Provider Trust

MAY 18, 2022

What the HHS-OIG says about vendor compliance. Additionally, check out this HHS-OIG 2016 report, Medicare: Vulnerabilities Related to Provider Enrollment and Ownership Disclosure , which revealed “vulnerabilities that could allow potentially fraudulent providers to enroll in the Medicare program.”. Case Study: S. Martino-Fleming v.

Compliance 52

Compliance Due Diligence Medicaid Medicaid 52

Provider Trust

MARCH 13, 2023

Between 2016 and 2021, over 7,600 fake diplomas were sold to nursing students who used the fraudulent degrees to qualify for the National Council Licensure Exam (NCLEX). So, let’s say they were revoked in 2019; then they would issue the certificate and the diploma as if the student had attended between 2016 and 2017.”

Fraud 52

Fraud US Department of Health and Human Services Licensing Compliance Officers 52

American Medical Compliance

APRIL 6, 2023

Prosecutors stated that if they passed, they would be able to seek licenses and jobs in numerous locations. Between 2016 and 2021, the students spent a total of $114 million on falsified degrees, according to the publication. AMC is also a leader in the industry for compliance, Billing, and HR solutions. Reference NPR.

Fraud 52

Fraud Nurses Licensing Compliance 52

Natalia Mazina

JANUARY 26, 2023

From May 2014 to at least February 2016, Fusion Rx received approximately $14 million in reimbursements on its claims for compounded drug prescriptions. The pharmacy owner, who also acted as the pharmacist-in-charge, had his license revoked by the California State Board of Pharmacy.

Governance 52

Governance Licensing Compliance 52

Med-Net Compliance

OCTOBER 27, 2022

A federal jury convicted a licensed Illinois psychologist of defrauding Medicare over the course of several years by causing the submission of fraudulent claims for psychotherapy services he never provided. Ensure that your policies are reviewed at least annually and updated when new information becomes available.

Nursing Homes 59

Nursing Homes Fraud US Department of Health and Human Services Nurses 59

Provider Trust

JULY 26, 2023

These directories allow patients to connect with healthcare providers and licensed practitioners to make appointments, find and exchange information, and pay for services. The Centers for Medicare and Medicaid Services (CMS) conducted multiple reviews of Medicaid Advantage provider directories between February 2016 and July 2018.

Medicaid 52

Medicaid Medicaid Compliance Medicare 52

HIT Consultant

NOVEMBER 24, 2022

. – Prescription hearing aids will require a consumer to have a prescription for a hearing aid from a physician, audiologist or a licensed hearing instrument specialist. 4 And compliance decrease over time. . Epub 2016 Aug 23. These OTC hearing aids do not require a prescription. . Potential pitfalls. – Fraud.

FDA 98

FDA Public Health Medicare Medicare 98

Health Care Law Brief

JULY 25, 2023

The Final Rule codifies the prohibition on “information blocking” introduced by the 21st Century Cures Act (“ Act ”), which was enacted on December 13, 2016. Unlike developers, exchanges, and networks, the Act does not empower OIG to directly assess penalties for non-compliance against health care providers. [6] 1033, (2016); 42 U.S.C.

HIPAA 52

HIPAA Payment Systems Compliance Licensing 52

Hall Render

JUNE 30, 2022

The CMS Survey Memo clarifies many Phase 2 and Phase 3 Requirements of Participation regulatory requirements and provides information on how surveyors will review those regulations for compliance and assess citations for failure to comply. Compliance and ethics. Background. Areas with Significant Updates. Phase 3 Elements.

Nursing Homes 40

Nursing Homes Nurses Compliance Licensing 40

HIPAA Journal

FEBRUARY 17, 2023

HIPAA Journal is conducting interviews with healthcare professionals, compliance professionals, and industry service providers to find out more about how their experiences with HIPAA, their successes, and the challenges they have and continue to face with HIPAA compliance. When did you first get involved with HIPAA compliance?

HIPAA 52

HIPAA Compliance Licensing Hospitals 52

Healthcare Compliance Blog

APRIL 19, 2022

The events took place between January 2016 through March 11, 2019, during which time the man claimed to be a licensed physician in the state of Mississippi. He was not licensed to practice medicine in Mississippi or in any other state. He was also ordered to pay restitution of $1,537,326.14

Licensing 59

Licensing Medicare Medicare Governance 59

Compliancy Group

JUNE 17, 2022

In 2016, a group of plaintiffs sued Facebook and a handful of health systems and organizations, alleging that the organizations had breached their own privacy policies and several state and federal laws—including wiretapping and intrusion on seclusion statutes—by collecting data via tracking technology on the health care providers’ websites.

Hospitals 52

Hospitals HIPAA Doctors Bioethics 52

SQA

MAY 17, 2022

China Regulatory Roundup: Latest Guidelines for Medical Device and IVD Compliance, 17 March 2022. The Points is an upgraded version of Practice for Cosmetics Production Licensing , implemented in 2016, with more stringent inspection requirements.

FDA 75

FDA Compliance Informed Consent Hospitals 75

Healthcare IT Today

APRIL 18, 2023

XRHealth integrates immersive virtual reality and augmented reality (AR) technology, licensed clinicians, and advanced data analytics on one platform, providing a comprehensive therapeutic care solution that enables patients to receive treatment from the comfort of their homes. Sanfeliu, Managing Partner at Asabys.

Licensing 59

Licensing FDA Hospitals Compliance 59

SQA

SEPTEMBER 2, 2022

The Regulations were first issued with immediate effect in 2002 and were later revised in 2016. Compared to the 2016 revised version, the draft of the 2022 version includes 101 more articles to conform to the pharmaceutical policy reforms in the recent years and the Drug Administration Law revised in 2019.

FDA 91

FDA COVID-19 Nursing Homes Compliance 91

HIPAA Journal

DECEMBER 24, 2022

OCR prefers to resolve HIPAA violations using non-punitive measures, such as voluntary compliance or issuing technical guidance to help covered entities address areas of non-compliance. Penalties for Non-Compliance with HIPAA. Financial penalties for HIPAA violations have frequently been issued for risk assessment failures.

HIPAA 127

HIPAA Compliance Hospitals COVID-19 127

SQA

OCTOBER 18, 2022

The counterfeit devices were sold online by a distributor named Healthful Plus without the required license to import, distribute, or sell medical devices in Canada. The packaging of the counterfeit kits resembles authentic (licensed) BTNX Inc. products in color and typeface and uses the BTNX Inc. device identifier “COV-19C25.”

US Department of Health and Human Services 40

US Department of Health and Human Services FDA COVID-19 Compliance 40

Health Law Advisor

AUGUST 10, 2023

2] Implementing the 21st Century Cures Act from 2016, regulated CDS software includes that intended to “analyze” “medical information about a patient or other medical information” “for the purpose of supporting or providing recommendations to a healthcare professional about prevention, diagnosis, or treatment of a disease or condition.”

FDA 98

FDA Licensing Hospitals Medicaid 98

Healthcare Law Blog

JANUARY 5, 2023

Similarly, CMS proposes to revise § 422.2267(e)(12) to specify requirements for the content of the notification to enrollees about a provider contract termination, to codify best practices that have been in CMS guidance since 2016.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Drug & Device Law

JULY 31, 2023

2016) (citations omitted). 2016) (citation and quotation marks omitted). ADT, LLC , 2016 WL 3208483, at *3 (N.D. June 10, 2016); GCube Insurance Services., 2016 WL 6836950, at *4 (C.D. 28, 2016) ( Winter citation omitted). [C]ourts However, licensed software can be a UCC sale of “goods.”

Governance 52

Governance Payment Systems Hospitals Licensing 52

Drug & Device Law

DECEMBER 29, 2023

While these five FDA findings (the last in response to the MDL court’s invitation for the FDA to participate directly in this litigation) were nails in these experts’ Rule 702 coffins, they would also support reversing this MDL’s prior adverse preemption decision ( 2016-10 ). The G/N MDL was created in 2013 and mostly settled in 2016.

FDA 105

FDA US Department of Health and Human Services COVID-19 Informed Consent 105

Drug & Device Law

AUGUST 8, 2022

For qualified IMGs, it issues a certification, which IMGs can then use to apply to residency and other graduate medical education programs and to apply for state medical licenses. So if compliance with an industry standard is a defense, this plaintiff went a step further and sued the organizations that created the standards.

Doctors 52

Doctors Fraud Licensing Compliance 52

Drug & Device Law

OCTOBER 27, 2022

2016); Aaron v. Ohio 2016); Scianneaux v. From this, the court concluded the defendants could “comply with both federal and Illinois law by obtaining proof of identity and establishing a donor identification system using photographic identification, a valid driver’s license, or any other non-biometric means.” App’x 433 (2d Cir.

FDA 59

FDA Licensing Compliance 59