attestation-live-call-script.pdf   References: “CMS Model Content Form for Marketplace Agents and Brokers” CMS, Centers for Medicare & Medicaid, https://www.cms.gov/files/document/cms-model-consent-form-marketplace-agents-and-brokers.pdf. Accessed 3 Feb. 2025. “HHS Notice of Benefit and Payment Parameters for 2026 Final Rule.” CMS.Gov, Centers for Medicare & Medicaid, https://www.cms.gov/newsroom/fact-sheets/hhs-notice-benefit-and-payment-parameters-2026-final-rule. Accessed 3 Feb. 2025. “HHS Notice of Benefit and Payment Parameters for 2026 Proposed Rule.” CMS.Gov, Centers for Medicare & Medicaid, https://www.cms.gov/newsroom/fact-sheets/hhs-notice-benefit-and-payment-parameters-2026-proposed-rule. Accessed 3 Feb. 2025. “HHS Notice of Benefit and Payment Parameters for 2024 Final Rule.” CMS.Gov, Centers for Medicare & Medicaid, https://www.cms.gov/newsroom/fact-sheets/hhs-notice-benefit-and-payment-parameters-2024-final-rule. Accessed 3 Feb. 2025.   Follow Us on Social! Ritter on Facebook, https://www.facebook.com/RitterIM Instagram, https://www.instagram.com/ritter.insurance.marketing/ LinkedIn, https://www.linkedin.com/company/ritter-insurance-marketing TikTok, https://www.tiktok.com/@ritterim X (fka) Twitter, https://twitter.com/RitterIM and Youtube, https://www.youtube.com/user/RitterInsurance    Sarah on LinkedIn, https://www.linkedin.com/in/sjrueppel/ Instagram, https://www.instagram.com/thesarahjrueppel/ and Threads, https://www.threads.net/@thesarahjrueppel  Tina on LinkedIn, https://www.linkedin.com/in/tina-lamoreux-6384b7199/   Not affiliated with or endorsed by Medicare or any government agency.

AHLA's Speaking of Health Law
Top Ten 2025: The Impact of the MHPAEA Final Rule—Focused on Access

AHLA's Speaking of Health Law

Play Episode Listen Later Mar 7, 2025 21:15 Transcription Available


Based on AHLA's annual Health Law Connections article, this special series brings together thought leaders from across the health law field to discuss the top ten issues of 2025. In the seventh episode, Christianna Finnern, Shareholder, Winthrop & Weinstine PA, speaks with Noreen Vergara, Partner, Husch Blackwell LLP, about the Mental Health Parity and Addiction Equity Act (MHPAEA) and its requirements. They discuss some of the changes in the final rule, whether the new administration or the Loper Bright Supreme Court case will affect compliance and enforcement of MHPAEA, and how MHPAEA impacts average health care consumers and those who don't work in the benefits and managed care space. From AHLA's Behavioral Health Practice Group.Watch the conversation here.AHLA's Health Law Daily Podcast Is Here! AHLA's popular Health Law Daily email newsletter is now a daily podcast, exclusively for AHLA Premium members. Get all your health law news from the major media outlets on this new podcast! To subscribe and add this private podcast feed to your podcast app, go to americanhealthlaw.org/dailypodcast.

Value-Based Care Insights
Navigating CMS' 2025 PFS Final Rule: Strategies for Success

Value-Based Care Insights

Play Episode Listen Later Feb 10, 2025 25:22


The Physician Fee Schedule (PFS) Final Rule for Calendar Year (CY) 2025 introduces several key updates to Medicare payment policies, aiming to enhance care delivery and reduce administrative burdens. In this episode, Daniel Marino is joined by Managing Partner, Lucy Zielinski, as well as Sarah Hartley, to explore the implications of the PFS Final on physicians and other billing professionals. Together, they discuss the key changes and opportunities for physician services furnished in a variety of settings including physician offices, hospitals, ambulatory surgery centers (ASCs), and others. Tune in to stay informed and gain valuable perspectives on navigating these critical regulatory updates.

NASCIO Voices
NASCIO's Federal Advocacy Priorities and the DOJ Final Rule on Accessibility for State and Local Websites and Apps

NASCIO Voices

Play Episode Listen Later Jan 28, 2025 16:25


NASCIO's 2025 federal advocacy priorities are released! Alex gives us the rundown. https://www.nascio.org/government-affairs/federal-advocacy-priorities/Kalea Young-Gibson, NASICO's policy analyst also joins to give us an overview of the DOJ final rule for accessibility for state and local government websites and apps.

The Human Resource
The Final Rule on PPE

The Human Resource

Play Episode Listen Later Jan 14, 2025 7:26


The US Department of Labor announced that OSHA finalized the rule on proper fit requirements for personal protective equipment in construction on December 11, 2024. In this episode Pandy reminds any organization utilizing PPE of the importance of a proper fit for all employees.

The AAPC Podcast
Emerging Leaders Program, Telehealth 2025: The Final Rule, and More| AAPC Social Hour

The AAPC Podcast

Play Episode Listen Later Jan 13, 2025 55:34


In this edition of AAPC Social Hour, Terry Fletcher discusses updates to Telehealth 2025 and the final rule. We're also joined by members of AAPC's National Advisory Board to explore the Emerging Leaders program, now accepting applications through January 31, 2025. Learn more and apply here: https://www.aapc.com/training-and-events/emerging-leaders-program #telehealthcare #finalrule #aapc #aapcemergingleaders #medicalcoding #medicalcoder  

Agent Survival Guide Podcast
5 Tips for Finding Supplemental Coverage for ACA Plans

Agent Survival Guide Podcast

Play Episode Listen Later Jan 7, 2025 13:06


    Affordable Care Act Plans offer 10 essential benefits, but your clients may want to additional coverage for dental, vision, hearing, and more. In this episode, learn 5 tips to determine if supplemental coverage is a good option for your clients.   Read the text version    Contact the Agent Survival Guide Podcast! Email us ASGPodcast@Ritterim.com or call 1-717-562-7211 and leave a voicemail.   Resources: 2025 ACA Exchange & FFM Certification Info: https://lnk.to/ZvnhS8 4 Steps to Selling Dental, Vision, and Hearing Insurance: https://ritterim.com/blog/4-steps-to-selling-dental-vision-and-hearing-insurance/ Diversify Your Insurance Portfolio & Reap Real Rewards: https://ritterim.com/blog/diversify-your-insurance-portfolio-and-reap-real-rewards/ Everything You Need  to Know About the ACA OEP: https://ritterim.com/blog/everything-you-need-to-know-about-the-aca-oep/ Halfway Through ACA OEP ft. Danica Stover & Olivia Williams: https://lnk.to/asg635 Meet Your Ritter Sales Team: https://ritterim.com/meet-your-sales-team/ Questions to Ask Clients Shopping for an ACA Plan: https://lnk.to/ZmW0rd   References: Lunna Lopes, Alex Montero. “Americans' Challenges with Health Care Costs.” KFF, 7 May 2024, https://www.kff.org/health-costs/issue-brief/americans-challenges-with-health-care-costs/. Published: Oct 25, 2024. “Explaining Health Care Reform: Questions about Health Insurance Subsidies.” KFF, 25 Oct. 2024, https://www.kff.org/affordable-care-act/issue-brief/explaining-health-care-reform-questions-about-health-insurance-subsidies/. “Find out What Marketplace Health Insurance Plans Cover.” HealthCare.Gov, https://www.healthcare.gov/coverage/what-marketplace-plans-cover/. Accessed 12 Dec. 2024. “HHS Notice of Benefit and Payment Parameters for 2025 Final Rule.” CMS.Gov, https://www.cms.gov/newsroom/fact-sheets/hhs-notice-benefit-and-payment-parameters-2025-final-rule/. Accessed 12 Dec. 2024. “Health Plan Categories: Bronze, Silver, Gold & Platinum.” HealthCare.Gov, https://www.healthcare.gov/choose-a-plan/plans-categories/.Accessed 12 Dec. 2024. “NHE Fact Sheet.” CMS.Gov, https://www.cms.gov/data-research/statistics-trends-and-reports/national-health-expenditure-data/nhe-fact-sheet/. Accessed 12 Dec. 2024. “Out-of-Pocket Maximum/Limit - Glossary.” HealthCare.Gov, https://www.healthcare.gov/glossary/out-of-pocket-maximum-limit/. Accessed 12 Dec. 2024. Assistant Secretary for Public Affairs (ASPA). “Pre-Existing Conditions.” HHS.Gov, 17 Mar. 2022, https://www.hhs.gov/healthcare/about-the-aca/pre-existing-conditions/index.html. “Report: The Importance of Health Coverage: AHA.” American Hospital Association, https://www.aha.org/guidesreports/report-importance-health-coverage/. Accessed 12 Dec. 2024.   Follow Us on Social! Ritter on Facebook, https://www.facebook.com/RitterIM Instagram, https://www.instagram.com/ritter.insurance.marketing/ LinkedIn, https://www.linkedin.com/company/ritter-insurance-marketing TikTok, https://www.tiktok.com/@ritterim X, https://twitter.com/RitterIM and Youtube, https://www.youtube.com/user/RitterInsurance     Sarah on LinkedIn, https://www.linkedin.com/in/sjrueppel/ Instagram, https://www.instagram.com/thesarahjrueppel/ and Threads, https://www.threads.net/@thesarahjrueppel  Tina on LinkedIn, https://www.linkedin.com/in/tina-lamoreux-6384b7199/

Tales From Around the Water Cooler
Ep. 29 – How to Avoid Misclassifying Workers

Tales From Around the Water Cooler

Play Episode Listen Later Dec 31, 2024 28:56


Business clients routinely ask our attorneys whether their workers are actual employees or instead function as independent contractors (ICs). Drawing upon their expertise as employment and business lawyers, Katie Rinkus and Poonam Lakhani discuss the differences between employees and ICs, and why it's so important for businesses to properly classify their workers.   Katie and Poonam briefly touch upon the laws and agencies that regulate these distinctions, before moving on to why businesses might prefer to use ICs over regular employees. Then they address the legal and financial risks in misclassifying workers and explain two key “tests” for determining who is an employee or an IC. Whether you're a business owner or a worker, this episode will help you better determine who counts as an employee or an independent contractor.     Stay Connected & Learn More:   Read Katie's post on worker classification   Read Poonam's post on the U.S. DOL's 2024 Final Rule   Poonam Lakhani   Katie Rinkus   The Prinz Law Firm

All Things Chemical
EPA Final Rule — A Conversation with Richard E. Engler, Ph.D.

All Things Chemical

Play Episode Listen Later Dec 19, 2024 47:43


Recognizing it has much to do and little time to complete its tasks, the Office of Pollution Prevention and Toxics (OPPT) has been issuing final rules at a fast and furious rate since the election last month. This week, I discuss OPPT's to-do list with my colleague, Dr. Richard E. Engler, Director of Chemistry for B&C and The Acta Group (Acta®), our consulting affiliate. In addition to multiple final Section 6 risk management rules, the U.S. Environmental Protection Agency (EPA) has also issued final revisions to its new chemicals review process and a Section 8(d) rule. We conclude with Rich's thoughts on OPPT in 2025. ALL MATERIALS IN THIS PODCAST ARE PROVIDED SOLELY FOR INFORMATIONAL  AND ENTERTAINMENT PURPOSES. THE MATERIALS ARE NOT INTENDED TO CONSTITUTE LEGAL ADVICE OR THE PROVISION OF LEGAL SERVICES. ALL LEGAL QUESTIONS SHOULD BE ANSWERED DIRECTLY BY A LICENSED ATTORNEY PRACTICING IN THE APPLICABLE AREA OF LAW. ©2024 Bergeson & Campbell, P.C.  All Rights Reserved

Ad Law Access Podcast
CFPB Finalizes Rule To Supervise Digital Wallets And Mobile Payment Apps

Ad Law Access Podcast

Play Episode Listen Later Dec 17, 2024 4:46


Last Thursday, the Consumer Financial Protection Bureau (CFPB) announced a Final Rule authorizing the agency to supervise and conduct examinations of certain non-bank providers of digital wallets and payment apps for consumers' general use. The Final Rule, which takes effect 30 days after publication in the Federal Register, largely mirrors the agency's earlier proposed rule, which we blogged about last year. Assuming it takes effect and is not overturned or cut back, the Final Rule will enable the CFPB to supervise companies in key areas such as privacy and information sharing, alleged banking errors and fraudulent and disputed transactions, and debanking or consumer loss of access to payment technologies or accounts. https://www.kelleydrye.com/viewpoints/blogs/ad-law-access/cfpb-finalizes-rule-to-supervise-digital-wallets-and-mobile-payment-apps-ahead-of-transition-to-trump-administration Donnelly McDowell dmcdowell@kelleydrye.com (202) 342-8645 www.kelleydrye.com/people/donnelly-l-mcdowell Alex Schneider aschneider@kelleydrye.com (202) 342-8634 www.kelleydrye.com/people/alexander-i-schneider Salim Rashid srashid@kelleydrye.com (202) 342-8473 https://www.kelleydrye.com/people/salim-rashid Hosted by Simone Roach Subscribe to the Ad Law Access blog - www.kelleydrye.com/subscribe Subscribe to the Ad Law News Newsletter - www.kelleydrye.com/subscribe View the Advertising and Privacy Law Resource Center - www.kelleydrye.com/advertising-and-privacy-law Find all of our links here linktr.ee/KelleyDryeAdLaw

The Compliance Guy
Season 8 - Episode 21 - #TerryTuesday - Navigating CMS' Final Rule "Key Points"

The Compliance Guy

Play Episode Listen Later Dec 10, 2024 30:58


Summary In this episode, Sean and Terry discuss the recent CMS final rule and its implications for healthcare practices, focusing on telehealth regulations, direct supervision requirements, and updates in behavioral health services. They also delve into the G2211 add-on complexity code, emphasizing the importance of understanding the nuances of these regulations to ensure compliance and optimal patient care. Takeaways This is the last hashtag Terry Tuesday for 2024. We have spent quite a bit of time taking a look at the CMS final rule. Direct supervision means immediately available. Audio only is not sufficient for direct supervision. Behavioral health has gotten a huge leap in virtual care. You need to know that your commercial plans also update their language. The perfect example when UnitedHealthcare last year said, we're not going to pay for audio only anymore. You have to be careful because it's something you have to say, OK, this is why I did it. It's a gift. It is an add-on gift that says we respect and understand. I would still caution our audience to not use this as a blanket add-on code.

Let's Chat Markets
230. FMMO Final Decision & Dairy Market Implications – Featuring Erin Taylor, USDA

Let's Chat Markets

Play Episode Listen Later Nov 26, 2024 40:59


On this special episode of Let's Chat Dairy, Eric Meyer and Alex Gambonini sit down to discuss the USDA's Final Decision on Amendments to the Federal Milk Marketing Order (FMMO) Pricing Formulas and their potential implications on dairy markets. Then, Alex is joined by Erin Taylor, Director of the Order Formulation and Enforcement Division at USDA's Agricultural Marketing Service, to answer some of our biggest questions including the voting process, the Final Rule, and the implementation time frame. Gain access to HighGround Dairy's report on the USDA's proposed changes to the Federal Milk Marketing Order (FMMO) pricing formulas here: highgrounddairy.com/fmmo Listen on our website: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠highgrounddairy.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠/podcasts⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Follow us on LinkedIn: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠linkedin.com/company/highground-dairy⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠  Follow us on Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠instagram.com/highgrounddairy⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠  Start your 30 Day Free Trial of HighGround Dairy's Market Intelligence here: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠highgrounddairy.com/free-trial⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Find our contact information, social media profiles, recent reports, and more here: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠linktr.ee/highgrounddairy⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Connected With Latham
Episode 87 – Drug Pricing: What's In the New CMS Medicaid Final Rule?

Connected With Latham

Play Episode Listen Later Nov 25, 2024 28:38


The Centers for Medicare & Medicaid Services (CMS) recently published its final rule to implement the Medicaid Services Investment and Accountability Act of 2019 (MSIAA). The final rule significantly deviates from the agency's 2023 proposal, with CMS backing off from “follow the pill” best price stacking, subjecting certain vaccines to Medicaid rebates, and creating a “shame list” of high-cost Medicaid drugs, among other proposals. But the final rule still imposes new burdens on manufacturers, such as by expanding which type of utilization triggers a Medicaid rebate, and imposing aggressive compliance deadlines in connection with misclassifications. In this episode of Connected With Latham, Washington, D.C. partner Chris Schott and associate Danny Machado break down what CMS included — and omitted — from its final rule. They also speculate about the impact the Supreme Court's overturning of the Chevron doctrine might have had on CMS' regulatory decision-making, as well as why the final rule's effective date is 60 days before the next presidential inauguration.   This podcast is provided as a service of Latham & Watkins LLP. Listening to this podcast does not create an attorney client relationship between you and Latham & Watkins LLP, and you should not send confidential information to Latham & Watkins LLP. While we make every effort to assure that the content of this podcast is accurate, comprehensive, and current, we do not warrant or guarantee any of those things and you may not rely on this podcast as a substitute for legal research and/or consulting a qualified attorney. Listening to this podcast is not a substitute for engaging a lawyer to advise on your individual needs. Should you require legal advice on the issues covered in this podcast, please consult a qualified attorney. Under New York's Code of Professional Responsibility, portions of this communication contain attorney advertising. Prior results do not guarantee a similar outcome. Results depend upon a variety of factors unique to each representation. Please direct all inquiries regarding the conduct of Latham and Watkins attorneys under New York's Disciplinary Rules to Latham & Watkins LLP, 1271 Avenue of the Americas, New York, NY 10020, Phone: 1.212.906.1200

TEConnect Podcast
TEConnect Replay: Food Safety & the Supply Chain w/Jim Hilton

TEConnect Podcast

Play Episode Listen Later Nov 21, 2024 63:36


*We're off until December, so enjoy a replay of our episode on traceability in the food supply chain* *Originally released March 28, 2024* Traceability is more important than ever in the food supply chain, as it allows quick and efficient tracking and halting of potential contaminants and foodborne illnesses. This week, food supply chain expert Jim Hilton joins us (in the studio!) to explain the opportunities for VARs. Why are we seeing more recalls? How does the direct-to-consumer market affect the supply chain? What is the FSMA 204 Final Rule, and how will technology help suppliers comply quickly? It's the episode that wants to know exactly where this salad came from.   #VARValue—What conversations should VARs who work with food manufacturers/suppliers have right now to prepare for these changes?    TEConnecting with us: Jim - Temperature control/sensors & truck connectivity Dean - AI helps create new antibiotics John - The EU's AI Act   Keep in Touch! Email - TEConnect@bluestarinc.com LinkedIn - https://www.linkedin.com/company/blue-star Submit your topic ideas - https://www.bluestarinc.com/en-us/about-the-company/bluestar-teconnect-podcast  Subscribe to the BlueStar Nation Newsletter - https://nation.bluestarinc.com/#subscribe    Sponsored by: Elo I-Series 3 w/Intel

Employment Matters
633: Examining the US Department of Labor's 2024 Final Overtime Rule

Employment Matters

Play Episode Listen Later Nov 20, 2024 12:55


In this episode, we discuss the background on the DOL's April 2024 Rule, as well as recent developments on Friday, November 15th, 2024, from a federal district court in Texas, invalidating the entirety of the DOL's overtime final rule. Subscribe to our podcast today to stay up to date on employment issues from law experts worldwide.Host: Tara Stingley (email) (Cline Williams Wright Johnson & Oldfather, LLP)Guest Speaker: Alex Grande (email) (Holland & Hart LLP)Support the showRegister on the ELA website here to receive email invitations to future programs.

Urology Coding and Reimbursement Podcast
UCR 220: 2025 CMS Final Rule Part 2 - Telehealth

Urology Coding and Reimbursement Podcast

Play Episode Listen Later Nov 15, 2024 32:07


November 15, 2024 Ray, Mark, and Scott talk about the CMS Final Rule for 2025 in part 2 of this two-episode discussion.PRS Billing and Other Services - Book a Call with Mark Painter or Marianne DescioseClick Here to Get More Information and Request a QuoteUrology Advanced Coding and Reimbursement Seminars - In-Person SeminarsRegister Now for the Urology Advanced Coding and Reimbursement SeminarClick Here for Information and RegistrationEvent DetailsLocation:Las Vegas: December 6-7, 2024, at HorseshoeNew Orleans: January 31-February 1, 2025, at Harrah'sTime: Friday 8 am - 4 pm, Saturday 8 am - 3:30 pmIncludes: Breakfast and Lunch on both days, plus 14 AAPC CEUs   The Thriving Urology Practice Facebook group.The Thriving Urology Practice Facebook Group link to join:https://www.facebook.com/groups/ThrivingPractice/ Click Here to Start Your Free Trial of AUACodingToday.com

Urology Coding and Reimbursement Podcast
UCR 219: 2025 CMS Final Rule Part 1 - Conversion factor, negatively impacted procedures, and the post-operative global

Urology Coding and Reimbursement Podcast

Play Episode Listen Later Nov 8, 2024 36:46


November 8, 2024 Ray, Mark, and Scott talk about the CMS Final Rule for 2025 in part 1 of this two-episode discussion.PRS Billing and Other Services - Book a Call with Mark Painter or Marianne DescioseClick Here to Get More Information and Request a QuoteUrology Advanced Coding and Reimbursement Seminars - In-Person SeminarsRegister Now for the Urology Advanced Coding and Reimbursement SeminarClick Here for Information and RegistrationEvent DetailsLocation:Las Vegas: December 6-7, 2024, at HorseshoeNew Orleans: January 31-February 1, 2025, at Harrah'sTime: Friday 8 am - 4 pm, Saturday 8 am - 3:30 pmIncludes: Breakfast and Lunch on both days, plus 14 AAPC CEUs   The Thriving Urology Practice Facebook group.The Thriving Urology Practice Facebook Group link to join:https://www.facebook.com/groups/ThrivingPractice/ Click Here to Start Your Free Trial of AUACodingToday.com

The Compliance Guy
season 8 - Episode 14 - #TerryTuesday - The Final Rule is A Critical Mistake

The Compliance Guy

Play Episode Listen Later Nov 5, 2024 34:36


Summary In this episode, Sean and Terry discuss the implications of the recent Medicare final rule, particularly focusing on the challenges facing telehealth services. They explore the political dynamics surrounding healthcare access, the importance of equitable access to telehealth, and the need for legislative action to address these issues. The conversation emphasizes the critical role of Congress in reforming the Medicare system and ensuring that all patients have access to necessary healthcare services, especially in light of the upcoming election. Takeaways The Medicare final rule has significant implications for telehealth access. 85% of Medicare patients may lose access to telehealth services. Equity in healthcare means access for everyone, not just a select few. Congress must take action to fix the Medicare system. The current political climate is affecting healthcare access and reform. Telehealth regulations are reverting to pre-COVID limitations. Healthcare is becoming increasingly unsustainable without reform. Politicians often prioritize re-election over effective governance. Voting is essential for making one's voice heard in democracy. The healthcare system needs urgent attention and reform.

CodeCast | Medical Billing and Coding Insights
CMS final rule is out and Telehealth is an issue

CodeCast | Medical Billing and Coding Insights

Play Episode Listen Later Nov 5, 2024 23:56


CMS published the 2025 Final Rule on November 1st. Terry breaks down the highlights and gives you the facts on the Telehealth “mess” that could have 85% of Medicare patients without access to virtual care. Subscribe and Listen You can subscribe to our podcasts via: Apple Podcasts – https://podcasts.apple.com/us/podcast/codecast-medical-billing-coding-insights/id1305926627 Spotify – https://open.spotify.com/show/1lA69Q7EnjSMuVr3sXVWlX TuneIn – https://tunein.com/radio/CodeCast–Medical-Billing-p1056702/ YouTube […] The post CMS final rule is out and Telehealth is an issue appeared first on Terry Fletcher Consulting, Inc..

Pipeliners Podcast
Episode 360: LDAR Final Rule with Keith Coyle

Pipeliners Podcast

Play Episode Listen Later Oct 29, 2024 39:16


In this podcast episode, Keith Coyle from Babst Calland discusses the final stages of the Leak Detection and Repair (LDAR) rule and its regulatory journey. The conversation provides insights into the process, including the role of federal offices like the Office of Management and Budget (OMB) and the Gas Pipeline Advisory Committee (GPAC), while also exploring the complexities surrounding regulatory reviews and implications for the pipeline industry. Visit PipelinePodcastNetwork.com for a full episode transcript, as well as detailed show notes with relevant links and insider term definitions. 

Two Minutes in Trade
Two Minutes in Trade - Treasury Department Publishes Final Rule on Outbound Investment into Countries of Concern

Two Minutes in Trade

Play Episode Listen Later Oct 29, 2024 3:36


US investors will be responsible for ensuring they do not invest in “countries of concern” (China) in certain sectors like AI, semiconductors, etc. listen for more on Two Minutes in Trade. 

Payers, Providers, and Patients – Oh My!
Payers, Providers, and Patients – Oh My!: The New MHPAEA Final Rule – Key Takeaways and Insights

Payers, Providers, and Patients – Oh My!

Play Episode Listen Later Oct 22, 2024 19:52


In this episode, hosts Payal Nanavati and Megan Beaver talk to Alice Hall-Partyka and Spencer Bruck about the recently released Mental Health Parity and Addiction Equity Act (MHPAEA) final rule. Alice and Spencer delve into the key new provisions of the rule, including the requirements for Non-Quantitative Treatment Limitations comparative analyses and the focus on data outcomes. Relevant resources: Tri-Agencies Finalize NQTL Comparative Analysis Standards in Final Rule Final Mental Health Parity Rule Spurs Loper Bright Legal Threat Payers, Providers, and Patients – Oh My! is Crowell & Moring's health care podcast, discussing legal and regulatory issues that affect health care entities' in-house counsel, executives, and investors.

AHLA's Speaking of Health Law
AI in Health Care: Managing Algorithmic Bias and Fairness

AHLA's Speaking of Health Law

Play Episode Listen Later Oct 1, 2024 37:17 Transcription Available


Brad M. Thompson, Partner, Epstein Becker & Green PC, Chris Provan, Managing Director & Senior Principal Data Scientist, Mosaic Data Science, and Sam Tyner-Monroe, Ph.D., Managing Director of Responsible AI, DLA Piper LLP (US), discuss how to analyze and mitigate the risk of bias in artificial intelligence through the lens of data science. They cover HHS' Section 1557 Final Rule as it pertains to algorithmic bias, examples of biased algorithms, the role of proxies, stratification of algorithms by risk, how to test for biased algorithms, how compliance programs can be adapted to meet the unique needs of algorithmic bias, the NIST Risk Management Framework, whether it's possible to ever get rid of bias, and how explainability and transparency can mitigate bias. Brad, Chris, and Sam spoke about this topic at AHLA's 2024 Complexities of AI in Health Care in Chicago, IL.To learn more about AHLA and the educational resources available to the health law community, visit americanhealthlaw.org.

LabMind
Answering Your Questions About the FDA's Final Rule on LDTs

LabMind

Play Episode Listen Later Sep 11, 2024 43:54


The Hospital Finance Podcast
FY 2025 IPPS Final Rule Summary Webinar

The Hospital Finance Podcast

Play Episode Listen Later Sep 4, 2024 12:18


In this episode, Bob McDowell provides us with a glimpse into BESLER's next Webinar, FY 2025 IPPS Final Rule Summary, live on Sept. 11, at 1 PM ET. 

CHUGH - Attorneys & CPAs Podcast
Navigating Restrictive Covenants and the FTC Final Rule on Non-Competes

CHUGH - Attorneys & CPAs Podcast

Play Episode Listen Later Aug 28, 2024 23:37


In our upcoming session on Employment Law: Restrictive Covenants and the FTC Final Rule on Non-Competes Attorney Maureen A. and Client Services Manager Arianna Gonzalez, MBA covered the following: • Key elements of restrictive covenants, including non-compete agreements, non-solicitation clauses, and confidentiality agreements. • Insights into the Federal Trade Commission's (FTC) final rule on non-competes and its implications for employers and employees. • Practical tips for drafting enforceable restrictive covenants and avoiding common pitfalls. • Strategies for navigating the legal landscape in light of the FTC's recent actions. Listen In!

Minimum Competence
Legal News for Thurs 7/15 - FTC New Rule on Fake Reviews, US Drug Price Negotiations Save $7.5b, Big Attorney Fees in DE, Google App Store Monopoly and Chevron $550m CA Settlement

Minimum Competence

Play Episode Listen Later Aug 15, 2024 6:22


This Day in Legal History: “Starve or Sell”On August 15, 1876, the U.S. Congress passed a "starve or sell" bill, a genocidal piece of legislation aimed at coercing the Sioux Nation into surrendering their sacred Black Hills. The bill was passed just two months after the Battle of Little Bighorn, where Sioux and Cheyenne warriors achieved a significant victory against General George Custer's forces. The Black Hills had become a target for American expansion after Custer's 1874 expedition discovered gold there, sparking a rush of settlers. Rather than respecting existing treaties, which guaranteed the Black Hills to the Sioux, Congress chose to use starvation as a tool of negotiation. The bill stipulated that no further appropriations for the Sioux's subsistence would be made unless they relinquished the Black Hills, leaving the Sioux with little choice but to sign away their land. This event is a dark chapter in American history, reflecting the broader pattern of exploitation and broken promises that characterized the United States' treatment of Native American tribes. The "starve or sell" bill stands as a stark reminder of the lengths to which the government would go to seize indigenous lands.The FTC has issued its Final Rule on fake reviews, following a Notice of Proposed Rulemaking in July 2023. The Rule targets unfair or deceptive practices in consumer reviews, such as fake reviews, undisclosed company insiders writing reviews, and the sale of fake social media influence. Key provisions include prohibiting businesses from buying reviews that express a particular sentiment and requiring clear and conspicuous disclosures in reviews. The Rule also addresses review suppression, ensuring that businesses cannot hide negative reviews through intimidation or selective publication. Notably, the Final Rule excludes a proposed prohibition on "review hijacking," where existing reviews are repurposed for different products. Violations of the Rule could result in significant civil penalties, underscoring the importance of compliance for businesses that rely on customer reviews. The Rule will go into effect 60 days after its publication in the Federal Register. The complex and fact-specific nature of the Rule means businesses must carefully assess their practices to avoid potential penalties.End of “Fake Reviews”? — FTC Issues the Final RuleThe Biden administration announced that the U.S. government's first drug price negotiations under the Inflation Reduction Act will save Americans $7.5 billion in 2026. These savings will benefit senior citizens, who will see $1.5 billion less in out-of-pocket costs for ten key medications, and the government, which will reduce its Medicare spending by $6 billion. The policy, long sought by Democrats, allows Medicare to use its purchasing power to negotiate lower drug prices, a move that could cut the federal deficit by $237 billion over a decade. The newly negotiated prices are expected to be made public by September 1, and the policy will initially affect ten drugs, including treatments for diabetes and heart conditions. While the pharmaceutical industry has opposed the policy, claiming it effectively lets the government set prices, the administration views it as a historic step toward lowering healthcare costs.US Drug Price Negotiations Cut Costs $7.5 Billion in First YearThe Delaware Supreme Court upheld a $267 million fee award for attorneys who secured a $1 billion settlement with Dell Technologies Inc., reinforcing Delaware's precedent of substantial payouts in high-risk corporate litigation. Chief Justice Collins J. Seitz Jr., writing for the court, affirmed that the Chancery Court acted within its discretion, emphasizing that the case was complex and contentious, involving nearly 100 defense lawyers. This decision, which aligns with Delaware's long-standing multi-factor approach to fee awards, rejects Pentwater Capital Management LP's challenge for a lower fee based on federal court standards. The ruling underscores Delaware's reluctance to adopt rigid rules for fee awards, maintaining the court's discretion to consider case-specific factors like complexity, attorney experience, and the risk of non-payment. The decision comes as Tesla faces similar large fee requests in ongoing litigation, raising concerns about public perception of such massive legal fees. The court acknowledged that while these fees are intended to motivate attorneys to take on challenging cases, there is a risk they could be seen as excessive.​​Big Lawyer Paydays in Risky Cases Affirmed by Delaware Court (2)A U.S. judge signaled plans to issue an order requiring Google to give Android users more options for downloading apps, following a jury's finding that Google monopolized app distribution on its platform. Judge James Donato expressed frustration with Google's resistance to implementing reforms proposed by Epic Games, which sued Google for stifling competition. Donato indicated that his ruling will prioritize user and developer flexibility outside the Google Play store, aiming to open up the market after years of Google's dominance. He also mentioned setting up a compliance committee to oversee the changes. Despite Google's concerns about the impact on competition and security, Donato emphasized that Google must pay the price for its monopolistic behavior. This case adds to Google's legal challenges, as it also faces a separate government lawsuit over its search engine practices.US judge says 'monopolist' Google can't avoid app store reforms | ReutersChevron Corp has agreed to pay $550 million to the city of Richmond, California, over a decade as part of a settlement that led the city to drop a proposed tax on Chevron's local refinery. The settlement, approved by the Richmond City Council, will be paid in annual installments from July 2025 to June 2035. Richmond had planned to seek voter approval for a tax on the refinery, arguing that Chevron should contribute more to the community where it has operated for over a century. The settlement avoids the need for a ballot measure and resolves the dispute.Chevron to pay $550 million settlement to Richmond, California | ReutersCipher ChallengeIn the world of finance and taxation, certain phrases hold the key to understanding foundational concepts that impact us all. The following encoded message is one such phrase, essential to grasping the full scope of what individuals and entities must consider when assessing their financial obligations. Decipher this phrase, and you'll uncover a principle that is central to determining what falls within the broad spectrum of economic gain. The answer lies at the heart of how we define the starting point for many financial calculations. Can you crack the code? Send me a message with your best guess. doo lqfrph iurp zkdwhyhu vrxufh ghulyhg This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit www.minimumcomp.com/subscribe

McDermott+Consulting
FY 2025 IPPS Final Rule

McDermott+Consulting

Play Episode Listen Later Aug 8, 2024 13:58


Deborah Godes and Leigh Feldman join Julia Grabo to discuss provisions in the fiscal year (FY) 2025 Medicare Inpatient Prospective Payment System (IPPS) final rule, including changes to payment rate, new technology add-on payment, TEAM model and DSH hospitals.

The Broker Link
Court Blocks 2025 Final Rule - Mike Smith and Josh Slattery

The Broker Link

Play Episode Listen Later Jul 31, 2024 29:45


It's been a very turbulent year in the insurance industry, are you ready for all the changes?  Do you have the tools necessary to thrive in AEP 2025?  The Brokerage Inc. is here to help guide you through. In this episode of The Broker Link, The Brokerage Inc.'s Executive Vice President, Josh Slattery and President Emeritus, Mike Smith break down all the information you will need to have a successful AEP.   You will learn; Where we stand with the CMS Final Rule of 2024 How the political season will impact AEP Where we stand with the "Chevron" deference  How is direct mail impacted this year Med Sup trends for 2025 Technology updates How our new Member Retention Program will help you with your book of business And so much more... Be sure to mark your calendars for August 8 at 10 am for our webinar on the new Member Retention Program.  You can register here.  

Talk Ten Tuesdays
National Coding Roundup: Preparing for the New FY2025 IPPS Final Rule

Talk Ten Tuesdays

Play Episode Listen Later Jul 30, 2024 30:37


The summer is here, and it's raining codes.There are ICD-10 codes, CPT® codes, and the Z codes.Plus, coming up is the 2025 Inpatient Prospective Payment System (IPPS) Final Rule, which is expected to contain some new codes and deletions of others, for an expected net total increase of ICD-10 codes.In preparation, the producers at ICD10monitor have dedicated this next upcoming live edition of Talk Ten Tuesday as the “National Coding Roundup.”Also during the broadcast, these instantly recognizable segments will air:• This and That: The legendary Rose T. Dunn, chief operations officer for First Class Solutions, as well as a past president and former interim CEO of the American Health Information Management Association (AHIMA), will report on a topic or two that has caught her attention.• Social Determinants of Health: Tiffany Ferguson, CEO for Phoenix Medical Management, Inc., will report on the news that is happening at the intersection of medical record auditing and the SDoH.• Coding Report: Laurie Johnson, senior healthcare consultant with Revenue Cycle Solutions, LLC, will report on the latest coding news.• News Desk: Timothy Powell, ICD10monitor national correspondent and regulatory expert, will anchor the Talk Ten Tuesdays News Desk.• Point of View: Dr. James S. Kennedy, president of CDIMD, will share his point of view as he co-hosts the long-running broadcast with Chuck Buck.

Diagnosing Health Care Podcast
The Future of Laboratory Testing Just Got a Little Clearer: FDA's Final Rule on LDTs

Diagnosing Health Care Podcast

Play Episode Listen Later Jul 25, 2024 34:42


Laboratories in the United States are facing a major regulatory landscape shift. The U.S. Food and Drug Administration (FDA) has finalized a new rule ending its historical blanket enforcement discretion over laboratory developed tests (LDTs). What does this mean for labs going forward? On this episode, Epstein Becker Green attorneys James Boiani, Rob Wanerman, and Megan Robertson lay out the new landscape, analyze existing and potential challenges, and identify key developments to watch for as this new regulatory era unfolds. Visit our site for more information and related resources: https://www.ebglaw.com/dhc79 Subscribe for email notifications: https://www.ebglaw.com/subscribe. Visit: http://diagnosinghealthcare.com. This podcast is presented by Epstein Becker & Green, P.C. All rights are reserved. This audio recording includes information about legal issues and legal developments. Such materials are for informational purposes only and may not reflect the most current legal developments. These informational materials are not intended, and should not be taken, as legal advice on any particular set of facts or circumstances, and these materials are not a substitute for the advice of competent counsel. The content reflects the personal views and opinions of the participants. No attorney-client relationship has been created by this audio recording. This audio recording may be considered attorney advertising in some jurisdictions under the applicable law and ethical rules. The determination of the need for legal services and the choice of a lawyer are extremely important decisions and should not be based solely upon advertisements or self-proclaimed expertise. No representation is made that the quality of the legal services to be performed is greater than the quality of legal services performed by other lawyers.

We Get Work
MYR 2024: DOL Final Rule Governing the White-Collar Exemptions to Overtime

We Get Work

Play Episode Listen Later Jul 23, 2024 13:52


By almost any measure, 2024 is a memorable year for employment and labor law — and it's only halfway done. Our timely report, Mid-Year 2024: Now + Next, takes a closer look at the recent rules, regulations and rulings affecting employers today, the rest of the year and beyond.

Lykken on Lending
CFPB's New Non-Bank Registration System: Final Rule and Implementation Overview - Legislative Update by Alice Alvey

Lykken on Lending

Play Episode Listen Later Jun 20, 2024 5:34


The CFPB has issued a final rule for a new non-bank registration system, requiring lenders to self-report public orders and court actions, with compliance starting in January 2025 and public access to the registry.----------------------------------------------------Alice Alvey, Master CMBVice President Partner Education and Training at Union Home MortgageShe handles development of their World Class Training program designed to support UHM partners and organizational effectiveness.Prior to UHM, Alice served as Senior Vice President at Indecomm leading the Indecomm-Mortgage U division, Internal QA and Compliance and SaaS technologies. Indecomm acquired Mortgage U in 2013, where Alice was President/Co-founder, providing training and consulting since 1996. Prior to MU she served as SVP of Operations at a national bank overseeing operations for wholesale, retail and correspondent from underwriting through servicing, and compliance.She has been in the trenches of mortgage lending operations from application through servicing for over 30 years. Her authoring work in training content, policies and procedures and the FHA/VA Practical guides illustrates her ability to bridge regulatory requirements with day-to-day operations.Alice has been a weekly contributor to the Lykken on Lending show since its beginning in April 2009 and has made her weekly contributions to 450+ episodes!

Student of the Gun Radio
Be Ready & Braces and Bump Stocks | SOTG 1246

Student of the Gun Radio

Play Episode Listen Later Jun 19, 2024 85:00


The saying goes, “Be ready so you don't have to get ready.” The Government of Denmark just advised its people to get ready and prepare for a potential war with Russia. What is the advice that they are being given and how does that jive with reality? Two court rulings have come down in the last week highlighting the criminal overreach by Joe Biden's “AFT”.  First the prohibition against the pistol brace was thrown out by a judge in Texas. Then the US Supreme Court ruled that the AFT overstepped its authority by classifying bump-stocks as “machine guns”. We have a Tech Talk from EOTech for you. Do you need an optic on your fighting shotgun? Also, we have another ProTip discussion from FrogLube. TOPICS COVERED THIS EPISODE Huge thanks to our Partners: EOTech | FrogLube | Hi-Point Firearms | Spike's Tactical [0:05:01] EOTech Talk - EOTechInc.com TOPIC: Fighting Shotguns: Optic or No Optic? [0:16:16] Pro Tip of the Week - FrogLube.com TOPIC: Animal Traps and Steel Drums [0:33:32] SOTG Homeroom - SOTG University TOPIC: BE READY so you don't have GET READY www.newsmax.com Potassium Iodide (KI) and Radiation Emergencies: Fact Sheet www.health.ny.gov “Willingness is a state of mind. Readiness is a statement of fact” - John Farnam www.Beready.utah.gov   [0:55:45] Brace & Bump-Stock Bans have BOTH been struck down District Court VACATES the ATF's Pistol Brace Rule, Ending Enforcement of the Ban Nationwide www.shootingnewsweekly.com U.S. Supreme Court invalidates ATF Rule Classifying Bump Stocks as Machineguns www.nraila.org FEATURING: NewsMax.com, Shooting News Weekly, NRA ILA, Madison Rising, Jarrad Markel, Paul Markel, SOTG University PARTNERS: EOTech, FrogLube, Hi-Point Firearms, Spikes Tactical FIND US ON: iTunes, Stitcher, AppleTV, Roku, Amazon, GooglePlay, YouTube, Threads, Instagram, Facebook, X SOURCES From www.shootingnewsweekly.com: More good news out of the Northern District of Texas. Judge Reed O'Connor has issued a ruling in Mock v. Garland vacating the ATF's byzantine rule that effectively bans pistol braces. You know…the same pistol braces the ATF had previously said were perfectly fine and an acceptable firearm accessory. That, of course, was back before the Biden administration waged a war on gun owners, their rights, and companies that make legal products those people want to buy. This comes the same week the decrepit but still rabidly anti-gun president was trundled out of the White House and propped up behind a podium at Everytown's “Gun Sense University” meeting of anti-gun flying monkeys. There the president once again rotely spouted all the same bogus hoplophobic talking points he's been using since first finding himself in the Oval Office in 2021. Judge O'Connor granted the plaintiffs' motion for summary judgement  . . . For the reasons set out above, the Court GRANTS Plaintiffs' Motion for Summary Judgment on the grounds that the Final Rule violated the APA's procedural requirements because it was arbitrary and capricious and was not a logical outgrowth of the Proposed Rule; DENIES Defendants' Cross Motion for Summary Judgment; DENIES Plaintiffs' request for a permanent injunction; and VACATES the Final Rule. (Click Here for Full Article)

Lykken on Lending
CFPB Final Rule on Non-Bank Registry: Implications for Mortgage Lenders and Servicers - MBA Mortgage Minute by Adam DeSanctis

Lykken on Lending

Play Episode Listen Later Jun 17, 2024 1:31


The CFPB's new final rule requires non-bank covered persons to register agency or court orders with the CFPB, a move the MBA deems unnecessary and redundant, with the rule set to take effect on September 16, 2024.-------------------------------------------------------------Adam DeSanctis, Director of Public Affairs at Mortgage Bankers AssociationAs a strategic public affairs and communications executive with nearly two decades of experience, Adam has deep expertise in strategy, management, and media relations. He is widely considered to be an expert in a variety of communications, including advocacy, brand, executive, crisis, grassroots, and social media. In his career, he has been the MBA spokesperson on a wide variety of real estate research and advocacy-related issues, promoted MBA research and advocacy efforts to financial, political, and trade industry media and on MBA's social media channels, and secured media opportunities for MBA leadership on key real estate trends and issues, generated media coverage for MBA's research and data on mortgage applications, credit availability, homebuilder applications, mortgage forbearance/delinquencies, commercial real estate originations, and forecasts, and other industry analysis, developed key strategic initiatives for MBA's organizational public affairs plan, media relations and member communications support for mPower, MBA's Opens Doors Foundation and MBA's Diversity, Equity, and Inclusion programs.

Lock N Load with Bill Frady podcast
Lock N Load with Bill Frady Ep 2937 Hr 3

Lock N Load with Bill Frady podcast

Play Episode Listen Later May 27, 2024 42:20


The Final Rule and more Bears with Writer Dean Weingarten.Lock N Load is presented by; Modern Gun Schoolhttps://mgs.edu Ace Firearmshttp://www.acefirearms.comDeSantis Holstershttps://www.desantisholster.comStaccatohttp://staccato2011.comTaran Tactical Innovationshttps://tarantacticalinnovations.comSpikes Tacticalhttps://www.spikestactical.comInvestUSA.orghttps://investusa.org/

Lock N Load with Bill Frady podcast
Lock N Load with Bill Frady Ep 2935 Hr 3

Lock N Load with Bill Frady podcast

Play Episode Listen Later May 23, 2024 42:33


The Final Rule and more Bears with Writer Dean Weingarten.Lock N Load is presented by; Modern Gun Schoolhttps://mgs.edu Ace Firearmshttp://www.acefirearms.comDeSantis Holstershttps://www.desantisholster.comStaccatohttp://staccato2011.comTaran Tactical Innovationshttps://tarantacticalinnovations.comSpikes Tacticalhttps://www.spikestactical.comInvestUSA.orghttps://investusa.org/

We Get Work
The New Minimum Salary Requirements for Exempt Executive, Administrative, and Professional Employees—Your Questions Answered

We Get Work

Play Episode Listen Later May 16, 2024 24:25


The U.S. Department of Labor's Final Rule increases the minimum salary requirements for white-collar exemptions from minimum wage and overtime pay under the Fair Labor Standards Act.

Healthcare Happy Hour
The Final Rule on Short-Term Limited Duration Insurance (STLDI) and Fixed Indemnity Plans: What it Means for Brokers and their Clients.

Healthcare Happy Hour

Play Episode Listen Later May 9, 2024


This episode of NABIP's Healthcare Happy Hour is a deep dive into the recent changes surrounding short-term limited duration insurance (STLDI). It explores concerns surrounding STLDI's impact on risk pools and the ACA market. Join OneDigital's Scott Wham and host David Saltzman for a conversation that addresses the new rule, marketing practices of STLDI plans and the challenges faced by employers in offering minimum essential coverage. It also touches on the potential spillover effects on other plans, such as hospital indemnity plans. The conversation also looks at future trends, like the focus on prescription drug costs and the possibility of repeal and replace efforts.

HR Mixtape
Understanding the Department of Labor's Final Rule on Overtime Exemption with Corinne Tirone

HR Mixtape

Play Episode Listen Later May 7, 2024 18:16 Transcription Available