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Medicare Patients Win the Right to Appeal Gap in Nursing Home Coverage

Kaiser Health News

A three-judge federal appeals court panel in Connecticut has likely ended an 11-year fight against a frustrating and confusing rule that left hundreds of thousands of Medicare beneficiaries without coverage for nursing home care, and no way to challenge a denial. The trial took place in 2019. ” On Jan. ” On Jan.

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False Claims Lawsuit Filed Against Alabama Psychiatrist  for Improper Prescribing of Nuedexta to Nursing Home Resident

Healthcare Compliance Blog

The United States has filed a lawsuit against an Alabama psychiatrist for improper prescribing of Nuedexta to nursing home residents. From 2015 through 2019, the pharmaceutical company that manufactures Nuedexta paid the Alabama psychiatrist more than $400,000 to make speeches about Nuedexta.

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BREAKING NEWS: CMS TO ENFORCE SNF COMPLIANCE IN OCTOBER

Health Care Performance

New guidance for Phase 3 requirements that went into effect November 28, 2019. Arbitration requirements and guidance which went into effect September 16, 2019. CMS will begin reviewing nursing home Compliance and Ethics programs via survey on. NURSING HOME COMPLIANCE REQUIREMENTS. October 24, 2022.

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Home Healthcare Market is Expected to Reach $340.2B

HIT Consultant

The aging population, improvements in technology, and consumer preferences are driving the growth of home healthcare. This trend is likely to continue as more people seek out home healthcare services instead of going to a hospital or nursing home. billion by 2050.

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Private Equity: Investigation and Enforcement

Med Law Blog

Christopher’s Hospital, to American Academic Health System, which then closed Hahnemann Hospital in June of 2019. 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”. in United States ex rel.

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2024 HHS-OIG Top Areas of Focus

Provider Trust

These programs ensure that the government engages only with law-abiding individuals and uses taxpayer dollars appropriately. Bad actors within these organizations claim additional government payments using a number of schemes. HHS’s suspension and debarment programs are vital to upholding integrity in Federal grants and contracts.

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Managing Healthcare Compliance in New Jersey

MedTrainer

New Jersey Healthcare Compliance Resources Let’s start with the important state government agencies you’ll need to work with: The New Jersey Department of Health (NJDOH) oversees various departments and initiatives aimed at ensuring public health, such as disease control, environmental health, emergency preparedness, and health equity.