Healthcare Law Today

JANUARY 2, 2023

” The currently proposed provision has similar effect to the language CMS proposed in 2012 and, after consideration of comments, ultimately rejected in the 2014 Final Rule (Medicare Advantage and Part D) and 2016 Final Rule (Medicare Part A and Part B). The FCA is a fraud statute, requiring intent. Potential Impact.

Overpayments 52

Overpayments Overpayment ACA Medicare 52

Medisys Compliance

NOVEMBER 6, 2023

Compliance with Regulatory Guidelines Ensure that all claims are submitted per all applicable laws and regulations, including the Health Insurance Portability and Accountability Act (HIPAA), the Affordable Care Act (ACA), and the Medicare Fraud, Waste, and Abuse (FWA) laws.

Compliance 59

Compliance Medical Billing Outsourcing Medical Billing ACA 59

Kaiser Health News

JANUARY 19, 2022

A spokesperson for the Centers for Medicare & Medicaid Services said in an email that the agency is not seeing a pervasive problem, but he declined to provide data on how often such cases occur or how the agents or brokers get the personal information needed to enroll unsuspecting people.

ACA 72

ACA Health Insurance Licensing Governance 72

Verisys

MARCH 24, 2022

Healthcare facilities receive billions of dollars in federal and state funding through the Affordable Care Act (ACA), Medicare, Medicaid, CHIP, and other programs. When it comes to healthcare, knowing who you’re doing business with matters.

ACA 52

ACA Compliance Governance Medicaid 52

Hall Render

SEPTEMBER 1, 2023

ALABAMA American Family Care opens new health care center in Northeast Birmingham doctors secure $13.9M ALABAMA American Family Care opens new health care center in Northeast Birmingham doctors secure $13.9M

COVID-19 40

COVID-19 Nurses Nursing Homes Hospitals 40

MedTrainer

NOVEMBER 15, 2023

It conducts audits, investigations, and evaluations to ensure efficiency and integrity in HHS programs, including Medicare and Medicaid. The OIG also enforces standards for healthcare providers and suppliers to prevent fraud and imposes penalties for non-compliance.

Compliance Framework 52

Compliance Framework Governance Compliance Medicaid 52

MedTrainer

AUGUST 2, 2023

They review healthcare claims and billing practices to ensure accuracy, detect fraud or abuse, and assess compliance with the payer’s policies and guidelines. Federal Government Audits These audits are performed by government agencies such as the Centers for Medicare and Medicaid Services (CMS).

Compliance 52

Compliance ACA Medicaid Medicaid 52

Health Populi

OCTOBER 8, 2019

Fraud and abuse, waste between $59 bn and $84 bn; and, Administrative complexity, wasting about $266 bn each year. The Centers for Medicare and Medicaid Services (CMS) forecasts that prescription drug spending will be the fastest-growing cause of rising health spending by 2027. Political debates in this 2020 U.S.

Prescription Drug Pricing 104

Prescription Drug Pricing Medicare Medicare ACA 104

Hall Render

NOVEMBER 27, 2023

11 Plan To Slash $1.5B 11 Plan To Slash $1.5B face growing challenges to stay open KENTUCKY BehaVR merges with New York City-based Fern Health For years, a powerful Louisville hospital sued people for unpaid bills.

US Department of Health and Human Services 40

US Department of Health and Human Services Nurses Nursing Homes Hospitals 40

Hall Render

OCTOBER 27, 2023

Million Health Care Fraud Conspiracy in Idaho Orthopedic activity in the 5 most underserved states St. Million Health Care Fraud Conspiracy in Idaho Orthopedic activity in the 5 most underserved states St. Here’s why Grady Health System recognized as health care I.T. Here’s why Grady Health System recognized as health care I.T.

US Department of Health and Human Services 40

US Department of Health and Human Services Nurses Nursing Homes Hospitals 40

Hall Render

MARCH 31, 2023

s Socially Determined aims to address potential gaps in Medicaid enrollment Lawsuits Mount Against DC Health Link Over Breach of Congress Members’ Data DC COVID-19 centers closing Friday Mayor Bowser Canceling $90 Million in Medical Debt for up to 90,000 DC Residents DELAWARE ChristianaCare CEO Dr.

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes Nurses COVID-19 40

Hall Render

AUGUST 19, 2022

Stockton Doctor and Medical Practice Agree to Pay Nearly $2 Million to Resolve Allegations of Health Care Fraud. ‘The unwinding’: Idaho Medicaid must recheck eligibility for 131K people when U.S. UnitedHealth Group buys Medicare insurer in Texas. Failed Medicaid expansion negotiations reveal N.C.

COVID-19 40

COVID-19 Nursing Homes US Department of Health and Human Services Nurses 40

Hall Render

MARCH 29, 2024

James Hospital president NEBRASKA Hospital Medicaid funding bill passes on final reading How Nebraska Medicine used AI to reduce first-year nurse turnover by nearly 50% State auditor exposes questionable handling by DHHS of tens of millions of federal dollars Bill passed to bring in more than $1.4 after cyberattack CHI St.

Nursing Homes 40

Nursing Homes US Department of Health and Human Services Nurses Hospitals 40

Hall Render

JULY 1, 2022

Medicare’s physician pay system is ‘unsustainable,’ trustees say. Supreme Court backs HHS approach to Medicare payments for hospitals serving low-income patients. Supreme Court rules in favor of HHS in Medicare disproportionate share payments case. billion fraud. billion fraud. CONNECTICUT.

US Department of Health and Human Services 40

US Department of Health and Human Services COVID-19 Nurses Hospitals 40

Hall Render

APRIL 7, 2023

Judge denies challenge to measure that would cap LA hospital exec pay COLORADO Builders show little interest in city, hospital employee housing project Capitol Pain Institute acquires 3 Colorado practices, ASC Colorado lawmakers seek financial information from hospitals in larger debate over health care costs Colorado to advance $1.4

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes COVID-19 Nurses 40

Hall Render

JUNE 16, 2023

24 spot in national ranking of life science talent What changes did CT make to its Medicaid program in 2023? before Baptist merger Bankruptcy Trustee Wants Doctor To Pay Her $1.6M Rules Luna and MedStar Health partner to improve access to in-home, in-person outpatient physical therapy across Washington, D.C.,

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes Nurses Hospitals 40

Hall Render

FEBRUARY 4, 2022

Medicare patients win the right to appeal gap in nursing home coverage. Medicare patients win the right to appeal gap in nursing home coverage. Florida’s ACA enrollment is tops nationally, but Medicaid expansion questions remain. Up to 80,000 Ohioans could end up on different health plan in reformed Medicaid system.

COVID-19 40

COVID-19 US Department of Health and Human Services Nursing Homes Nurses 40

Hall Render

NOVEMBER 3, 2023

s largest community health center move to unionize DELAWARE Delaware gets top rating for hospital maternity care Delaware system hits funding goal, raises objective ACA enrollment begins, most plan options offered in Delaware marketplace history Nemours Children’s Health Names Delaware Valley Regional President FLORIDA Ascension St.

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes Nurses Hospitals 40

CMS.gov

NOVEMBER 2, 2018

CMS BLOG: Medicare for All? Seema Verma, Administrator, Centers for Medicare & Medicaid Services . Medicare Part C. Medicare Part D. Medicare for All? When listening to those advocating ‘Medicare for All’ it’s good to be skeptical about their promises. keya.joy-bush@…. Fri, 11/02/2018 - 21:32.

Governance 55

Governance Medicare Medicare ACA 55

Hall Render

MAY 12, 2023

Connecticut is weighing several changes to Medicaid. Here’s what it means. Cloud Hospital names Chief Quality Officer Tampa’s Lions Eye Institute adopts new name Troubled Cano Health records $60.6M

COVID-19 40

COVID-19 US Department of Health and Human Services Nurses Hospitals 40

Kaiser Health News

OCTOBER 13, 2022

Meanwhile, open enrollment for Medicare begins Oct. 15, when beneficiaries can join or change private Medicare Advantage plans or stand-alone prescription drug plans. Democrats were aware of this problem even as they passed the ACA. The Obama administration had decided that only Congress could fix the glitch.

Medicare 67

Medicare Medicare ACA Governance 67

Hall Render

JUNE 2, 2023

DELAWARE Delaware urged to increase funding for long-term care Exercising their American dream: Milford couple opens PT Works at former Lakeside Physical Therapy FLORIDA AdventHealth names COO for hospitals in Palm Coast BayCare Hires New CIO, Promotes From Within for VP of System Finance Florida lawmakers pass bill banning optometrists from calling (..)

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes Nurses Hospitals 40