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OIG-LEIE, GSA-SAM, and State Medicaid Exclusion Lists: What’s the Difference?

Provider Trust

Exclusions are administrative actions that are placed upon an individual or entity by HHS OIG, a state agency or Medicaid Fraud Control Unit (MFCU), or by one of the many agencies associated with SAM.gov. Additionally, there are varying, disparate State Medicaid exclusions sources that require periodic screening.

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Data Breach Affects 120,000 Priority Health Plan Members

HIPAA Journal

The affected information included names, pharmacy claim information from certain prescriptions filled in 2012, including drug names, prescription filling dates, and insurance provider names. WNJ said it found no evidence of misuse of plan members’ information, but the possibility of data theft could not be ruled out.

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CMS Updates IPPS Rates, Wage Index and DSH Uncompensated Care in 2024 Final Rule

Hall Render

On August 1, 2023, the Centers for Medicare & Medicaid Services (“CMS”) issued its Final Hospital Inpatient Prospective Payment System (“IPPS”) and Long-Term Care Hospital (“LTCH”) PPS rule for fiscal year (“FY”) 2024 (“Final Rule”). The Final Rule increases the rate for IPPS payments by 3.3% in FY 2024 but applies a 0.2%

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October-December 2021 State Regulatory Developments

New Jersey Healthcare Blog

This notice extends the waiver of the continuing education requirements for current active health officers and REHSs who are renewing their license for the 2022 licensing period. The Manual extends Medicaid eligibility to certain persons not eligible under the provisions at N.J.A.C. See N.J.A.C. 8:7-1.11, 1.12, 1.13, 1.17.

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Florida Nurse Charged With Patient Abuse

The Health Law Firm

A licensed practical nurse (LPN) at Florida State Hospital has been arrested and charged with one count of abuse of a disabled adult at the hospital. The nurse was arrested on a felony warrant by the Attorney General’s Medicaid Fraud Control Unit (MFCU). The arrest was announced by the Florida Attorney General on June 29, 2012.

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Why Family Caregivers Need Help from the Healthcare Establishment

HIT Consultant

It doesn’t even take you to the Centers for Medicare & Medicaid Services (CMS) website. It is true that licensed nursing agencies are available to take much of the burden off family caregivers, but the cost of such services is beyond the reach of many of those who need it most. Try Googling the word “caregiving.”

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Telehealth Awareness, Access and Adoption: Updates from J.D. Power, the ATA and FAIR Health

Health Populi

” All 50 state Medicaid agencies have adopted some coverage for telehealth, with 10 states not advancing coverage since 2017. There’s a move among state Medicaid programs to migrate from traditional hub-and-spoke models of care, with 29 states not specifying a specific patient setting for payment. health care system.