Med Law Blog

FEBRUARY 8, 2024

Penn State Health has agreed to pay $11,712,336 to settle allegations of civil liability from submitting improper claims to Medicare for Annual Wellness Visit services. Once the improper claims were discovered, Penn State Health promptly took corrective action and disclosed the matter to the United States Attorney’s Office.

Medicare 59

Medicare Medicare 59

The Health Law Firm

JANUARY 15, 2016

Board Certified by The Florida Bar in Health Law Two qui tam settlements taking place at the tail-end of 2015, were originally filed by former employees of the hospitals. He was the Executive Medical Director of Cardiovascular Services. Both cases settled in December 2015, at the cusp of the new year. Indest III, J.D.,

Hospitals 40

Hospitals Compliance 40

Healthcare It News

NOVEMBER 3, 2022

It is a collaboration between UQ, the Institute for Urban Indigenous Health, Mater Health, Metro North Hospital and Health Service, CSIRO, Queensland Cyber Infrastructure Foundation and the Queensland University of Technology. Between 2015-2019, around 600 indigenous children aged 0-4 died, mostly infants. WHY IT MATTERS.

Health Outcomes 189

Health Outcomes Governance Hospitals 189

Health Law Advisor

FEBRUARY 2, 2023

On February 1, 2023, the Centers for Medicare & Medicaid Services (CMS) published a final rule outlining its audit methodology and related policies for its Medicare Advantage (MA) Risk Adjustment Data Validation (RADV) program. CMS also stated in the final rule that it will not apply a Fee-For-Service (FFS) Adjuster in its RADV audits.

Medicare 98

Medicare Medicare Overpayments Overpayment 98

McGuire Wood

DECEMBER 11, 2023

is a middle market private equity firm that invests in healthcare services and several other sectors. Founded in 2015, the firm targets companies with up to $500 million in revenue. Gemspring , based in Westport, Conn.,

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Healthcare Law Blog

FEBRUARY 9, 2024

2] Specifically, Sherman alleged that ChristianaCare violated the FCA and DE FCA by providing “in-kind” services to physician groups that were captured in the bundled billing codes submitted to federal health care programs by the groups themselves. ChristianaCare did not admit liability as part of the settlement.

Hospitals 52

Hospitals Compliance Officers Compliance Overpayments 52

Healthcare It News

MAY 5, 2023

He first joined the company, then Allscripts, in 2015 as an associate VP for Strategic Accounts in ANZ before becoming the general manager in 2018. Altera's ANZ head promoted to APAC VP Todd Haebich, head of Australia and New Zealand at Altera Digital Health, is taking on a new role as the company's EVP for Asia-Pacific.

Health Outcomes 170

Health Outcomes 170

Medisys Compliance

APRIL 25, 2024

Introduction The ever-evolving world of healthcare billing can feel complex, and with the introduction of MACRA (Medicare Access and CHIP Reauthorization Act) in 2015, cardiology practices have faced some adjustments. We offer a comprehensive suite of services designed to streamline MACRA compliance.

Medical Billing Outsourcing 64

Medical Billing Outsourcing Medical Billing Medicare Medicare 64

Compliancy Group

FEBRUARY 16, 2024

Tofigh engaged in unprofessional and dishonorable conduct, failed to properly keep dental records, billed for services he didn’t provide , and provided substandard treatment. As a result, his license was revoked in 2015. This went on from 2015 to 2022, when he was caught for fraud. He is also responsible for paying $8.5

Fraud 52

Fraud Licensing Medicaid Medicaid 52

American Medical Compliance

JANUARY 9, 2024

The term refers to the act of taking use of a patient’s or provider’s personal medical data in order to deceive payers, either public or private, or to charge them for false medical products or services. trillion in 2015. This type of theft is just one example of healthcare fraud.

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Fraud Medicare Medicare Compliance 52

McGuire Wood

AUGUST 3, 2023

Founded in 2015, the firm specializes in buyout investments in the health and wellness sector. ARG , founded in 1979 and based in South Salt Lake, Utah, sells hypoallergenic supplements focused on addressing condition-specific issues to healthcare practitioners. WM Partners , based in Aventura, Fla., is a middle-market private equity firm.

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McGuire Wood

SEPTEMBER 13, 2023

CREO , founded in 2015 and based in Durham, N.C., Grant Avenue Capital has announced it has participated in a recapitalization of CREO with founding partners of the company.

Regulatory Compliance 52

Regulatory Compliance Compliance 52

HIT Consultant

JUNE 21, 2023

From 2011 to 2015, Paul served as chief marketing officer of Booking.com. Prior to that, Paul served 7 years on the Shutterstock board of directors. He previously served as CEO and a member of the board of directors of Vroom, Inc., and before that as CEO of priceline.com.

Medicare 52

Medicare Medicare 52

Bill of Health

MARCH 14, 2024

Mozambique’s 2015 reforms legalized abortion during the first 12 weeks of pregnancy for any reason and the first 16 weeks in cases of rape or incest. Her advocacy led to legal reform processes in Mozambique, Sierra Leone, Benin, Eswatini, and Kenya.

Doctors 111

Doctors World Health Governance Public Health 111

HIPAA Journal

MARCH 6, 2023

The Department of Justice has announced one of its first prosecutions under the Medicare Access and CHIP Reauthorization Act of 2015 in a case involving the theft and sale of Medicare Beneficiary Identifiers.

Medicare 91

Medicare Medicare Fraud Medicaid 91

McGuire Wood

FEBRUARY 21, 2023

Founded in 2015, the company has nearly 60 clinic locations in Connecticut, Maryland, Massachusetts and New York. Pharos , with offices in Dallas and Nashville, pursues control equity and mezzanine investments in lower and middle market companies primarily in healthcare and business services.

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Healthcare IT News - Telehealth

DECEMBER 18, 2023

leaders of telemedicine services, dedicated to both individuals and organizations. The current excess offer of telemedicine services (following the correction of the COVID-19 bubble of demand) contributes further to a natural culling of small, unprofitable players. For large incumbents, Amwell and Teladoc Health are the undisputed U.S.

Telemedicine 146

Telemedicine COVID-19 Governance 146

HIPAA Journal

JANUARY 19, 2023

ADEC Innovations Healthcare is a service provider to the healthcare industry, providing a range of services to reduce the administrative burden on healthcare organizations, including digital health management, revenue cycle management, clinical management, pharmacy benefits management, payer services, and back-office services.

HIPAA 52

HIPAA Compliance 52

HIPAA Journal

JULY 11, 2023

2015 Health Plan 78,800,000 Hacking/IT Incident American Medical Collection Agency 2019 Business Associate 26,059,725 Hacking/IT Incident HCA Healthcare 2023 Healthcare Provider 11,000,000+ Hacking/IT Incident Premera Blue Cross 2015 Health Plan 11,000,000 Hacking/IT Incident Excellus Health Plan, Inc.

HIPAA 60

HIPAA Fraud Doctors Hospitals 60

McGuire Wood

OCTOBER 19, 2022

Frontpoint is a home health and hospice platform focused primarily on servicing Medicare Advantage patients in the Texas market. Founded in 2015, the firm typically invests between $10 million and $30 million per transaction. Cimarron Healthcare Capital and Tacoma Holdings have announced the recapitalization of Frontpoint Health.

Medicare 52

Medicare Medicare 52

McGuire Wood

OCTOBER 1, 2022

is a healthcare staffing services provider. Founded in 2012, the company states that it provides placement services for registered nurses, licensed practical nurses, certified nursing assistants and allied health clinicians to approximately 8,500 U.S. Prime Time , based in Omaha, Neb., facilities. facilities.

Nurses 52

Nurses Licensing 52

Dot Compliance

SEPTEMBER 11, 2022

Prior to ISO 9001:2015, the standard for Quality Management Systems (QMS) was ISO 9001:2005. Considering ISO 9001:2015 certifications makes sense for pharmaceutical managers given the requirement for compliance, quality, and safety. Within ISO 9001:2015 you will see Section 5 Leadership, Clause 5.1.1

Pharmaceutical Industry 52

Pharmaceutical Industry Compliance FDA Regulatory Compliance 52

McGuire Wood

MARCH 17, 2023

Supreme , founded in 2015, is a digital marketing agency focused on the life sciences industry. Services include web development and design, digital strategy, paid advertising and social media. Trinity Hunt Partners has announced it has acquired Supreme Optimization.

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McGuire Wood

JULY 18, 2022

Founded in 2015, the company plays across several industries, including pathology, behavioral health, hospitals, surgery centers and primary care and specialty physicians. Veritas Capital has acquired Coronis Health, according to Axios. Coronis , based in Sykesville, Md., is a healthcare revenue cycle management company.

Hospitals 98

Hospitals 98

McGuire Wood

MAY 27, 2022

and founded in 1946, is a fulfillment services provider of document management, kitting and mailing services to healthcare and life science organizations. Founded in 2015, the firm makes investments of up to $50 million in companies with enterprise values of $10 million to $100 million. The Allied Group , based in Cranston, R.I.,

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The Health Law Firm

AUGUST 23, 2017

million bills issued by the VHA’s Consolidated Patient Account Centers in 2015, an estimated 1.66 million were improper bills for treatment of service-connected (SC) conditions, the OIG found. Indest III, J.D., million bills to veterans and third-party payers. Of the estimated 15.4 Improper Billing.

Department of Veterans Affairs 40

Department of Veterans Affairs 40

McGuire Wood

JANUARY 12, 2022

is a national provider of specialty infusion therapies and comprehensive clinical therapy management services to patients with complex conditions. Founded in 2015, the company reports servicing more than 4,000 patients across 43 states. InfuCare Rx , based in Fairfield, N.J., Founded in 2001 and spun out of J.P.

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McGuire Wood

JANUARY 31, 2022

is a provider of ambulance transportation services. HPC , based in New York, is a private equity firm specializing in the healthcare services. Founded in 2015, the firm prefers to make more substantial investments in healthcare. Founded in 2015, the firm prefers to make more substantial investments in healthcare.

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Compliance Now

NOVEMBER 24, 2021

On November 22, 2021, the Internal Revenue Service (IRS) published proposed regulations that introduce significant changes to the Affordable Care Act (ACA) reporting process for both large and small employers. However, since 2015, the IRS has consistently extended this deadline, typically by 30 days.

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ACA Compliance 157

McGuire Wood

JUNE 6, 2022

DOCS , headquartered in Cincinnati, is a provider of management services to dermatology practices in the Midwest and Southeast United States. Founded in 2012, the firm prefers to take control positions in healthcare providers and outsourced services as well as consumer health and products companies.

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Healthcare IT Today

JULY 10, 2023

Company Adds Two Board Members and a Senior Executive to Lead its Medicare Advantage Business Aledade , the largest network of independent primary care practices in the country, today announced the closing of a $260 million Series F funding round to enhance and acquire services and technology to support its practices.

Medicare 52

Medicare Medicare Health Outcomes 52

HIT Consultant

MAY 24, 2022

What You Should Know: – LetsGetChecked , a leading healthcare solutions company, announced today the launch of Virtual Consultation services through its secure clinical messaging platform in the company’s proprietary app.

COVID-19 95

COVID-19 95

HIT Consultant

MAY 19, 2023

HealthSnap plans to use the latest round of funding to support a national expansion of its care management services team to support rapid health system adoption and invest in novel clinical use cases. This latest round of financing, which was oversubscribed, brings HealthSnap’s total funding to $17.1 million to date.

Hospitals 52

Hospitals 52

Healthcare IT News - Telehealth

JANUARY 25, 2022

According to a recent study from Health Affairs , newly acquired rural hospitals are eliminating surgical care services and mental health treatment access, despite a sharp rise in depression, suicide and addiction in the hard-hit rural communities. hospitals rose 45% from 2006 to 2015. were shockingly poor. in urban areas.

Healthcare information Technology 112

Healthcare information Technology Nurses Hospitals Telemedicine 112

HIT Consultant

MARCH 21, 2022

– Founded in 2015, TimeDoc Health partners with PCPs and healthcare organizations to automate record-keeping for clinician/patient interactions (in-person and virtual), sending the reports to CMS for reimbursement. Series B round led by Aldrich Capital Partners. And the people this really impacts are their most vulnerable patients.

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Bill of Health

AUGUST 4, 2023

Alas not: Regulators cited Kansas State University in 2015 for repeatedly violating safety regulations at its existing biosafety level 3 research lab, the Biosecurity Research Institute. The city is located in the area called “ Tornado Alley” by the National Weather Service. The violations. billion facility.

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US Department of Health and Human Services COVID-19 Governance Public Health 246

Health Populi

FEBRUARY 5, 2020

For context, I re-visited a similar recent study on this topic, published in the November/December 2019 Annals of Family Medicine, looking at national trends in primary care visit use between 2008 and 2015. Note in the chart the emerging trend by 2015 of PCPs emailing with patients and offering after-hours appointments.

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Patient Advocacy Health Insurance HIPAA Doctors 143