Health Care Law Brief

JUNE 5, 2023

In 2013, Jelly Bean contracted with the Florida Health Kids Corporation (“ FHKC ”)—a state-created entity that offers health and dental insurance for Florida children—to create, host, and maintain HealthyKids.org, where, in part, parents and others could apply for state Medicaid insurance coverage for eligible children.

Fraud 52

Fraud Due Diligence Medicaid Medicaid 52

MRO Compliance

NOVEMBER 1, 2022

Only 7% of respondents receive more than 71% of their government and commercial claim audits electronically. 1 provider of release of information (ROI) solutions since 2013, empowers healthcare organizations with proven, enterprise-wide solutions for the secure, compliant, and efficient exchange of clinical information.

Governance 130

Governance 130

CMS.gov

NOVEMBER 2, 2018

Just another name for a government-run, single payer system. Just another name for a government-run, single payer system. As head of the agency that serves over 58 million Medicare beneficiaries, I deal first-hand with the challenges of government run healthcare. CMS BLOG: Medicare for All? keya.joy-bush@…. Medicare Part C.

Governance 55

Governance Medicare Medicare ACA 55

Bill of Health

OCTOBER 3, 2023

When playing marbles, there are the social rules that govern how to play marbles properly, but also the hard material constraints of the marbles themselves, the environmental constraints of the surface being played on, the embodied restraints dexterity of the player’s hand and their ability to judge short distances and momentum, and so forth.

Governance 322

Governance 322

American Medical Compliance

JANUARY 9, 2024

Through Medicare, Medicaid, and the Children’s Health Insurance Program, the federal government and state governments offer health care coverage to nearly 100 million individuals. This type of theft is just one example of healthcare fraud. trillion in 2015.

Fraud 52

Fraud Medicare Medicare Compliance 52

Bill of Health

SEPTEMBER 17, 2022

During 2013 and 2014, I endured a very difficult 18 months. If you don’t have a will, state law will govern how your assets are distributed, and they will most likely go to your spouse and your children. By Sharona Hoffman. Only 46% of U.S. adults have wills , and even among seniors, the figure is only 76%.

Bioethics 261

Bioethics Governance Public Health 261

HIPAA Journal

JUNE 9, 2023

In 2013, David Dubin was examining a patient when he was informed by his father that the patient’s Medicaid benefits had been exhausted and cut the evaluation short. The Supreme Court decision related to the latter. William and David Dubin are father and son psychologists who ran a mental health testing company called Psychological ARTs.

Fraud 96

Fraud Medicaid Medicaid Doctors 96

Healthcare IT News - Telehealth

APRIL 30, 2020

Seoul National University Bundang Hospital (SNUBH), which is the first fully digitalized-paperless health care institution in South Korea, was designated by the government on 1 March as a “public safety hospital,” an institution that separates the treatment process of respiratory patients to prevent COVID-19 spread with the facility.

COVID-19 98

COVID-19 Telemedicine Governance Hospitals 98

Kaiser Health News

JANUARY 28, 2022

Patients had nothing to appeal because the government can’t change a decision it didn’t make, so no Medicare rule had been violated. 25, the appeals court judges upheld Shea’s decision, agreeing that when hospitals switched a patient’s status they were following Medicare’s 2013 “two-midnight rule.”

Nursing Homes 145

Nursing Homes Medicare Medicare Nurses 145

Health Law Attorney

NOVEMBER 12, 2021

On November 8, 2021, the Office of Inspector General (“ OIG ”) issued multiple updates to the Health Care Fraud Self-Disclosure Protocol (“ SDP ”), incorporating legal changes made since the previous SDP revision in 2013. The OIG’s updated SDP may be accessed here. Below is an overview of the updates. Increased Minimums to Settle.

Fraud 40

Fraud Governance 40

HIT Consultant

AUGUST 17, 2023

One way the government has responded to hospitals’ and health systems’ financial needs is by funding grants to close revenue gaps. The government needs to simplify the process and take a more supportive role in helping eligible practices apply. Simplifying the funding application process. Incentivizing Medicaid capture.

Medicaid 98

Medicaid Medicaid Doctors Telemedicine 98

C&M Health Law

APRIL 21, 2022

Florida Medicaid is administered by the state but jointly funded by both the state and federal governments. The federal government’s Federal Financial Participation (FFP) share is paid according to statements of expenditures submitted by the state and per the formula described in sections 1903 and 1905(b) of the Medicaid Act.

Medicaid 52

Medicaid Medicaid Governance Fraud 52

Bill of Health

NOVEMBER 14, 2022

If a government commits a tort, it can be sued — but the United Nations cannot be. Although Peacekeepers began to take measures to protect themselves from lead-poisoning in 2000, the contaminated camp was not closed until 2013. By Bailey Kennedy. In the meantime, much damage was done.

Public Health 144

Public Health COVID-19 Governance 144

McGuire Wood

OCTOBER 2, 2023

times the amount the government believed was due to improper billing, after a voluntary disclosure to the Department of Justice (DOJ). According to the DOJ press release, from January 2013 to July 2018, Oliver Street, doing business as U.S. This settlement includes more than $5.928 million in restitution, essentially a payment of 1.49

Fraud 52

Fraud Governance Compliance Medicare 52

American Medical Compliance

NOVEMBER 7, 2023

Even with the additional aid of government programs, Americans at the bottom of the income distribution frequently struggle to meet their fundamental necessities on extremely restricted salaries. Looking at Poverty-Related Data Furthermore, data from 2013, 45.3 This includes those with incomes less than 50% of the poverty line.

Compliance 52

Compliance Doctors Governance 52

Healthcare IT Today

NOVEMBER 9, 2023

Principles Concerning Privacy According to Zebley, the privacy team believes that the federal government must update HIPAA, which covers organizations narrowly associated with traditional medical treatment, and regulated the many organizations and digital apps that collect personal health data. HIPAA was last revised in 2013.

Telemedicine 106

Telemedicine HIPAA COVID-19 FDA 106

HIT Consultant

AUGUST 9, 2022

Founded in 2013, Diameter Health’s API Fusion technology automates the process of upcycling clinical data in real-time, turning inconsistent, multi-source and multi-format data into a robust longitudinal data asset. Streamlining Clinical Data Interoperability.

Governance 52

Governance 52

The Health Law Firm

OCTOBER 9, 2013

The report was released on October 8, 2013, by the US Department of Health and Human Services (HHS) Office of Inspector General (OIG). This is according to an audit report of the hospital’s billing practices that found the hospital allegedly overbilled the health care program in 2009 and 2010.

US Department of Health and Human Services 40

US Department of Health and Human Services Medicare Medicare Overpayments 40

Healthcare Compliance Blog

MAY 19, 2022

The voluntary disclosure and investigation revealed that from June 1, 2013, through May 31, 2019, the hospital submitted claims to Medicare for Intensive Cardiac Rehabilitation (ICR) services provided to Medicare beneficiaries.?Before Throughout the investigation, the hospital cooperated with the above entities. to resolve the claims.

US Department of Health and Human Services 59

US Department of Health and Human Services Hospitals Medicare Medicare 59

Healthcare IT News - Telehealth

JULY 19, 2021

" Healthcare is one of the biggest targets for cybercriminals, alongside the government and the financial services industry. Progressive Therapeutics has been using Azalea's EHR-integrated telehealth solution since 2013. Nimish Shah, cofounder of Progressive Therapeutics. MEETING THE CHALLENGE. " ADVICE FOR OTHERS.

COVID-19 155

COVID-19 HIPAA Ransomware Governance 155

Healthcare Blog

OCTOBER 6, 2021

However, this year, great strides were made at the World Health Assembly in May, where governments from around the world recognized the need to increase quality mental health services at all levels.

COVID-19 63

COVID-19 World Health Governance Hospitals 63

MedTrainer

SEPTEMBER 8, 2023

The breach occurred in 2013 when four unencrypted laptops containing the electronic protected health information (ePHI) of over 4 million patients were stolen from an Advocate Health administrative building. Many healthcare facilities rely on reimbursements from government programs such as Medicare and Medicaid. Loss of reimbursements.

Compliance 52

Compliance HIPAA Medicaid Medicaid 52

Healthcare Compliance Blog

JANUARY 14, 2022

The United States alleges that between 2013 and 2018 the shoe company sold diabetic shoe inserts that were represented to be custom made for an individual’s foot but were actually made using generic foot models. The shoe company would also sell the inserts to other providers who then billed government health care programs for custom inserts.

Medicare 59

Medicare Medicare Medicaid Medicaid 59

HIT Consultant

NOVEMBER 8, 2021

The flexibility and cost savings that state-based marketplaces provide empowers state governments to drive real and lasting change in their healthcare markets. States, rather than the federal government, are in the best position to address issues unique to their markets and to their citizens.

Health Insurance 98

Health Insurance Medicaid Medicaid Governance 98

MedTrainer

NOVEMBER 27, 2023

Georgia Healthcare Compliance Resources Let’s start with the important state government agencies you’ll need to work with: The Georgia Department of Public Health (DPH) plays a crucial role in safeguarding the health and well-being of Georgians. Keep reading for resources, tips, and regulations unique to healthcare compliance in Georgia.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

Health Law RX

NOVEMBER 9, 2021

For the first time since 2013, on November 8, 2021, the Department of Health and Human Services Office of Inspector General (“OIG”) updated its Health Care Fraud Self-Disclosure Protocol (“SDP”). The likelihood that a self-discloser would be required to pay a damages multiplier greater than 1.5

Fraud 52

Fraud Overpayments Overpayment Governance 52

The Health Law Firm

MARCH 21, 2016

Board Certified by The Florida Bar in Health On February 3, 2016, the US District Court for the Eastern District of Michigan denied a motion to suppress all evidence of health care fraud seized by the government pursuant to a search warrant of Naseem Minhas’s home health care agency. in December 2013. Indest III, J.D.,

Fraud 40

Fraud Medicare Medicare Governance 40

Bill of Health

APRIL 27, 2022

The EU announced a special derogation in Regulation 2013/576, allowing the import of Ukrainian refugee pets without meeting standard requirements. Many governments have welcomed Ukrainian pets with or without their owners, and without documentation, rabies vaccine, and/or microchip.

Governance 260

Governance Bioethics Public Health 260

Natalia Mazina

FEBRUARY 10, 2022

MG Pharmacy – a family-owned Arizona pharmacy – has been having issues with Cardinal since 2013, when Cardinal placed a cap on how much oxycodone the pharmacy was able to order per month (up to 3,500 dosage units). The pharmacy’s orders of CS had been consistent for years and were within the previously set cap.

Nurses 52

Nurses Governance 52

C&M Health Law

FEBRUARY 3, 2022

In the broader context, ONC has been working on governance for a nationwide health information exchange for over a decade. Although funded by the government, there was very little transparency on the process for drafting the framework or on the process for consideration of those comments. Government Benefits Determination.

Governance 52

Governance Public Health 52

Healthcare Compliance Blog

MAY 9, 2022

million to the United States government to settle claims of improperly billing the Medicare Program for home health services provided to beneficiaries living in Florida. A home health services company headquartered in Kentucky, and its related entities, paid $2.1

US Department of Health and Human Services 59

US Department of Health and Human Services Medicare Medicare Compliance 59

American Medical Compliance

FEBRUARY 23, 2023

If a company is recognized as a covered entity, it must adhere to the HIPAA laws and regulations governing the privacy and security of health information. HIPAA requires companies to notify the government of data breaches when they occur. The government can fine providers up to $1.5 million per year.

HIPAA 52

HIPAA Compliance Governance Health Insurance 52

HIT Consultant

JANUARY 24, 2024

Doing so requires ongoing governance and responsible data practices — and AI enables the collection and analysis of much more data than a human team. Eric also was a leader at ExactTarget, a marketing technology giant in Indianapolis that sold to Salesforce in 2013.

Governance 52

Governance HIPAA Compliance 52

Verisys

NOVEMBER 14, 2023

A healthcare facility’s accountability and overall reputation are dependent upon rigorous credentialing processes compliant with governing regulatory bodies, such as the National Committee for Quality Assurance. It is critical for hospitals and health systems to know that everyone on the staff is compliant and in good standing at all times.

Licensing 52

Licensing Medicaid Medicaid Governance 52

Healthcare IT Today

AUGUST 7, 2022

Cybersecurity company Surfshark found the number of government requests for user data increased 4x from 2013 to 2020 among Apple, Google, Facebook, and Microsoft. The four companies submitted user data to governments between 69% and 80% of the time. Facebook accounted for 40% of all requests, compared to just 7% for Apple.

Governance 88

Governance Telemedicine Medicaid Medicaid 88

Healthcare IT Today

AUGUST 19, 2022

Diameter’s best-of-breed technology achieves unparalleled speed and scale and is used by national and regional health plans, healthcare technology developers, government entities, insurtech providers, and health information exchanges. For more information, visit [link] com/ or contact info@diameterhealth.com.

Governance 88

Governance Health Insurance Health Outcomes 88

Med-Net Compliance

SEPTEMBER 9, 2022

From January 13, 2013, through April 12, 2019, the ophthalmologist routinely administered vascular endothelial growth factor inhibitor injections into the eyes of patients to treat purported wet age-related macular degeneration (Wet-AMD) or other ophthalmological conditions for which treatment with such injections is indicated.

Medicare 59

Medicare Medicare Medicaid Medicaid 59