The Health Law Firm Blog

MARCH 26, 2024

Board Certified by The Florida Bar in Health Law The Florida Department of Health's Quarterly Performance Report (QPR) for the Third Quarter of Fiscal Year 2020-2021, was recently released. It provides information and statistics on actions involving licensed health professionals through March 2021. Indest III, J.D.,

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Licensing Nurses Fraud Medicaid 52

Kaiser Permanente

JANUARY 1, 2022

Medicaid and the Children’s Health Insurance Program (CHIP) have served as critical supports to children, pregnant women, parents, seniors, and individuals with disabilities – covering 80 million individuals during the COVID-19 pandemic. Since February 2020, Medicaid enrollment has grown sharply to cover an additional 9.9

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Healthcare Law Blog

JANUARY 20, 2023

To add uniformity to this practice, CMS codified this flexibility in the 2016 Medicaid and Children’s Health Insurance Plan (CHIP) managed care final rule by authorizing coverage for “In Lieu of Service or Settings” (ILOS). [i] Please refer to our prior blog for more information on CalAIM.

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The Health Law Firm Blog

MARCH 11, 2024

Board Certified by The Florida Bar in Health Law The Florida Department of Health's Quarterly Performance Report (QPR) for the Third Quarter of Fiscal Year 2020-2021, was recently released. It provides information and statistics on actions involving licensed health professionals through March 2021. Indest III, J.D.,

Licensing 52

Licensing Nurses Fraud Medicaid 52

The Health Law Firm Blog

MAY 12, 2023

Board Certified by The Florida Bar in Health Law On October 1, 2021, a former dental office manager was sentenced to 12 months in prison for her role in a Medicaid fraud scheme. By George F. Indest III, J.D., The office manager for Universal Smiles, a D.C.-based based dental practice was sentenced for her [.]

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The Health Law Firm Blog

JANUARY 28, 2023

On October 1, 2021, a former dental office manager was sentenced to 12 months in prison for her role in a Medicaid fraud scheme. By Carole C. Schriefer, J.D. Mahsa Azimirad, was the office manager for Universal Smiles, a D.C.-based based dental practice, according to the U.S. Attorney’s Office for Washington, D.C.

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Medicaid Medicaid Fraud Medicare 52

The Health Law Firm Blog

FEBRUARY 11, 2023

Board Certified by The Florida Bar in Health Law On October 1, 2021, a former dental office manager was sentenced to 12 months in prison for her role in a Medicaid fraud scheme. By George F. Indest III, J.D., Mahsa Azimirad, was the office manager for Universal Smiles, a D.C.-based based dental practice, according [.]

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Medicaid Medicaid Fraud Medicare 52

McBrayer Law Blog

APRIL 16, 2021

Posted In Centers for Medicare & Medicaid Services (“CMS”) , Code Enforcement , Medicare In addition to staying up to date on the constantly changing landscape of COVID-19 requirements, healthcare providers must also stay well-informed of industry changes unrelated to the pandemic.

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Healthcare Law Blog

MAY 16, 2022

More than 13 million people were enrolled in Medi-Cal in California in September 2021, making it the largest Medicaid program in the nation. In 2015, DHCS launched the WPC Pilots as part of its Medi-Cal 2020 Section 1115 Demonstration.

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The Health Law Firm Blog

DECEMBER 31, 2022

Board Certified by The Florida Bar in Health Law The Florida Department of Health's Quarterly Performance Report (QPR) for the Third Quarter of Fiscal Year 2020-2021, was recently released. It provides information and statistics on actions involving licensed health professionals through March 2021. Indest III, J.D.,

Licensing 52

Licensing Nurses Fraud Medicaid 52

New Jersey Healthcare Blog

JANUARY 12, 2022

Below are the most recent health care related regulatory developments as published in the New Jersey Register from October-December 2021: On October 4, 2021, at 53 N.J.R. On October 4, 2021, at 53 N.J.R. On October 4, 2021, at 53 N.J.R. On October 4, 2021, at 53 N.J.R. On October 18, 2021, at 53 N.J.R.

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The Health Law Firm Blog

FEBRUARY 15, 2022

Board Certified by The Florida Bar in Health Law On October 1, 2021, a former dental office manager was sentenced to 12 months in prison for her role in a Medicaid fraud scheme. By George F. Indest III, J.D., The office manager for Universal Smiles, a D.C.-based based dental practice was sentenced for her.

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Medicaid Medicaid Fraud Licensing 52

The Health Law Firm Blog

DECEMBER 16, 2022

Board Certified by The Florida Bar in Health Law The Florida Department of Health's Quarterly Performance Report (QPR) for the Third Quarter of Fiscal Year 2020-2021, was recently released. It provides information and statistics on actions involving licensed health professionals through March 2021. Indest III, J.D.,

Licensing 52

Licensing Nurses Fraud Medicaid 52

The Health Law Firm Blog

DECEMBER 31, 2022

Board Certified by The Florida Bar in Health Law On October 1, 2021, a former dental office manager was sentenced to 12 months in prison for her role in a Medicaid fraud scheme. By George F. Indest III, J.D., Mahsa Azimirad, was the office manager for Universal Smiles, a D.C.-based based dental practice, according [.].

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Medicaid Medicaid Fraud Medicare 40

New Jersey Healthcare Blog

AUGUST 11, 2021

Below are the most recent health care related regulatory developments as published in the New Jersey Register in June and July 2021: On June 7, 2021, at 53 N.J.R. On June 7, 2021, at 53 N.J.R. On June 7, 2021, at 53 N.J.R. On June 7, 2021, at 53 N.J.R. On June 7, 2021, at 53 N.J.R. See N.J.A.C. See N.J.A.C.

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Public Health COVID-19 Licensing Medicaid 40

New Jersey Healthcare Blog

SEPTEMBER 7, 2021

Below are the most recent health care related regulatory developments as published in the New Jersey Register in August 2021: On August 2, 2021, at 53 N.J.R. On August 2, 2021, at 53 N.J.R. On August 2, 2021, at 53 N.J.R. On August 2, 2021, at 53 N.J.R. On August 2, 2021, at 53 N.J.R. See adopted N.J.A.C.

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Telemedicine Licensing Medicaid Medicaid 40

Hall Render

FEBRUARY 4, 2022

billion from False Claims Act (“FCA”) cases in the federal fiscal year 2021, “the second largest annual total in False Claims Act history” and more than doubling the FCA recoveries for the DOJ from fiscal year 2020. That figure does not include even more funds recovered for state Medicaid programs.

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Fraud Governance Medicare Medicare 40

The Health Law Firm Blog

DECEMBER 1, 2021

Board Certified by The Florida Bar in Health Law On October 1, 2021, a former dental office manager was sentenced to 12 months in prison for her role in a Medicaid fraud scheme. By George F. Indest III, J.D., Mahsa Azimirad, was the office manager for Universal Smiles, a D.C.-based based dental practice, according.

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Medicaid Medicaid Fraud Medicare 40

Healthcare Law Blog

JANUARY 31, 2023

This blog is the second installment of our Digital Health Trends series. Venture capital funding for digital mental health services for children and teens was close to $1 billion in 2021, more than double from 2020.

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Hall Render

NOVEMBER 18, 2022

The Architectural Billings Index showed the first decline in overall billings at architectural firms since January 2021 , indicating that cost pressures on construction projects are easing and maybe even starting to decrease, along with backlogs of projects at architectural firms. billion in health care investment over the past decade.

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McBrayer Law Blog

OCTOBER 18, 2021

More > Tags: Centers for Medicare & Medicaid Services , Civil Penalties , CMS , Healthcare Providers , Long-Term Care , Long-Term Care Facilities , Medicare. For reference, the 2017 Guidance can be found here. The accompanying CMP Analytic Tool can be found here.)

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Health Law Attorney

JANUARY 13, 2022

In June 2021, the Occupational Safety and Health Administration (“ OSHA ”) issued an Emergency Temporary Standard (“ ETS ”) that would require, amongst other things, employers with 100 or more employees to adopt a mandatory COVID-19 vaccination policy. OSHA’s mandatory vaccination policy would affect approximately 84 million employees.

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Bill of Health

FEBRUARY 23, 2023

Over 1,500 state anti-public health bills – introduced to thwart emergency powers, dismiss emergency declarations, prohibit masks, eliminate vaccine mandates, and restrict social distancing – were introduced between January 1, 2021 – May 20, 2022. Yet, only 185 of these bills actually passed. Local school districts were crafty, too.

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Healthcare Law Blog

NOVEMBER 2, 2023

According to the Congressional Research Service, which analyzed data from the Centers for Medicare & Medicaid Services (“CMS”) National Health Expenditure Accounts (“NHEA”) on the personal health expenditures for LTSS by payer, in 2021, an estimated $467.4 of all LTSS spending nationwide in 2021. [4] This represents 13.2%

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Nursing Homes Medicaid Medicaid Medicare 52

Innovaare Compliance

APRIL 27, 2023

A perspective on recent industry shifts influencing ACA plan operations in states, which are yet to adopt ACA Medicaid expansion Health Exchange plans covered under ACA (Accountable Care Act) witnessed 36% enrollment growth between 2021 and 2023. This is the sharpest rise in ACA enrollment since inception.

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ACA Medicaid Medicaid Health Outcomes 52

Bill of Health

MARCH 15, 2022

Further, safety net programs, such as Medicaid and Supplemental Security Income (SSI), have stringent rules that prevent people with disabilities from working while simultaneously forcing them to live in poverty. However, expanding safety net programs , such as SSI and Medicaid, would be important as an interim measure.

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Hall Render

JANUARY 27, 2023

billion on revenue of $324 billion, a large increase from the previous $288 billion in revenue in 2021. From 2021 to 2022, a new report indicates that there was an 84% increase in health care bankruptcies. Arizona, Arkansas and California are all working on programs to use Medicaid resources to provide housing-related assistance.

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Health Law Attorney

APRIL 22, 2021

The Act extends the temporary suspension of certain mandatory Medicare FFS claim payment reductions until December 31, 2021. Subsequently, the Consolidated Appropriations Act of 2021 extended the suspension period further until March 31, 2021. Continue Reading ?.

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Redox

MARCH 24, 2021

I talked about interoperability last week in this blog post (above). For example, the Centers for Medicare and Medicaid Services (CMS) granted reimbursement for telehealth visits at the same rates as in-person visits, and the Department of Health and Human Services eased measures that restricted the use of telehealth.

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Healthcare Law Blog

MAY 22, 2023

in 2021), the Centers for Medicare and Medicaid Services (CMS) has instructed each of its Medicare Administrative Contractors (MACs) that review SNF Medicare claims to initiate a five-claim probe and educate medical review for each SNF in the MAC’s jurisdiction.

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Jane Sarashon

FEBRUARY 28, 2022

I started the Health Populi blog in September 2007 with a post titled “Health Care is the #1 Line Item in Our National Economy… and Taking More Out of Your Pocket,” displaying this sign from Tom’s Shell gas station comparing the price of gas to an “Arm, Leg, or your First Born” posted on their sign in 2007.

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Healthcare Compliance Blog

MAY 11, 2022

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.

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Hall Render

JUNE 5, 2023

On May 31, 2023, the Centers for Medicare & Medicaid Services (“CMS”) released a final rule (“Final Rule”) that withdraws the COVID vaccine requirement for health care workers of Medicare-certified and Medicaid-certified long-term care facilities (“LTC Facilities”).

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Physician Credentialing Company

OCTOBER 25, 2024

Medicare and Medicaid may have different payment systems from those of the private health insurance plans. The lack of documentation may result in an audit, leading to claim denial and fines for noncompliance with Medicare and Medicaid regulations. 2021: $103.28 between 2020 to 2021. 2022: $112.29 2020: $94.55

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Healthcare Law Blog

AUGUST 31, 2023

Vacatur of Rules/Guidance Related to the Calculation of the QPA In the latest case, Plaintiffs challenged the July 2021 IFR and related guidance issued by the Departments concerning, among other things, how the QPA is calculated. These provisions of the July 2021 IFR and related guidance were similarly vacated.

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CMS.gov

AUGUST 12, 2021

Note: This blog was originally posted on HealthAffairs.org on August 12, 2021.

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Health Care Law Brief

DECEMBER 15, 2021

On November 2, 2021, the Centers for Medicare & Medicaid Services (“CMS”) issued a final rule (“Final Rule”) that advances the shift from paying for Medicare home health services based on volume to a system that pays based on value. In this blog post, we highlight the key components of the expanded HHVBP Model.

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