Healthcare Law Today

DECEMBER 12, 2022

In this episode of Health Care Law Today, Nate Lacktman and Maureen Stewart are joined by Mark Josephs, Deputy General Counsel of LifeMD to discuss the current regulatory and legal environment for telemedicine companies regarding online subscription services, and the recent investigations by the federal government of these services.

Telemedicine 49

Telemedicine Fraud Governance Compliance 49

HIPAA Journal

SEPTEMBER 5, 2023

Among its objectives, the Act aims to address illegal and misleading online content, better protect Internet users from fraud, and provide more control over what personal data is collected and how it is used. Strictly speaking, such a website fulfils the definition of an online platform because users can interact with it.

Compliance 55

Compliance HIPAA Governance Fraud 55

AIHC

SEPTEMBER 5, 2023

Compliance Considerations for Best Outcomes Written in collaboration with the AIHC Volunteer Education Committee Delivering mental health services via telehealth has increased since the COVID-19 pandemic. This requirement can sometimes apply to specific types of professionals when located in law or regulations governing their profession.

COVID-19 59

COVID-19 Telemedicine Compliance Informed Consent 59

AIHC

FEBRUARY 16, 2024

Lessons Learned about Consequences & Incentives Submitted by the AIHC Education Department Introduction The Office of Inspector General has released the new General Compliance Program Guidance or “GCPG” in late 2023. The British government decided to take action and offered citizens a bounty to redeem for dead cobras.

Compliance 52

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

AIHC

FEBRUARY 16, 2024

Lessons Learned about Consequences & Incentives Submitted by the AIHC Education Department Introduction The Office of Inspector General has released the new General Compliance Program Guidance or “GCPG” in late 2023. The British government decided to take action and offered citizens a bounty to redeem for dead cobras.

Compliance 52

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

Healthcare Law Blog

MAY 16, 2022

Enrollee Participation in Dual Eligible Special Needs Plan (“D-SNP”) Governance (§ 422.107). Refining Definition for Fully Integrated and Highly Integrated D-SNPs (§§ 422.2 With a few exceptions, the Final Rule is a wholesale codification of the proposed rule. CMS proposed extending enrollee advisory committee requirements to D-SNPs.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Compliancy Group

FEBRUARY 9, 2022

How Does HIPAA Define Billing Software Compliance? Covered entities (like a doctor, clinic, or hospital) and their business associates (like a billing service or payment processor) must protect the rights and privacy of patients as part of their HIPAA compliance strategy. Let’s Simplify Compliance Do you need help with HIPAA?

HIPAA 52

HIPAA Compliance Fraud Doctors 52

Hall Render

NOVEMBER 15, 2023

However, the bundling of payment for these services raises compliance concerns for providers who use APPs. The Arrangement contains safeguards that lower the risk of fraud and abuse under the federal AKS. 42 CFR 482.22 (emphasis added).

Medicare 40

Medicare Medicare Medicaid Medicaid 40

Verisys

APRIL 13, 2023

While it is hard to believe those graduating with a professional degree plan to intentionally harm future patients, unfortunately, it can happen. Harm isn’t just in the form of medical errors but can also be associated with healthcare fraud. Up to 10% of federal healthcare funding is lost to fraud, waste, and abuse.

Fraud 52

Fraud Governance Compliance 52

Health Law RX

JULY 18, 2023

Those subject to the CMP Final Rule should consider prioritizing their compliance efforts because the OIG will begin enforcing the Rule on September 1, 2023. The CMP Final Rule does not apply to healthcare providers unless they also fit the definition of Developers or HIN/HIEs.

Fraud 52

Fraud Compliance Medicaid Medicaid 52

Health Law Advisor

MARCH 7, 2023

The proposed rules also clarify that a telemedicine encounter that results in a controlled substance prescription requires the health care professional treating the patient to use an interactive telecommunications system, and directly refers to the Medicare definition of that term at 42 C.F.R. Impact on Pharmacies. 1301.28.

Telemedicine 52

Telemedicine COVID-19 FDA Compliance 52

C&M Health Law

AUGUST 3, 2023

OIG’s lookback period is 6 years for information blocking, but OIG recommended maintaining information for additional time, noting that the ONC Health IT Certification Program requires participants to maintain records to demonstrate initial and ongoing compliance for 10 years.

Fraud 52

Fraud HIPAA Governance Compliance 52

Hall Render

APRIL 6, 2022

Turning to the present case, in Safeway , the relator alleged that the defendant engaged in the submission of false claims to the government when it “reported its ‘retail’ price for certain drugs as its ‘usual and customary’ price.” Guidance Must Be Truly Authoritative and Must Come from An Actual Authority.

Medicare 72

Medicare Medicare Medicaid Medicaid 72

Healthcare Law Blog

MARCH 3, 2023

federal government. By way of example, some of the most significant flexibilities to be extended include: Definition of “Originating Site” : The Act extends the definition of “originating site” to mean any site in the U.S., trillion omnibus spending bill intended to fund the U.S. including the home of an individual. [2]

Fraud 52

Fraud Nurses Telemedicine COVID-19 52

HIPAA Journal

JANUARY 16, 2023

One of the reasons why some people approach the topic of AI in healthcare with a degree of apprehension is that different sources offer different definitions of AI. To quote Microsoft´s definitions of the two terms: . AI is used by the finance industry to detect potential credit card fraud. Ethics of AI in Healthcare .

Governance 62

Governance HIPAA World Health Informed Consent 62

New Jersey Healthcare Blog

JULY 22, 2022

Following a thorough review in compliance with Executive Order No. 907(b), the Department of Human Services, Division of Mental Health and Addiction Services readopted rules that govern the provision of mental health services at inpatient psychiatric hospital units known as short-term care facilities (STCFs). 13:44F with amendments.

COVID-19 Vaccine 40

COVID-19 Vaccine Licensing COVID-19 Public Health 40

Hall Render

OCTOBER 20, 2023

Luke’s sign definitive agreement, close in on merger How Mayo Clinic Is Approaching Generative AI Risk Mitigation St. Luke’s sign definitive agreement, close in on merger Pandemic brings telehealth boom to rural Wisconsin, but barriers linger St. joint venture Hospitalist Companies Agree To Pay Nearly $4.4 We want to know.

COVID-19 Vaccine 40

COVID-19 Vaccine Nursing Homes COVID-19 Nurses 40

Drug & Device Law

AUGUST 8, 2022

The unfortunate truth is that ECFMG was also a victim of this fake doctor’s fraud. So if compliance with an industry standard is a defense, this plaintiff went a step further and sued the organizations that created the standards. Furthermore, trade associations often serve to assist the government in areas that it does not regulate.

Doctors 52

Doctors Fraud Licensing Compliance 52