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Nursing Home Psychologist Convicted of Healthcare Fraud Scheme

Med-Net Compliance

According to court documents and evidence presented at trial, the psychologist caused the submission of fraudulent Medicare claims from July 2016 through June 2019 for psychotherapy services purportedly provided to nursing home residents in Chicago and surrounding areas.

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CMS Proposes Minimum Staffing Requirements and Enhanced Facility Assessments for Nursing Homes

C&M Health Law

On September 1, 2023, the U.S. Department of Health and Human Services, through the Centers for Medicare & Medicaid Services (“CMS”) issued a much anticipated and contested proposed rule that seeks to establish minimum staffing level requirements for nursing homes. hours of nursing staff per resident per day, or 3.0

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Highlights from the HHS-OIG 2023 Spring Semiannual Report

Provider Trust

The Department of Health and Human Services (HHS) Office of Inspector General (OIG) has released its latest 2023 Spring Semiannual Report to Congress, providing a comprehensive overview of its activities from October 2022 to March 2023. Led by acting Inspector General Christi A. What is the HHS-OIG Semiannual Report to Congress?

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Connecticut Long-Term Care Law Update: Changes to Nursing Home Change of Ownership Process

Hall Render

Effective October 1, 2023, Connecticut enacted a law that contains several updates to Connecticut’s change of ownership laws for nursing homes and other health care providers. If the owner is a corporation that is incorporated in another state, a certificate of good standing from the state of incorporation.

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Webinar Recap: OIG’s 2023 Guidance for Navigating Compliance Changes

Provider Trust

In our recent webinar, ProviderTrust’s Chief Compliance Officer, Donna Thiel, shared her expertise and valuable feedback from the 2023 HCCA Compliance Institute. OIG pointed to the increased instances of patient neglect abuse as well as the need for oversight within nursing homes.

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Spring Forward With 2024 Compliance Changes

MedTrainer

It’s that time of the year to check your records for 2023 compliance deficiencies and set your organization up for success in 2024. The OIG is making major investments to systematically detect and prosecute fraud. It may seem a little early to do some spring cleaning, but not when it comes to compliance!

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DOJ Recouped $2.2 Billion Under FCA in 2022

Hall Render

On February 7, 2023, the Department of Justice (“DOJ”) announced that it recovered over $2.2 This has been a growing trend in health care enforcement, and health care fraud remained the leading source of all FCA cases in 2022. Health Care Fraud Actions Medicaid. COVID-10 Related Fraud. One hospice organization paid $5.5