Health Law Advisor

FEBRUARY 3, 2022

Whistleblowers (known as “relators” under the FCA) filed 598 new actions under the qui tam provisions of the FCA in FY 2021, a decrease from the 675 actions filed in FY 2020, and the lowest number of filings since FY 2010. WHISTLEBLOWER ACTIONS AND AWARDS REACH DECADE LOW. INCREASE IN RECOVERIES FROM DECLINED QUI TAM CASES.

Fraud 52

Fraud COVID-19 Governance Medicare 52

Bill of Health

MARCH 14, 2024

Kenya also reduced restrictions through constitutional reform, mandating in its 2010 constitution that abortion be available as emergency treatment and when there is a danger to the mother’s life or health. Her advocacy led to legal reform processes in Mozambique, Sierra Leone, Benin, Eswatini, and Kenya.

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Doctors World Health Governance Public Health 111

MedTrainer

JANUARY 12, 2024

Healthcare compliance is the process of following the laws, regulations, and ethical standards that govern the healthcare industry. Medicare and Medicaid (1960s): The introduction of government-funded healthcare programs brought about increased scrutiny and regulation. What is Healthcare Compliance?

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Compliance HIPAA Telemedicine ACA 52

Healthcare IT Today

NOVEMBER 4, 2022

EHR vendor Modernizing Medicine has agreed to pay $45 million to the federal government to settle a whistleblower suit alleging that the vendor engaged in varied kickback schemes as well as causing its provider customers to submit false claims. The lawsuit was filed in 2017 by law firms Phillips and Cohen LLP and Downs Rachlin Martin PLLC.

Governance 62

Governance Fraud 62

Healthcare IT Today

OCTOBER 12, 2023

The Centers for Medicare & Medicaid Services (CMS) have taken a bold step by mandating a standard for prior authorization. Yet in a traditional fee-for-service payment model, prior authorization by payers is absolutely crucial. The release of FHIR in the mid-2010 decade changed everything.

Electronic Medical Records 93

Electronic Medical Records Doctors Governance Medicaid 93

Healthcare Law Blog

JANUARY 26, 2023

Department of Health and Human Services (“HHS”) published a notice of proposed rulemaking entitled “Safeguarding the Rights of Conscience as Protected by Federal Statutes” (the “ Proposed Rule “). The Church Amendments In the 1970s, the federal government enacted the Church Amendments, 42 U.S.C. On January 5, 2023, the U.S.

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ACA Medicaid Medicaid Compliance 105

Healthcare Compliance Blog

FEBRUARY 15, 2022

In 2009 and 2010, further improvements were made to the False Claims Act and its whistleblower provisions. Congress strengthened the False Claims Act by increasing incentives for whistleblowers to file lawsuits alleging false claims on behalf of the government. billion recovered under the qui tam provisions of the False Claims Act.

Fraud 59

Fraud Governance Compliance Medicare 59

Health Populi

FEBRUARY 18, 2020

In The Rural Health Safety Net Under Pressure: Rural Hospital Vulnerability, the Chartis team documents the erosion of these small, remote institutions which provide the only inpatient resource for health citizens living in their geographically large service areas. The first line chart illustrates rural hospital closures since 2010.

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Hospitals Medicaid Medicaid Health Care Reform 103

Healthcare Compliance Blog

MAY 17, 2022

The National Background Check Program, enacted by legislation in 2010, provides grants to states and territories to assist them in developing and improving systems to conduct federal and state background checks of prospective LTC employees.

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Medicaid Medicaid Medicare Medicare 59

Kaiser Health News

JULY 14, 2023

The proposal would have moved more than 200 people off waiting lists for government-supported care and saved the state money by accessing more federal Medicaid money to cover their costs and the cost of those already in assisted living. A person who qualifies for Medicaid gets whatever services are covered under the program.

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Medicaid Medicaid Nursing Homes Nurses 72

The Health Law Firm

OCTOBER 9, 2013

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. The report was released on October 8, 2013, by the US Department of Health and Human Services (HHS) Office of Inspector General (OIG).

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US Department of Health and Human Services Medicare Medicare Overpayments 40

The Health Law Firm

NOVEMBER 24, 2015

Board Certified by The Florida Bar in Health Law The University of Florida (UF) has agreed to pay nearly $20 million to the federal government to settle allegations brought under the False Claims Act. According to the investigation, the improper use of funds occurred from 2005 to 2010 at the UF campuses in Gainesville and Jacksonville.

US Department of Health and Human Services 52

US Department of Health and Human Services Governance 52

Kaiser Health News

JULY 6, 2022

Since late 2010, when this provision of the ACA took effect, many patients have paid nothing when they undergo routine mammograms, get one of more than a dozen vaccines, receive birth control, or are screened for other conditions, including diabetes, colon cancer, depression, and sexually transmitted diseases. One of those is the U.S.

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ACA Medicare Medicare Medicaid 80

Total Medical Compliance Resources

NOVEMBER 17, 2023

In 2010, a nurse posted on social media after treating the suspect in the fatal shooting of a police officer. With a proactive approach, practices can effectively protect patient privacy in the age of social media while continuing to provide quality healthcare services. Full list of the identifiers available here.

HIPAA 52

HIPAA Compliance Nurses Governance 52

HIT Consultant

SEPTEMBER 19, 2022

What You Should Know: – McKinsey & Company’s latest report reveals inflation could result in $370 billion in an additional increase above the baseline in healthcare costs by 2027, causing the government, employers and consumers to burden the cost. Meanwhile, rising interest rates are increasing federal-debt service costs.

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COVID-19 Governance Nurses 98

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

HIT Consultant

DECEMBER 29, 2022

Yet, teens with the diagnosis receive healthcare transition services, including speech therapy, half as often as those with other special needs. Focusing on SDoH stressors rapidly changed hospital services to manage the transition from the patient to the outpatient setting. The federal government is working to improve access.

COVID-19 98

COVID-19 Hospitals Licensing Doctors 98

C&M Health Law

JANUARY 25, 2023

trillion spending package, which consists of all 12 fiscal year (FY) 2023 appropriations bills and funds the federal government through September 30, 2023, provides additional assistance to Ukraine, and makes numerous health care policy changes. 117-164 ) (the “Act”)—an approximately $1.7

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Medicaid Medicaid Medicare Medicare 104

Healthcare IT Today

FEBRUARY 7, 2024

State governments are also roped in thanks to their Prescription Drug Monitoring Programs (PDMPs). Colin Banas, chief medical officer at DrFirst , they initiated EPCS in 2010, partnering with the Massachusetts Department of Health. Drug abuse is clearly a leading social problem, and prescriptions notoriously play a large part.

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Telemedicine Doctors COVID-19 Medicare 109

HIT Consultant

DECEMBER 2, 2022

Even so, the organization is currently in the process of expanding beyond traditional correctional settings, recently beginning to provide child psychiatric services, mental health treatment, and substance use services to the general population. The company was formed by combining Trinity Services Group, which H.I.G.

COVID-19 98

COVID-19 Nurses Health Services Administration Governance 98

Healthcare IT News - Telehealth

JULY 19, 2021

The practice was an early adopter of telehealth back in 2010, implementing it as a way to care for people unable to attend in-person sessions. " Healthcare is one of the biggest targets for cybercriminals, alongside the government and the financial services industry. THE PROBLEM. " ADVICE FOR OTHERS.

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COVID-19 HIPAA Ransomware Governance 161

Kaiser Health News

JULY 11, 2023

Policy analysts at KFF estimated the total value of nonprofit hospitals’ exemptions in 2020 at about $28 billion, much higher than the $16 billion in free or discounted services they provided through the charity care portion of their community benefits. “It’s not clear what a hospital has to do to justify a tax exemption.

Hospitals 66

Hospitals Medicaid Medicaid Medical Billing 66

HIT Consultant

SEPTEMBER 2, 2022

Tailored Healthcare Services – As one treatment does not necessarily fit all, femtech is adding features to their digital tools as well as apps to provide customizable solutions that help women to feel better physically at an early stage.

FDA 98

FDA World Health Nurses Governance 98

Innovaare Compliance

FEBRUARY 9, 2021

Annually, the Centers for Medicare & Medicaid Services (CMS) releases star ratings, which measure the quality of care health plans deliver for its members. 1 The goal is to ensure health plans commit to improving their performance as it relates to disease management, preventive care and customer service. December 2010. .

Medicare 40

Medicare Medicare Medicaid Medicaid 40

HIT Consultant

AUGUST 13, 2011

Wagner Graduate School of Public Service Abstract: IT governance has been topic of interest for many years, and even though the concept has been embraced within the healthcare industry, the reality is that it’s still not operationally working well within most healthcare organizations. Click here to download this white paper.

Governance 40

Governance 40

Healthcare IT News - Telehealth

NOVEMBER 27, 2019

But at the tail end of the 'teens, we see a flowering of innovation that could only have been dreamed of in 2010. Congress, government agencies, presidential candidates, consumers and the industry itself talk about the need to lower healthcare costs, but what does this entail? by September 30, 2019.

Telemedicine 84

Telemedicine Health Analytics Governance Hospitals 84

Health Law Advisor

MARCH 1, 2023

1] Originally enacted in 2010, the Online Prescribing Act has allowed health care providers to register with the State to prescribe and dispense certain FDA-approved drugs via online pharmacies and utilization of telehealth visits. Attorney General and the Secretary of Health and Human Services through regulation.

Telemedicine 52

Telemedicine COVID-19 Fraud Licensing 52

HIPAA Journal

MARCH 31, 2023

This is because each state has its own laws governing the retention of medical records, and – unlike in other areas of the Healthcare Insurance Portability and Accountability Act – HIPAA does not pre-empt state data retention laws. In some cases, this can mean retaining records indefinitely.

HIPAA 125

HIPAA Medicare Medicare Compliance 125

Bill of Health

FEBRUARY 29, 2024

However, severe climate hazards coupled with institutional and structural barriers and limited government responses are challenging their ability to adapt. Strikingly, the glacier area in Nepal decreased 24% from 1980-2010, and glacial retreat has decreased mountain slope stability.

Informed Consent 201

Informed Consent Governance Compliance Public Health 201

Kaiser Health News

JUNE 16, 2022

Patient debt is piling up despite the landmark 2010 Affordable Care Act. ” Today, debt from medical and dental bills touches nearly every corner of American society, burdening even those with insurance coverage through work or government programs such as Medicare. “There was no notion of being in medical arrears.”

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US Department of Health and Human Services Medical Billing Hospitals Medicare 145

Kaiser Health News

JANUARY 12, 2023

A growing number of states are pressuring the Department of Health and Human Services to allow them to import cheaper prescription drugs from Canada — or, more accurately, importing Canada’s price controls. But also, for the first time, Medicare, or the federal government is starting to take on drug prices directly.

US Department of Health and Human Services 52

US Department of Health and Human Services FDA Medicare Medicare 52

HIT Consultant

JUNE 29, 2023

In the report, The Yale Center for Clinical Investigation cited the success of their 2010-initiated ambassador program, reporting, “the proportion of patients in trials from a racial and ethnic group other than non-Hispanic White increased from 3 percent in 2010 to 32 percent in 2021. ”

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FDA Governance 98

HIT Consultant

JULY 28, 2022

Between 2010 and 2020, the NASDAQ experienced a 17.1% In the first half of 2022, we have observed that a few sectors saw their median multiples tick up relative to the period between January 2017 – December 2021, namely Analytics (by 1.3x), Infrastructure Technology (by 0.9x), and RCM Services (by 0.7x).

US Department of Health and Human Services 98

US Department of Health and Human Services COVID-19 Health Insurance Telemedicine 98

Health Populi

OCTOBER 28, 2019

also say that income inequality and inadequate social services significantly contribute to high medical spending for every health citizen in the nation. Health Populi’s Hot Points: Americans’ mentions of “government” as a top U.S. Americans pointed to government as the top problem in the U.S.,

Single Payer Health Care 52

Single Payer Health Care Medical Billing Health Care Reform Governance 52

Health Populi

MARCH 13, 2019

The authors note that “consumer-driven” health care is, “associated with neoliberal efforts to emphasize market factors in health reform,” de-emphasizing government regulation and financing. Asking consumers to shop for services and be “prudent purchasers” of services?

ACA 102

ACA Health Insurance Bioethics Prescription Drug Pricing 102

Bill of Health

FEBRUARY 28, 2023

That approach successfully transformed public and private health care — albeit not without challenges for coordination and political resistance — through the Patient Protection and Affordable Care Act of 2010. This was accomplished by the U.S. The Head Start order remains effective.

Public Health 176

Public Health COVID-19 Medicaid Medicaid 176

Drug & Device Law

JULY 31, 2023

Courts are unanimous in refusing to categorize commercially-provided services as products.” Since digital files were not “articles” under the statute, the government could not rely on this statute to prevent their importation. 19, comment d. 19, comment f. at 1291-93 (construing 19 U.S.C. at 1291-92. at 1293-94. Aleynikov , 676 F.3d

Governance 52

Governance Payment Systems Hospitals Licensing 52