Healthcare Compliance Blog

MARCH 2, 2022

The money laundering scheme involved the submission of false and fraudulent claims to Medicare for medically unnecessary genetic tests and durable medical equipment. Allegedly, between January 2020 and July 2021, the ten Florida defendants referred Medicare beneficiaries for medically unnecessary genetic tests and durable medical equipment.

Medicare 45

Medicare Medicare Fraud Compliance 45

YouCompli

AUGUST 29, 2023

Health and Human Services Office of Inspector General (OIG) found that Medicare beneficiaries used 88 times more telehealth services during the first year of the pandemic than they did the previous year. million in Medicare fee-for-service payments. million in Medicare fee-for-service payments. It involved an estimated $1.2

Fraud 52

Fraud Medicare Medicare COVID-19 52

YouCompli

JULY 12, 2022

In fact, Medicare beneficiaries used telehealth to receive 12 percent of their services during the first year of the pandemic. An initial report from the OIG also notes that, “over 28 million Medicare beneficiaries used telehealth during the first year of the pandemic. This was more than two in five Medicare beneficiaries.

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COVID-19 Medicare Medicare Telemedicine 52

Health Law Gurus

DECEMBER 31, 2020

During the COVID-19 Public Health Emergency, the Centers for Medicare and Medicaid Services (the “CMS”) relaxed some rules to expand access to telehealth, including through audio-only communication platforms. For such patients, an audio-only connection with a doctor is the only feasible option. and Tony Cardenas (D-Cal.)

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Telemedicine COVID-19 Vaccine COVID-19 Public Health 52

Med-Net Compliance

SEPTEMBER 23, 2022

A physician pleaded guilty in federal court to falsely certifying that products and tests were medically necessary for more than 2,000 Medicare and Medicaid patients in Missouri whom he never met or examined. The physician ordered durable medical equipment and genetic tests for 2,184 Medicare beneficiaries between March 2019 and April 2021.

Fraud 59

Fraud Medicaid Medicaid Telemedicine 59

YouCompli

JULY 26, 2023

Health and Human Services Office of Inspector General (OIG) found that Medicare beneficiaries used 88 times more telehealth services during the first year of the pandemic than they did the previous year. million in Medicare fee-for-service payments. billion in Medicare funds for orthotic braces in the 20 months that followed. 

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Fraud Compliance Medicare Medicare 52

Healthcare IT Today

NOVEMBER 15, 2023

Their platform combines pharmacogenomics and medical history analytics to determine the risks of medications, which can be raised by interactions with other medications (perhaps unnoticed by the doctor doing the prescribing), and patient vulnerabilities related to age and medication conditions. offering in-home treatment.

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Medicare Medicare Hospitals Compliance 101

American Medical Compliance

SEPTEMBER 25, 2022

During the COVID-19 pandemic, most medical providers transitioned into online consultations with patients using Telehealth with the help of Medicare. This will allow for the number of locations that people receive telemedicine to grow over time. On July 27th, 2022, the House implemented a bill to further expand Telehealth services.

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COVID-19 Medicare Medicare Telemedicine 52

Med-Net Compliance

JULY 26, 2022

billion in alleged fraudulent telemedicine, cardiovascular and cancer genetic testing, and durable medical equipment (DME) schemes. Additionally, the Centers for Medicare & Medicaid Services (CMS), Center for Program Integrity (CPI), announced that it took administrative actions against 52 providers involved in similar schemes.

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Fraud Telemedicine Medicare Medicare 59

Verisys

DECEMBER 13, 2023

Each month we will give a roundup of recent healthcare fraudsters and compliance busters. Healthcare Fraud Crackdown!

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Fraud Telemedicine Licensing Compliance 52

HIT Consultant

SEPTEMBER 14, 2023

Doctors have no access to data about the social determinants of health, hampering their ability to tailor care to patients. It’s not a stretch to say that your phone knows more about many of these key factors than your doctor. Telemedicine connects underprivileged populations with remote, real-time care.

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Doctors Telemedicine Medicaid Medicaid 115

Health Populi

JUNE 6, 2021

Another 2 in 5 say they are leveraging the full capabilities of virtual care along the patient journey, as well as ensure security, privacy and compliance in their communication channels. One counter-force that would motivate providers to adopt virtual care as normal “healthcare” flow is value-based care.

Patient Satisfaction 81

Patient Satisfaction COVID-19 Telemedicine Medicaid 81

AIHC

APRIL 25, 2022

Written by: Joanne Byron , BS, LPN, CCA, CHA, CHCO, CHBS, CHCM, CIFHA, CMDP, COCAS, CORCM, OHCC, ICDCT-CM/PCS This article addresses how to track telehealth policies while addressing HIPAA compliance and mobile device management as the United States enters into a post-pandemic era. What Additional Information Should I Know for Compliance?

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HIPAA Compliance COVID-19 Compliance Officers 52

Healthcare IT News - Telehealth

AUGUST 25, 2020

Parker is using the Healow application by eClinicalWorks for its telemedicine program. There are many vendors of telemedicine technology and services on the health IT market today. Parker Jewish Institute for Health Care and Rehabilitation has earned the Center for Medicare & Medicaid Services 5-Star Quality Rating.

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COVID-19 Elder Care Nursing Homes Nurses 159

Health Populi

FEBRUARY 17, 2021

These include self-rationing prescription drug fills or refills due to cost, putting off a doctor’s visit, relying more on credit cards than cash, and postponing paying bills, among many other choices between paying for meds or daily living expenses. The reality even before the coronavirus crisis emerged in early 2020 was that U.S.

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COVID-19 Health Insurance Health Outcomes Medicaid 141

Healthcare IT Today

FEBRUARY 7, 2024

Traditionally, the doctor has given a paper prescription to the patient, who delivers it to the pharmacy. Various analytics can also be performed during and afterward to see which doctors are doing a suspicious amount of prescribing. Hence the multitude of federal and state oversight mechanisms to prevent abuse.

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Telemedicine Doctors COVID-19 Medicare 115

Healthcare IT News - Telehealth

DECEMBER 16, 2020

” "Nearly overnight, as volumes dropped precipitously, the deadly pandemic thrust patients, doctors, pharmaceutical companies and payers headfirst onto virtual platforms and other digital technologies." Healthcare right-sizes after the telemedicine explosion.

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COVID-19 Hospitals Doctors Health Insurance 207

Verisys

NOVEMBER 20, 2022

Each month we will give a roundup of recent healthcare fraudsters and compliance busters. Pain management doctor gave patients steroid injections even after patients complained of negative side effects. A psychiatrist caught improperly billing over $1.36M to Medicare over the course of seven years. Telemedicine Fraud: .

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Fraud Medicaid Medicaid Nursing Homes 52

Hall Render

JUNE 30, 2023

after home health provider reneges on Option deal Will the doctor see you now? Here’s why. Report: Amazon Pauses 50-State Virtual Care Service Expansion UnitedHealth acquires Amedisys for $3.3B Maybe not amid the changing healthcare landscape in the US. MedStar Transport Celebrates 40 years of service C.

US Department of Health and Human Services 40

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

Healthcare IT Today

NOVEMBER 14, 2023

Medicare Advantage programs are vaunting their support for “wellness,” and you see wellness campaigns at pharmacies, employers, and elsewhere. I’m sure that doctors and nurse practitioners truly care for the overall happiness and wellbeing of their patients. Do these programs give us what we seek?

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Medicare Medicare Doctors COVID-19 106

Hall Render

SEPTEMBER 16, 2022

House passes reform to Medicare Advantage prior authorizations. Medical Impact of Roe Reversal Goes Well Beyond Abortion Clinics, Doctors Say. Survey questions hospitals’ compliance with price transparency rules. Experts: Timing is right for Sanford Health’s $350M expansion in telemedicine. SOUTH DAKOTA. Kristi Noem.

US Department of Health and Human Services 40

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

Hall Render

MAY 19, 2023

Supplemental Grant for Rural Health Programs UAMS to Study Affordable Care Act’s Impact on Breast Cancer Treatment Arkansas Children’s Hospital Auxiliary Donates $1.4 Supplemental Grant for Rural Health Programs UAMS to Study Affordable Care Act’s Impact on Breast Cancer Treatment Arkansas Children’s Hospital Auxiliary Donates $1.4

Nurses 40

Nurses COVID-19 Hospitals Nursing Homes 40

Healthcare IT News - Telehealth

MARCH 31, 2020

Community-healthcare-systems vendor CPSI has launched TalkWithYourDoc.com, designed to be an effective alternative to face-to-face medical visits for patients and doctors amidst the COVID-19 crisis. The information, he added, is stored securely in one place, and is also available to their families and doctors. WHY IT MATTERS.

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Telemedicine COVID-19 Nursing Homes Doctors 184

Hall Render

SEPTEMBER 23, 2022

Healthcare Compliance Will Be a Challenge in Post-PHE World. Colorado senior-care company pauses expansion into Indiana after Medicare audit. The Top Doctors Making a Difference in Delaware in 2022. Mercer program puts primary care doctors in rural Georgia faster. million to resolve Medicare fraud claims.

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COVID-19 Nurses Nursing Homes Hospitals 40

Healthcare IT News - Telehealth

APRIL 7, 2020

Hopdoc, a telemedicine technology and services startup backed by software developer DevDigital, is giving away a telemedicine platform to doctors for free to help combat the COVID-19 pandemic. Hopdoc’s secure telemedicine system is accessible on any device with a browser: phone, tablet or computer. WHY IT MATTERS.

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COVID-19 Telemedicine Doctors Nursing Homes 161

Healthcare IT News - Telehealth

MARCH 20, 2020

As healthcare professionals look to telehealth solutions to halt the spread of the COVID-19 virus, Braidio announced the release of the telemedicine platform MyHealth Concierge, which runs over the network and cloud infrastructure of AT&T. WHY IT MATTERS. ON THE RECORD. Rural America is already experiencing this.

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COVID-19 Telemedicine Nursing Homes Hospitals 125

Healthcare IT Today

JANUARY 12, 2023

2) adoption of digital health and telemedicine, especially due to COVID-19. The Walmart Optum/United Partnership will incentivize Walmart to pivot its focus from in-store clinics to Medicare patients specifically. food deserts, access to care), while clinical interventions and risk scores are created at the patient-level.

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Hospitals Medicare Medicare COVID-19 91

Healthcare IT News - Telehealth

NOVEMBER 2, 2021

As we begin to emerge from the pandemic, BIDMC staff expect telemedicine to continue at the current volume of 20% of all ambulatory care visits. This significantly reduced hospital admissions and increased the number of patients each doctor could manage at a time. Remote monitoring has also moved into the mainstream.

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COVID-19 Telemedicine Doctors Hospitals 203

Hall Render

MARCH 8, 2024

NATIONAL 34.5% NATIONAL 34.5% NATIONAL 34.5% of Health Services announces first-ever chief heat officer Valley exec on track to raise $2B for pediatric health system Gov.

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Nursing Homes Nurses Hospitals COVID-19 40

Healthcare IT News - Telehealth

APRIL 16, 2020

TigerTouch is a mobile-centric healthcare-communications platform that enables doctors, nurses and allied health professionals to communicate securely with patients via video, voice or text with a single, enterprise-grade app. The system also enables care providers to securely exchange photos, videos and file attachments on their smartphones.

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COVID-19 Nursing Homes Doctors Nurses 150

Hall Render

JULY 8, 2022

CMS issues updated nursing home staffing compliance guidelines. Report: Arizona hospitals not in full compliance with pricing transparency laws. Denver’s InnovAge was struggling long before Medicare stopped paying. UHC Adds Health System to CO Doctor Plan to Boost Patient Care Access. Nurse pay jumps nearly 5%.

US Department of Health and Human Services 40

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

Healthcare IT Today

JANUARY 17, 2024

Expansion of the use of robots in telemedicine and remote patient monitoring will enable health care providers to reach patients in underserved areas. Proven technology that enables augmented users will serve as guardrails for GenAI, maintaining compliance and safeguarding patient safety. in medicine in all aspects.

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Governance Nurses Compliance Public Health 112

Hall Render

MARCH 22, 2024

To qualify, facilities must close their beds Amazon’s physician acquisition strategy As Many Hospitals Continue to Face Significant Financial Challenges, MedPAC Recommends Highest Ever Medicare Payment Update Change competitors step in but breaking up may be hard to do CMS to launch new primary care ACO program Congress unveils $1.2T

Nursing Homes 40

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

Hall Render

JANUARY 28, 2022

Where Hospital Price Transparency Compliance Is Lagging. Medicare posts key nursing home staffing info for consumers. Medicare scheme. Doctors withdraw request for hospital emergency protocols as Colorado COVID numbers seem to improve. Bill would expand Florida doctors’ ability to refuse care based on beliefs.

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

Hall Render

SEPTEMBER 29, 2023

Luke’s plans expansion amid population growth straining services Trinity Health CEO Bolano to step down Health care in Idaho: Will there be a doctor in the house? in Stark law self disclosures: 3 things to know CMS’ staffing proposal will cost nursing homes $6.8B officials, helps South Ga. officials, helps South Ga.

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