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Spotting Financial Fraud & Exploitation of the Elderly

AIHC

This can be threat of harming a pet or loved one or threaten nursing home placement, etc. The Transnational Elder Fraud Strike Force provides the following list to warn and educate the public about trending elder fraud threats. Call the Elder Fraud Hotline at 1-833-372-8311 (Monday-Friday, 10:00 a.m.-6:00

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South Carolina Woman Arrested for Exploiting Residents of an Assisted Living Facility

Healthcare Compliance Blog

The South Carolina Attorney General announced that his office’s Medicaid Fraud Control Unit (SCMFCU) had arrested a 57-year-old woman on two counts of Exploitation of a Vulnerable Adult and two counts of Breach of Trust with Fraudulent Intent, value of $10,000 or more.

Fraud 59
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Pennsylvania Nurse Pleads Guilty to Neglect and Falsifying a Medical Record

Healthcare Compliance Blog

Evidence revealed that the nurse failed to administer a total of eight required neurological checks to the patient after he had an unwitnessed fall at the facility on the night of April 12, 2018. on the morning of April 13, 2018, as a result of a subdural hematoma. He was discovered deceased just after 7:00 a.m.

Nurses 59
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Private Equity: Investigation and Enforcement

Med Law Blog

Tenet went through its own bankruptcy difficulties and, in 2018, sold its remaining Philadelphia assets, i.e. Hahnemann Hospital and St. Howell, Constantine Yannelis and Abhinav Gupta positing that their research shows that “PE ownership increases short term mortality of Medicare patients by 10%, in nursing homes”.

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Hospice Update: CMS Proposes Informal Dispute Resolution Program, Starting Special Focus Program and Change of Ownership Restrictions 

Hall Render

Selection Approach In establishing the proposed SFP, CMS examined the Special Focus Facility program for nursing homes and its methodology for facility selection. CMS proposes the hospice SFP begin on the effective date of the final rule when it is when published. CMS’ goal is to select SFP hospices starting in 2024.

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Health Provider News

Hall Render

NATIONAL As AI advances in healthcare, industry players wrestle with its risks AHA Comments on FY 2024 Proposed Rule for Skilled Nursing Facilities AHA rebukes ‘flawed’ study on hospital finances AHA urges CMS to consider inflation, staffing in light of proposed inpatient rehab rule AHCA prepared to sue over minimum staffing mandate AMA, (..)

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The Cobra Effect & Enforcing Compliance Standards

AIHC

The GCPG standardized the seven Elements of a Successful Compliance Program, which differs slightly from the individual compliance guidance documents (CPGs) directed at various segments of the health care industry, such as hospitals, nursing homes, third-party billers, and durable medical equipment suppliers.