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Preventing Unlicensed Individuals and Subsequent Fraudulent Claims Submission

Provider Trust

District Attorney alleges that Pickering was hired in 2019 as a licensed physician’s assistant at a family practice in Norcross, Georgia but had not been a licensed physician’s assistant in Georgia, or any state, since March 2014. The Importance of Conducting License Verification and Monitoring. According to the U.S.

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DOJ charges four in $37M global telehealth fraud scheme

Healthcare IT News - Telehealth

Department of Justice announced this past Friday that it had charged four people, one of whom is a licensed physician, in an international telehealth fraud and kickback scheme. WHY IT MATTERS.

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CMS Issues Contract Year 2023 Final Rule for Medicare Advantage Organizations and Prescription Drug Sponsors

Healthcare Law Blog

On April 29, 2022 , the Centers for Medicare and Medicaid Services (“CMS”), issued the final rule on Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs (the “Final Rule”). With a few exceptions, the Final Rule is a wholesale codification of the proposed rule.

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CMS’ Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs

Healthcare Law Blog

On January 6, 2022 , the Centers for Medicare and Medicaid Services (“CMS”) issued the proposed rule on Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs (the “Proposed Rule”). Refining Definitions for Fully Integrated and Highly Integrated D-SNPs (§§ 422.2

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Weekly Health Care Real Estate Briefing: Molina Divests 2/3rds of RE Footprint | Capital Outlook Strong | Nurses Inform Hospital Design

Hall Render

After more than 5 years of litigation on the state’s hospital property tax exemption statute, the law was signed in February 2021 and provides for a per-day “community service contribution” levied on each licensed bed in certain health care facilities. Medicare payment bump for 2023.

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Health Provider News – April 1, 2022

Hall Render

Arizona extends temporary licenses for healthcare workers. Governor Ducey Signs Bill Extending Temporary Health Care Professional Licenses. Ducey signs bill extending temporary health care worker licenses in Arizona. Florida therapists could be out of a job if they don’t meet new licensing deadline. NEW JERSEY.

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CMS Names Its First Ten Negotiated Part D Drugs: Inflation Reduction Act Updates

Health Law Advisor

On August 29, 2023, the Centers for Medicare & Medicaid Services (CMS) announced the ten (10) Medicare Part D drugs selected for the first round of negotiations of the Medicare Drug Price Negotiation Program (Program)—a few days before the September 1, 2023, statutory deadline imposed by the Inflation Reduction Act (IRA).