Bill of Health

DECEMBER 18, 2023

One place where aging adults are likely to experience elder abuse occurs in long-term care (LTC) environments; this has been described as a “public health concern” in relation to the nursing home setting. who are charged with overseeing regulatory compliance.

Elder Abuse 300

Elder Abuse Nursing Homes Nurses Public Health 300

Health Law Advisor

AUGUST 14, 2023

1] With the end of the PHE having occurred over three months ago, that temporary waiver of sanctions ended and can no longer be relied upon for legal compliance with the Stark Law. [2] 9] See OIG Special Advisory Bulletin on Contractual Joint Ventures, April 2003, available at [link] (last accessed Aug. 11, 2023)

COVID-19 52

COVID-19 Medicare Medicare Public Health 52

HIPAA Journal

DECEMBER 30, 2022

Since 2003, the HHS’ Office for Civil Rights has received more than 300,000 complaints and rejected more than 200,000. Certain types of externally administered self-insured health plans have already been provided as an example a partial entity, and a further example is prescription drug card sponsors.

HIPAA 92

HIPAA US Department of Health and Human Services Health Insurance COVID-19 92

HIPAA Journal

MARCH 13, 2022

Although the answer to the question is HIPAA is federal law is yes, there are occasions when HIPAA is pre-empted by state laws or other federal laws – adding to the complexity of compliance. required certain health plan reporting, such as for management or financial audits. Is HIPAA a Federal Law? This depends on the nature of the law.

HIPAA 57

HIPAA Compliance Health Services Administration Public Health 57

Innovaare Compliance

MARCH 4, 2024

When a public health emergency (PHE) was in effect, CMS noticed that Part B versus Part D evaluation was omitted. D’ determination (PA 3) is allowed during a beneficiary’s transition period as a utilization management edit. Some plan sponsors failed to perform this evaluation in claim adjudication.

Medicare 52

Medicare Medicare Nurses Medicaid 52

HIPAA Journal

APRIL 5, 2023

To find further evidence supporting this statement, you need only visit the Enforcement Highlights page on the Department of Health and Human Services (HHS) website. The page reveals that, since 2003, the agency has received more than 300,000 complaints alleging violations of HIPAA.

HIPAA 73

HIPAA Hospitals Compliance Medical Personnel 73

HIPAA Journal

JANUARY 23, 2024

The Department of Health and Human Services (HHS) Office of Inspector General (OIG) has added the founder and CEO of the health technology firm Theranos, Inc. to the OIG exclusion list , which means Elizabeth Holmes is prohibited from participation in Federal health care programs for 90 years.

Fraud 73

Fraud FDA Medicaid Medicaid 73