The Health Law Firm

OCTOBER 27, 2016

Board Certified by The Florida Bar in Health Law On October 21, 2016, a Florida federal judge clarified that the dismissal of a whistleblower’s $320 million False Claims Act (FCA) (or qui tam) suit against a hospice care provider does not affect the government’s ability to file its own lawsuit. Indest III, J.D.,

Governance 40

Governance 40

Healthcare IT News - Telehealth

JUNE 20, 2023

A bipartisan group of legislators has reintroduced the Creating Opportunities Now for Necessary and Effective Care Technologies for Health Act – first introduced in 2016 – to expand opportunities and coverage for telehealth through Medicare. This is the second time the bill has been reintroduced.

Medicare 129

Medicare Medicare COVID-19 Doctors 129

Hall Render

AUGUST 22, 2023

Rather, liability under the FCA may still be established if any misrepresentations made by a provider influenced decision-makers and resulted in the submission of false claims to the government. Walgreens learned of the fraud as early as 2016. In United States v. Walgreen Co. ,

Medicaid 40

Medicaid Medicaid Governance Fraud 40

Natalia Mazina

JANUARY 26, 2023

According to the government press release, the pharmacy and the marketers provided physicians with preprinted prescription script pads that offered “check-the-box” options to maximize the amount of insurance reimbursement for the compounded drugs.

Governance 52

Governance Licensing Compliance 52

HIT Consultant

APRIL 7, 2022

Founded in 2016, Forge Health is a mission-driven outpatient mental health and substance use treatment provider dedicated to delivering the highest quality, affordable, and effective “one-stop-shop” care to individuals, families, and communities in need, especially those with moderate to severe conditions. Recent Growth & Milestones.

Health Outcomes 97

Health Outcomes Governance 97

HIPAA Journal

JANUARY 31, 2024

Tell the readers about your career in the healthcare industry I have been building marketing software for years and focused on healthcare marketing software beginning in 2016. He wanted to work with patients who needed a certain surgical intervention and ideally had non-government health insurance.

HIPAA 83

HIPAA Compliance Doctors Health Insurance 83

Bill of Health

JULY 20, 2022

However, according to the Government Accountability Office (GAO), there are no measures built into the program to assure that 340B program discounts are being used to support care for low-income populations, let alone to improve access to medicines discounted through the program. billion, reaching $6.3 health care spending.

Hospitals 144

Hospitals Medical Billing Public Health COVID-19 144

Hall Render

AUGUST 8, 2022

In addition to this breach, the University later reported that a hacker had previously accessed the same web server as early as March of 2016. The University did not report this breach at the time, because it was not aware that ePHI was stored on the web server in 2016. Further, data governance is key to proactively managing ePHI.

HIPAA 73

HIPAA Governance Medicaid Medicaid 73

HIPAA Journal

SEPTEMBER 13, 2023

A federal grand jury in the Middle District of Tennessee returned an indictment charging Galochkin and co-conspirators Rudenskiy, Tsarev, and Zhuykov with conspiring to use Conti ransomware to attack businesses, nonprofits, and governments in the United States from 2020 until June 2022 when the Conti operation was disbanded.

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Ransomware Governance HIPAA Hospitals 86

Health Populi

APRIL 12, 2024

S 2016) and second, re-introduce and sign the Telehealth Modernization Act. Plainly put, we have 20 th Century laws governing 21 st century health care delivery. Those pens would do two things to modernize American health care for both patients and doctors: first, Congress would pass the CONNECT for Health Act (HR 4189.

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Doctors Licensing Hospitals Governance 77

Healthcare Compliance Blog

APRIL 29, 2022

in restitution for her role in healthcare fraud, wire fraud, and theft of government funds. Court documents show that between 2008 and 2016 the former owner defrauded the Texas Medicaid program by billing for items and services that had not been provided to the clients of the day care centers. US Attorney Ashley C.

Fraud 59

Fraud Compliance Governance Medicaid 59

HIT Consultant

DECEMBER 19, 2023

These safeguards become even more demanding as consumers and government agencies call for increased transparency and access to personal data. And, in 2016, the 21 st Century Cures Act — and its rules against information blocking — began requiring organizations to provide patients with easier and broader access to their medical records.

Health Outcomes 98

Health Outcomes Governance Healthcare information Technology Health Insurance 98

Healthcare Compliance Blog

APRIL 12, 2022

On 18 different occasions from the first quarter of 2016 through the fourth quarter of 2019, she withheld payroll taxes from her employees’ paychecks. However, instead of forwarding those taxes to the government, she kept them for her business. The withheld taxes totaled over $900,000.

Medical Billing 59

Medical Billing Fraud Governance Medicare 59

Verisys

NOVEMBER 17, 2022

The figure published in 2016 by the British Medical Journal (BMJ) is some 250,000 deaths per annum were attributable to medical error. trillion in healthcare spending is squandered through fraudulent activity while some government and enforcement task force calculations up the percentage to 10 for more than $30 0 billion wasted annually. .

Fraud 52

Fraud Governance Compliance 52

HIT Consultant

SEPTEMBER 29, 2021

. – Founded in 2016, TailorMed is focused on ensuring patients get the care they need in a difficult financial environment. For patients, the platform can help reduce out-of-pocket responsibility, eliminate downstream financial hardships and avoidance of care.

Governance 52

Governance 52

Healthcare IT News - Telehealth

APRIL 7, 2020

Use of virtual care technologies had already doubled between 2016 to 2019 , and since the COVID-19 public health emergency, more and more overtaxed health systems have been availing themselves of tools that enable care to be delivered remotely, keeping patients and healthcare professionals away from potential infection.

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COVID-19 Telemedicine Public Health Governance 152

Health Law RX

NOVEMBER 10, 2022

The United States alleged that, between August 1, 2016 and June 30, 2017, Sutter Health fraudulently billed and received reimbursement from government health programs for lab tests that Sutter Health did not itself perform. Consequently, the best possible defense to such a claim involves disciplined application of clinical guidelines.

Governance 52

Governance Medicare Medicare Medicaid 52

Kaiser Health News

JANUARY 28, 2022

Patients had nothing to appeal because the government can’t change a decision it didn’t make, so no Medicare rule had been violated. ” A DOJ spokesperson declined to comment on whether government lawyers would appeal the new ruling. He spent three days in a nearby hospital for an intestinal infection in 2016.

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Nursing Homes Medicare Medicare Nurses 145

Healthcare IT News - Telehealth

APRIL 30, 2021

Questions about the future of telehealth regulations have endured ever since the federal government opted to relax some of them during the COVID-19 pandemic. This isn't the first time a version of the CONNECT Act has been introduced in the Senate; Schatz and Wicker unveiled the initial legislation in 2016. A years-long effort.

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COVID-19 Medicare Medicare Public Health 215

YouCompli

FEBRUARY 28, 2024

Blind Spot #1: The Hierarchical Barrier Within any healthcare organization, there is an organizational structure consisting of employees, supervisors, managers, directors, senior leaders, and a governing board. From 2012-2016, he served on the Board of a non-profit organization serving the medically underserved in Colorado (ClinicNET).

Compliance 52

Compliance Governance Hospitals 52

Bill of Health

MARCH 6, 2024

In 2016, the Parliament of Canada passed a federal law enabling eligible Canadian adults to request MAID. The federal government did not challenge this decision and instead amended the law in 2021 to expand access to MAID to individuals whose deaths are not reasonably foreseeable. can yield important learnings for both countries.

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Informed Consent Governance Bioethics 129

Dot Compliance

JUNE 16, 2022

Government regulators have been doing their best to ensure that patients receive the safest and most efficient device possible. The two most relevant quality regulations for medical device manufacturers are the FDA 21 CFR Part 820 and the ISO 13485:2016. What are the main regulations governing medical device QMS?

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FDA Regulatory Compliance Compliance Governance 52

C&M Health Law

APRIL 21, 2022

Florida Medicaid is administered by the state but jointly funded by both the state and federal governments. The federal government’s Federal Financial Participation (FFP) share is paid according to statements of expenditures submitted by the state and per the formula described in sections 1903 and 1905(b) of the Medicaid Act.

Medicaid 52

Medicaid Medicaid Governance Fraud 52

American Medical Compliance

JANUARY 2, 2024

Implementation of the CURES Act The bipartisan 21st Century CURES Act, signed into law by President Obama in 2016, signified an important shift in health policy and health law. Reach out for other courses by visiting the AMC Course Library.

Compliance 52

Compliance Health Insurance HIPAA Governance 52

Healthcare Compliance Blog

APRIL 27, 2022

Under the False Claims Act, the government is entitled to three times damages and civil penalties ranging from $5,500 and $11,000 for each identifiable claim submitted between Nov. 2, 2015–July 31, 2016, and a range of $11,181–$22,363 for violations committed after Jan. Issue: All submitted claims must be accurate and truthful.

Medicaid 59

Medicaid Medicaid Compliance Governance 59

The Health Law Firm

DECEMBER 5, 2017

Board Certified by The Florida Bar in Health Law On November 22, 2017, a Florida woman who was accused of a $45 million Medicare fraud, received a six-and-a-half-year prison sentence, following a 2016 US Supreme Court decision in her case holding that the government could not freeze untainted assets. Indest III, J.D.,

Fraud 40

Fraud Medicare Medicare Governance 40

Healthcare Law Today

JANUARY 2, 2023

In the 2016 Final Rule , CMS agreed “the 60-day time period begins when either the reasonable diligence is completed or on the day the person received credible information of a potential overpayment if the person failed to conduct reasonable diligence and the person in fact received an overpayment. § 401.305(a)(2).

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Overpayments Overpayment ACA Medicare 52

Healthcare IT Today

SEPTEMBER 27, 2022

I’ve given up trying to predict that government organizations like HHS and ONC will do. However, like I said, trying to predict government is not my skill. COVID already delayed some of the information blocking requirements which makes me wonder if there’s an appetite for delay like this or not.

Governance 79

Governance Hospitals Compliance 79

The Health Law Firm

DECEMBER 24, 2016

Board Certified by The Florida Bar in Health Law On December 7, 2016, Banio Koroma was convicted in a northern Illinois court of falsely certifying elderly patients for in-home care will spend the next three years in prison and be forced to reimburse the government for the $1.5 Indest III, J.D., Paying For His Crimes.

Fraud 40

Fraud Medicaid Medicaid Doctors 40

Healthcare IT News - Telehealth

JANUARY 2, 2020

The government has recently launched special programs for chronic diseases such as chronic obstructive pulmonary disease (COPD) and chronic heart failure, enabling telemonitoring for 556 patients so far. The service has proved to be quite popular - MySNS Carteira was launched early 2016 and downloaded over 460,000 times since then.

Governance 103

Governance Hospitals 103

HIPAA Journal

NOVEMBER 21, 2022

According to the FBI, more than $43 billion was lost to these scams between June 2016 and December 2021, and in 2021 alone, the FBI Internet Crime Complaint Center received reports of losses of $2,395,953,296 to BEC scams. million in losses were caused to federal government agencies, private companies, and individuals. million, and $6.4

Medicaid 79

Medicaid Medicaid Medicare Medicare 79

The Health Law Firm

DECEMBER 11, 2017

Board Certified by The Florida Bar in Health Law On November 7, 2016, a Mississippi federal judge temporarily blocked enforcement of the federal government’s ban on mandatory arbitration in cases involving nursing homes. By George F. Indest III, J.D., The order from US District Judge Michael P.

Nursing Homes 40

Nursing Homes Nurses Governance 40

Hall Render

JANUARY 21, 2022

The Hospital’s Joint Conference Committee (“JCC”), which was vested with final authority to issue a non-appealable decision, held its final hearing on September 22, 2016. The decision was considered final and was subsequently communicated to the plaintiff days later on September 27, 2016. written letter) on September 27, 2016.

Hospitals 40

Hospitals Medicare Medicare Governance 40

MedTrainer

SEPTEMBER 8, 2023

Advocate Health Care HIPAA Breach (2016) In August 2016, Advocate Health Care Network —one of the largest healthcare systems in Illinois—agreed to settle potential violations of Privacy and Security Rules for $5.55 Many healthcare facilities rely on reimbursements from government programs such as Medicare and Medicaid.

Compliance 52

Compliance HIPAA Medicaid Medicaid 52

Healthcare IT News - Telehealth

MAY 16, 2022

The meta-analysis , which examined 12 studies published in English and Turkish from 2016 through 2021, sought to examine how virtual care apps could affect maternal and neonatal health outcomes, as well as costs. ON THE RECORD.

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Telemedicine COVID-19 Nurses Health Outcomes 122

Health Populi

JUNE 18, 2021

“The ACA expanded coverage to millions of poor and near-poor families between 2014 and 2016, and the obtaining of health insurance may have staved off financial ruin, perhaps. One-half of U.S. It’s important to know that the incidence of medical bankruptcy fell within two years of the implementation of the Affordable Care Act.

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ACA Health Insurance Medicaid Medicaid 133

The Health Law Firm

JULY 12, 2016

Board Certified by The Florida Bar in Health Law On June 24, 2016, Prime Healthcare Services, Inc. Prime), a California-based company whose mission was stated to be turning around struggling hospitals, is alleged to have run a systematic scheme to defraud the federal government. Indest III, J.D.,

Medicare 40

Medicare Medicare Governance Doctors 40