Healthcare Compliance Blog

MARCH 7, 2022

After an investigation into Colorado’s care for people with disabilities who reside in nursing homes, the Department of Justice (DOJ) concluded that the state unnecessarily segregates people with physical disabilities in nursing facilities. These available services should be regardless of the person’s age or physical disability.

Nursing Homes 59

Nursing Homes Nurses ADA Medicaid 59

Bill of Health

SEPTEMBER 9, 2022

There are no national mandatory standards governing health care access or delivery behind bars. Some states have adopted minimum standards for prisons, jails, or both, but in Louisiana , the standards governing health care in jails have not been updated since 1980. Compare, for example, federal treatment of nursing homes with prisons.

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COVID-19 COVID-19 Vaccine Medicaid Medicaid 349

Bill of Health

OCTOBER 17, 2022

First, nursing homes and assisted living facilities are seeing large numbers of suits , particularly for failures in infection control. Other increasingly viable employee lawsuits are ADA disability discrimination or Title VII claims , possibly bolstered by federal government guidance from the U.S. Shield Propagation.

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COVID-19 Nursing Homes Nurses Public Health 237

YouCompli

AUGUST 2, 2022

Wolf, MD provides enforcement action summaries for the YouCompli blog. Healthcare compliance history has shown that when the government disperses significant funds, audits and enforcement associated with the disbursement of those funds will shortly follow. This month’s article looks at COVID enforcements.?? ?.

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COVID-19 Vaccine COVID-19 Nursing Homes Compliance Officers 52

Bill of Health

OCTOBER 25, 2022

Taffy for the nursing homes, lollipops for the device manufacturers…. for protecting the not-sovereign sovereigns: “governments must have discretion”. (to But in the crisis, immunities rained down, Tossed freely around like candy at a 4th of July parade. Most healthy, smiling faces in the crowd got some. just raise your hand.

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COVID-19 Nursing Homes Hospitals Nurses 361

Bill of Health

SEPTEMBER 14, 2022

The pandemic prison has utilized several of the worst features of incarceration as a foundational part of how the institution governs “public health” for its captives. By Dan Berger. And because prisons are never as removed from society as proponents like to think, these protocols redound far beyond the prison system itself.

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COVID-19 Public Health Nursing Homes Governance 363

Healthcare Compliance Blog

JANUARY 24, 2022

The Medicaid Fraud Division also prioritizes the physical and financial security of residents who reside in Massachusetts nursing homes. Cases include: In September 2021, a certified nurse’s aide was charged with sexually assaulting two elderly nursing home residents at a Massachusetts nursing home while he worked the night shift.

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Fraud Medicaid Medicaid Nursing Homes 59

The Health Law Firm

MARCH 14, 2013

Individuals working in the health care industry, whether for hospitals, nursing homes, medical groups, home health agencies or others, often become aware of questionable activities. In many cases the activity may amount to fraud on the government. Click here to read the first part of this blog.

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Fraud Governance Nursing Homes Nurses 40

The Health Law Firm

MARCH 13, 2013

Individuals working in the health care industry, whether for hospitals, nursing homes, medical groups, home health agencies or others, often become aware of questionable activities. In many cases the activity may amount to fraud on the government. This is the first blog of a two-part series.

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Fraud Governance Nursing Homes Nurses 40

Provider Trust

AUGUST 9, 2023

Leveraging Oversight To Protect Nursing Home Residents Better Enhancing the quality of care in nursing homes remains paramount to OIG. Through years of oversight, they have discovered various obstacles and weaknesses within nursing home facilities.

Nursing Homes 52

Nursing Homes COVID-19 Fraud Medicaid 52

MedTrainer

DECEMBER 4, 2023

Alaska Healthcare Compliance Resources Let’s start with the important state government agencies you’ll need to work with: The Alaska DHSS Division of Public Health The Alaska State Hospital and Nursing Home Association provides support and resources to hospitals and nursing homes throughout the state, helping to ensure that patients receive the care (..)

Compliance 52

Compliance Nursing Homes Public Health Nurses 52

Hall Render

FEBRUARY 27, 2023

Whistleblowers continue to be one of the federal government’s greatest assets in FCA cases, as whistleblowers filed 652 qui tam suits in 2022 with recovery totaling $1.9 The government initiated 296 FCA cases on its own last year without input of a relator, which is the highest volume of DOJ initiated cases since the 1986 FCA amendments.

Nursing Homes 40

Nursing Homes Fraud Medicaid Medicaid 40

MedTrainer

NOVEMBER 6, 2023

While specific compliance requirements vary depending on the type of facility — from large hospitals and surgery centers to clinics and nursing homes — having a well-structured compliance plan is essential for all medical settings. But what exactly is a compliance plan in healthcare, and why is it so crucial?

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Compliance Fraud Nursing Homes Governance 52

Hall Render

NOVEMBER 18, 2022

The United States Government Accountability Office published an analysis on January 14, 2022, titled “Health Care Capsule: Improving Nursing Home Quality and Information” which identified gaps in oversight of nursing homes that make it more difficult to prevent patient abuse. Managing Organization.

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Nurses Nursing Homes Medicare Medicare 40

Healthcare Law Blog

AUGUST 25, 2023

3] “Excluded Provider” lists are maintained by both Federal and New York State government agencies. 1320a-7k(d); NY Social Services Law §363-d(6). [2] 2] The Self-Disclosure Full Statement and the Self-Disclosure Abbreviated Statement are available on OMIG’s website at: [link]. [3] The Office of Inspector General within the U.S.

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Overpayments Overpayment Medicaid Medicaid 52

MedTrainer

DECEMBER 5, 2023

New York Healthcare Compliance Resources Let’s start with the important state government agencies you’ll need to work with: The New York State Department of Health plays a vital role in promoting the health and wellbeing of New Yorkers.

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Compliance Licensing Nursing Homes Public Health 52

Healthcare Law Blog

MARCH 6, 2024

On the same day as the workshop the Agencies launched a “ Cross-Government Inquiry on Impact of Corporate Greed in Health Care ,” issuing a Request for Information (“RFI”) seeking public comment on health care deals involving private equity firms, including deals that would not be reportable under the Hart-Scott-Rodino Act.

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Nursing Homes Nurses Doctors Governance 59

MedTrainer

DECEMBER 4, 2023

The law controls the growth of healthcare services, particularly in areas such as rehabilitation and nursing home beds. Healthcare projects, including entering new markets, expanding facilities, or even minor increases to bed counts in nursing homes or rehabilitation centers , require approval from the state.

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Compliance Licensing Nursing Homes Nurses 52

Healthcare Law Blog

NOVEMBER 16, 2023

More broadly, the Final Rule is an important step towards achieving the Biden-Harris Administration’s stated goal of increasing nursing home transparency and accountability. In particular, CMS is interested in evaluating how certain ownership structures impact care and treatment outcomes.

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Nurses Medicaid Medicaid Medicare 52

Med Law Blog

MAY 1, 2023

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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Nursing Homes Malpractice Hospitals Nurses 52

Hall Render

OCTOBER 1, 2022

The complaint alleges that Conspirator, in collusion with Defendant and through his affiliate, a large New Jersey nursing home company, acquired further ownership of the real estate under two of Plaintiff’s three hospitals, and acquired a minor equity interest in the operator of the third. Your primary Hall Render contact.

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Hospitals Nursing Homes Nurses Governance 72

Healthcare Law Today

JANUARY 20, 2022

The federal government promulgated the No Surprises Act, which we discussed in prior blog posts here and here. Both the Federal and Massachusetts legislatures have been working to solve the industry-wide problem of out-of-network (OON) billing. Massachusetts similarly issued new requirements for providers under M.G.L.

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Provider Trust

JANUARY 25, 2024

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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Fraud Medicaid Medicaid Medicare 52

Hall Render

OCTOBER 7, 2022

FEMA thus considers the following facilities to be providing emergency services: Hospitals; Rehabilitation centers; Outpatient facilities; Hospice and nursing homes; Dialysis facilities; and. The Stafford Act also permits the government to audit contracts entered into in connection with the work and services at issue.

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Nursing Homes Hospitals Public Health Nurses 73

Hall Render

FEBRUARY 21, 2023

These proposed regulations follow through on the Biden Administration’s commitment made in the 2022 State of the Union to implement the ACA’s requirements regarding transparency in corporate ownership of nursing homes, including by collecting and publicly reporting more robust corporate ownership and operating data.

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Nurses Medicaid Medicaid Medicare 40

Hall Render

APRIL 14, 2023

NATIONAL 94% of Organizations Experienced a Cyberattack in 2022 AHA blog: Strengthening crisis management in rural health care Biden signs bill ending Covid-19 national emergency Cancer drug shortages are creating dire circumstances for some patients CMS Releases FY24 IPPS Proposed Rule, Seeks to Boost Rates by 2.8%

Nursing Homes 40

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

Hall Render

NOVEMBER 10, 2023

Since the release of its first compliance program guidance (“CPG”) for hospitals in 1998, OIG has developed a series of voluntary CPGs directed at various subsets of the health care industry, such as hospitals, nursing homes, third-party billing companies, clinical laboratories, among many others.

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Compliance Compliance Officers Fraud Governance 40

Healthcare Law Blog

AUGUST 31, 2023

1] Some state governments have determined that a provider’s ability to deliver culturally competent care is an essential component to promoting effective and efficient healthcare delivery. [2]

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Licensing Patient Satisfaction Nurses Nursing Homes 52

MedTrainer

NOVEMBER 28, 2023

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.

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Compliance Licensing Medicaid Medicaid 52

Pharmacy Law Blog

FEBRUARY 13, 2018

Supreme Court decision in her case holding that the government could not freeze untainted assets. Her case continued in 2017 following a 5-3 ruling by the Supreme Court holding that the government could not freeze assets belonging to her that were not tied to the alleged fraud scheme. To read more on the U.S.

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Fraud Medicare Medicare Governance 40

Provider Trust

OCTOBER 12, 2021

Some additional nursing facts include: The U.S. government estimates that >200,000 new RN positions will be created each year from 2016 to 2026. Most healthcare services involve some sort of care by nurses including private practices, primary care clinics, home health, nursing homes, hospices, and more.

Licensing 52

Licensing Nurses COVID-19 Public Health 52

AIHC

FEBRUARY 16, 2024

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. The result?

Compliance 52

Compliance US Department of Health and Human Services COVID-19 Hospitals 52

AIHC

FEBRUARY 16, 2024

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. The result?

Compliance 52

Compliance US Department of Health and Human Services COVID-19 Hospitals 52

Health Law RX

NOVEMBER 5, 2021

Thus, employers should expect that the FLSA (and any applicable state wage and hour laws) will govern with respect to whether that time must be paid. For more information on handling requests for religious exemptions from mandatory vaccination policies see our previous blog post. Long Term Care facilities, including nursing homes.

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COVID-19 COVID-19 Vaccine ADA Medicaid 40

Drug & Device Law

DECEMBER 29, 2023

2023) (federal government may unilaterally obtain dismissal of FCA claims, and calling the constitutionality of the FCA’s private enforcement mechanism into question) ( here ); Quishenberry v. This year’s Drug & Device Law Blog top ten decisions of the year reinforced preemption – the most powerful defense we can assert.

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FDA US Department of Health and Human Services COVID-19 Informed Consent 105

Drug & Device Law

JANUARY 17, 2024

O’Lear is a criminal case, in which the defendant was convicted by a jury of healthcare fraud (billing Medicare and Medicaid for fictitious mobile X-rays at nursing homes) and aggravated identity theft.

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COVID-19 Nursing Homes Fraud FDA 98

Med League

OCTOBER 5, 2023

One particularly distressing aspect of New Jersey’s pandemic response was the devastating impact on its veterans homes. In what can only be described as a multilevel leadership failure in nursing homes, specifically in veteran homes facilities, these facilities witnessed a tragic loss of life due to COVID-19.

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