Health Care Law Brief

FEBRUARY 8, 2024

billion to fund Medicaid, $4.8 In addition to those provisions that look to extend current government programs, the HMH Bill proposes the following new initiatives: Provider Specific Provisions : Transforming Safety Net Hospitals. The HSNT Program would authorize the issuance of grant funds to safety net hospitals.

Medicaid 52

Medicaid Medicaid Nurses Licensing 52

Verisys

FEBRUARY 9, 2024

Here is a round up of bad actors: Physician Fraud Glastonbury Psychologist Admits Defrauding Medicaid of More Than $1.6 Here is a round up of bad actors: Physician Fraud Glastonbury Psychologist Admits Defrauding Medicaid of More Than $1.6 Million Civil Judgment and Drug Treatment Center Enters Settlement to Pay $2.2

Fraud 52

Fraud Medicaid Medicaid Medicare 52

MedTrainer

NOVEMBER 27, 2023

Ohio Healthcare Compliance Resources Let’s start with the important state government agencies you’ll need to work with: The Ohio Department of Health (ODH) is key to safeguarding and enhancing the health of Ohio residents. For over a century, OHA has been dedicated to assisting member hospitals in addressing community health needs.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

MedTrainer

DECEMBER 4, 2023

Kentucky Healthcare Compliance Resources Let’s start with the important state government agencies you’ll need to work with: The Kentucky Department for Public Health (DPH) plays a vital role in promoting and protecting the health and wellness of the citizens of Kentucky through various programs, initiatives, and health services.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

MedTrainer

NOVEMBER 27, 2023

The North Carolina Healthcare Association (NCHA) advocates for an array of health systems in the state, including teaching, rural, suburban, and specialty hospitals, along with facilities providing acute, rehabilitative, behavioral, psychiatric, and veterans’ services.

Compliance 52

Compliance Licensing Telemedicine Medicaid 52

Healthcare IT News - Telehealth

MAY 30, 2023

This change is yet another signal that the country is working to move past the pandemic, which falls in line with recent moves by the federal government to move the pandemic to a more controlled phase. Further, what should CIOs and other health IT leaders at hospitals and health systems be doing to address new telemedicine challenges?

Telemedicine 189

Telemedicine COVID-19 Governance Medicare 189

MedTrainer

MAY 10, 2024

Credentialing confirms the providers’ eligibility to bill for services under government and accreditation regulations. Here’s what a typical credentialer’s workflow looks like: Like other providers, mental health professionals must be licensed in states where they offer services and enrolled with payers doing business in those areas.

Licensing 52

Licensing ACA Medicare Medicare 52

Verisys

DECEMBER 5, 2023

For the medical staff services team at a hospital to properly verify a healthcare practitioner’s credentials, dozens of primary sources must be contacted directly, and those primary source organizations must then verify the credentials of the practitioner in question. State licensing boards verify practitioner license type and status.

Governance 52

Governance Licensing Malpractice Medicaid 52

MedTrainer

NOVEMBER 29, 2023

The South Carolina Hospital Association (SCHA) is a private, non-profit organization dedicated to supporting and advocating for hospitals and health systems in South Carolina, aiming to improve healthcare quality and access across the state.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

MedTrainer

NOVEMBER 30, 2023

Like other regions in the United States, Wisconsin is characterized by its unique blend of rules and mandates that govern healthcare compliance within the state. Medicaid Telehealth Services For healthcare providers and compliance professionals in Wisconsin, the Medicaid Telehealth Expansion is an important policy to consider.

Compliance 52

Compliance Medicaid Medicaid Licensing 52

The Health Law Firm Blog

NOVEMBER 18, 2023

Supreme Court said the federal government improperly cut more than $1 billion a year in Medicare reimbursements to hospitals. Indest III, J.D., Board Certified by The Florida Bar in Health Law On June 15, 2022, the U.S. This came in a ruling that limits regulators’ power to control what the program pays for certain [.]

Medicare 40

Medicare Medicare Hospitals Governance 40

MedTrainer

MAY 21, 2024

The Centers for Medicare and Medicaid Services (CMS) defines behavioral health as the emotions and behaviors that affect your overall well-being. This article will explore the requirements for behavioral health training, the entities that govern required and recommended courses, and ways to simplify training delivery.

Compliance 52

Compliance Medicaid Medicaid HIPAA 52

MedTrainer

DECEMBER 7, 2023

The Maine Hospital Association (MHA) is a pivotal organization that advocates for and supports hospitals and health care systems across Maine, striving to improve healthcare quality and accessibility for all Mainers.

Compliance 52

Compliance Licensing Compliance Officers Medicaid 52

MedTrainer

DECEMBER 7, 2023

The New Mexico Hospital Association (NMHA) is a non-profit organization that advocates for and supports hospitals and healthcare providers across New Mexico, focusing on improving healthcare delivery and patient care throughout the state.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

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. Operating a pain management clinic without a license is a felony.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

MedTrainer

DECEMBER 7, 2023

State-specific governing bodies, such as the Bureau of Facility Standards , provide oversight with certain standards, adding a layer of complexity to successfully managing healthcare compliance in Idaho. Telehealth appointments are fully reimbursable so long as the provider is licensed in the patient’s state.

Compliance 52

Compliance Licensing Compliance Officers Informed Consent 52

Healthcare Law Blog

MAY 10, 2023

Summary: California lawmakers have greenlighted emergency loans to support struggling hospitals facing financial challenges across the state. These loans will serve as a critical lifeline, helping eligible hospitals stabilize operations and navigate through turbulent times. a hospital that closed after January 1, 2022).

Hospitals 52

Hospitals COVID-19 Health Care Access Licensing 52

MedTrainer

NOVEMBER 29, 2023

Louisiana Healthcare Compliance Resources Let’s start with the important state government agencies you’ll need to work with: The Louisiana Department of Health (LDH) is the state agency responsible for public health initiatives, healthcare policy, and overseeing medical services and facilities throughout Louisiana.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

The Health Law Firm Blog

AUGUST 23, 2022

Supreme Court said the federal government improperly cut more than $1 billion a year in Medicare reimbursements to hospitals. Indest III, J.D., Board Certified by The Florida Bar in Health Law On June 15, 2022, the U.S. This came in a ruling that limits regulators’ power to control what the program pays for certain [.].

Medicare 52

Medicare Medicare Hospitals Governance 52

Provider Trust

JULY 8, 2022

A holistic approach to exclusion monitoring and license verifications must include monitoring of disciplinary databases such as the National Practitioner Data Bank (NPDB). This prevents practitioners from moving from state to state or hospital to hospital with a hidden record. What is the National Practitioner Data Bank (NPDB)?

Licensing 52

Licensing Malpractice Fraud Compliance 52

Verisys

NOVEMBER 14, 2023

The Importance of Thorough Credentialing The credentialing process for hospitals and health systems prioritizes in-depth research and meticulous accuracy, which means that it is not a speedy process, often taking from 90 to 120 days to complete. However, verifying a provider’s credentials is essential.

Licensing 52

Licensing Medicaid Medicaid Governance 52

Verisys

FEBRUARY 14, 2024

Governance, Risk Management, and Compliance (GRC) in healthcare is an integrated approach that helps healthcare organizations manage their overall governance, enterprise risk management, and comply with regulatory requirements in a cohesive and aligned manner. What is healthcare data governance? What is GRC in Healthcare?

Governance 52

Governance Compliance Regulatory Compliance Compliance Framework 52

MedTrainer

MARCH 14, 2024

The specialist authenticates the provider’s education, work history, licenses, and other information during provider credentialing. Courtesy: This is when a hospital occasionally allows a provider to admit and treat a patient. However, not all providers need hospital privileges.

Malpractice 52

Malpractice Licensing Hospitals Compliance 52

MedTrainer

NOVEMBER 30, 2023

Minnesota, distinct from other states, carries a unique landscape of regulations and standards that govern its healthcare compliance. The Minnesota Board of Medical Practice is a regulatory body responsible for licensing medical professionals and ensuring the ethical and competent practice of medicine within the state of Minnesota.

Compliance 52

Compliance Licensing Public Health Governance 52

MedTrainer

FEBRUARY 12, 2024

In this blog, we’ll outline why reporting healthcare non-compliance is non-negotiable and how software platforms make it easier to stay in compliance with the myriad regulations that govern good healthcare. Healthcare compliance is the process of following the laws, regulations, and ethical standards that govern the healthcare industry.

Compliance 52

Compliance Licensing Governance Fraud 52

Healthcare Law Today

DECEMBER 7, 2022

On Friday, December 2, 2022, the Centers for Medicare & Medicaid Services (CMS) issued an FAQ regarding the Good Faith Estimate (GFE) and Convening Provider/Facility requirements in the Federal No Surprises Act. a physician or other health care provider acting in the scope of a license) and health care facilities (i.e.,

Licensing 52

Licensing Telemedicine Medicaid Medicaid 52

MedTrainer

NOVEMBER 28, 2023

Michigan Healthcare Compliance Resources Let’s start with the important state government agencies you’ll need to work with: The Michigan Department of Health and Human Services (MDHHS) focuses on safeguarding public health, implementing health programs, and ensuring the overall health and safety of the population.

Compliance 52

Compliance Licensing Public Health Compliance Officers 52

MedTrainer

NOVEMBER 29, 2023

For healthcare compliance programs in Indiana to be successful, organizations must have methods in place for tracking and applying regulatory standards, while ensuring all staff are up to date with changes by governing bodies. This article provides an overview of the important aspects to healthcare compliance specific to Indiana State.

Compliance 52

Compliance Licensing Governance Public Health 52

MedTrainer

MAY 6, 2024

Here are the key steps: Gather Training and Education Gather Licensing and Certification Gather Work History Details Gather Payer-Specific Requirements Following Application Submission Get the tools you need to eliminate delays in your provider enrollment process.

Licensing 52

Licensing Malpractice Health Insurance Medicaid 52

MedTrainer

DECEMBER 4, 2023

The Nebraska Hospital Association (NHA) represents and advocates for Nebraska’s hospitals and health systems, working to improve healthcare delivery and patient care across the state. The CE requirement is required not only for license renewal, but to ensure providers know how to confidently navigate the state’s PDMP.

Compliance 52

Compliance Licensing Nursing Homes Nurses 52

MedTrainer

NOVEMBER 20, 2023

Texas Healthcare Compliance Resources Let’s start with the important state government agencies you’ll need to work with: The Texas Department of State Health Services (DSHS) plays a crucial role in promoting the health and wellbeing of Texans. The Texas HHS oversees regulations for Medicare- and state Medicaid-funded services.

Compliance 52

Compliance Licensing Public Health Governance 52

MedTrainer

NOVEMBER 14, 2023

In Virginia, healthcare compliance may differ in Medicaid policies, telehealth regulations, scope of practice for healthcare professionals, certificate of need (CON) laws, and specific state mandates related to healthcare reporting and licensing.

Compliance 52

Compliance Licensing Governance Hospitals 52

Healthcare IT News - Telehealth

OCTOBER 2, 2020

Department of Health and Human Services to issue guidance to states about how to increase access to telehealth under Medicaid and the Children’s Health Insurance Program. Examples of states that have used waivers under the Medicaid program to test expanded access to telehealth. WHY IT MATTERS. healthcare system."

US Department of Health and Human Services 151

US Department of Health and Human Services COVID-19 Medicaid Medicaid 151

MedTrainer

NOVEMBER 14, 2023

Healthcare compliance is the process of following the laws, regulations, and ethical standards that govern the healthcare industry. Exclusion from Government Programs: Entities found non-compliant may be barred from participating in government healthcare programs like Medicare and Medicaid. What Is Healthcare Compliance?

Compliance 52

Compliance HIPAA Governance Medicare 52

MedTrainer

DECEMBER 7, 2023

For example, the Office of Health Care Assurance (OHCA) is one governing body that healthcare professionals need to understand in order to manage organizational licensure and healthcare compliance in Hawaii effectively. As with any inter-state provider pact, physicians are required to meet the licensing requirements of the pact.

Compliance 52

Compliance Compliance Officers Licensing Medicaid 52

MedTrainer

NOVEMBER 20, 2023

Florida Healthcare Compliance Resources Let’s start with the important state government agencies you’ll need to work with: The Florida Department of Health (DOH) plays a crucial role in promoting and safeguarding the wellbeing of Floridians. While many states have rules that prohibit the storage of Medicaid data outside the U.S.,

Compliance 52

Compliance Licensing Regulatory Compliance Medicaid 52

MedTrainer

NOVEMBER 28, 2023

New Jersey Healthcare Compliance Resources Let’s start with the important state government agencies you’ll need to work with: The New Jersey Department of Health (NJDOH) oversees various departments and initiatives aimed at ensuring public health, such as disease control, environmental health, emergency preparedness, and health equity.

Compliance 52

Compliance Licensing Medicaid Medicaid 52