Provider Trust

JULY 26, 2022

On June 7, 2022, Theresa Pickering of Norcross, Georgia was indicted by a federal grand jury on federal charges of health care fraud, aggravated identity theft, and distribution of controlled substances. In addition to these allegations of fraud, waste, and abuse, Pickering had a history of fraud. According to the U.S.

Licensing 52

Licensing Fraud Compliance Nurses 52

AIHC

JUNE 6, 2023

Algorithms perform relatively well on knowledge-based tests despite the lack of domain-specific training; ChatGPT achieved ~ 66% and ~ 72% on Basic Life Support and Advanced Cardiovascular Life Support tests, respectively, and performed at or near the passing threshold on the United States Medical Licensing Exam.

Compliance 59

Compliance Medical Billing HIPAA Due Diligence 59

Innovaare Compliance

OCTOBER 6, 2022

The purpose of these audits is to evaluate a plan sponsor’s efforts to prevent, detect, and correct fraud, waste, and abuse (FWA) in the Medicare Part C and Part D programs. If you have any questions, or you’d like to discuss these changes with one of our compliance experts, please call us at 1.408.850.2235. or Contact Us.

Medicare 52

Medicare Medicare Compliance Public Health 52

AIHC

JUNE 6, 2023

Algorithms perform relatively well on knowledge-based tests despite the lack of domain-specific training; ChatGPT achieved ~ 66% and ~ 72% on Basic Life Support and Advanced Cardiovascular Life Support tests, respectively, and performed at or near the passing threshold on the United States Medical Licensing Exam.

Compliance 52

Compliance Medical Billing HIPAA Due Diligence 52

Med-Net Compliance

SEPTEMBER 14, 2022

A Massachusetts home health aide, who was licensed as a Certified Nursing Assistant (CNA), has been indicted in connection with a home surveillance video showing her abusing an elderly patient, Attorney General Maura Healey announced.

US Department of Health and Human Services 59

US Department of Health and Human Services Fraud Medicaid Medicaid 59

Provider Trust

AUGUST 9, 2023

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. OIG continues to work tirelessly to identify instances of fraud, waste, and abuse and prosecute offenders.

Nursing Homes 52

Nursing Homes COVID-19 Fraud Medicaid 52

YouCompli

JULY 12, 2022

Key Point for Compliance Professionals: Medical necessity is the overarching criterion for the performance and billing of any service. National fraud takedown: $1.1 Department of Justice (DOJ) announced a national health care fraud enforcement action involving over $1.4 billion in false and fraudulent telehealth claims.

COVID-19 52

COVID-19 Medicare Medicare Telemedicine 52

HIT Consultant

NOVEMBER 24, 2022

. – Prescription hearing aids will require a consumer to have a prescription for a hearing aid from a physician, audiologist or a licensed hearing instrument specialist. 4 And compliance decrease over time. . – Fraud. Health plans should be on the alert for potential pitfalls arising from the new regulations.

FDA 98

FDA Public Health Fraud Medicare 98

Healthcare Compliance Blog

MARCH 31, 2022

The New York Wage Parity Act, Public Health Law sets minimum wage and benefit requirements for licensed home care services agencies (LHCSAs) that employ home care aides who render services to Medicaid recipients in New York City and three counties in New York. Under the terms of agreement, one of the agencies has paid $1.6

Medicaid 59

Medicaid Medicaid Governance Fraud 59

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 compact does not apply to nurse practitioners (NPs) because they are licensed under state boards of nursing and not medicine.

COVID-19 59

COVID-19 Telemedicine Informed Consent Compliance 59

Provider Trust

MARCH 16, 2022

Exclusions are administrative actions that are placed upon an individual or entity by HHS OIG, a state agency or Medicaid Fraud Control Unit (MFCU), or by one of the many agencies associated with SAM.gov. Each state has a department or agency dedicated to upholding the integrity of Medicaid programs and public health.

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

Healthcare IT News - Telehealth

NOVEMBER 22, 2021

A survey put forward by the national healthcare, life science and workforce management law firm Epstein Becker Green found that telemental health services have increased in quantity this year – as have fraud-related enforcement actions at the state and federal levels. For instance, it cited efforts this year from the U.S.

Fraud 188

Fraud COVID-19 Medicare Medicare 188

Health Law Advisor

MARCH 1, 2023

In the era of abortion regulation and the wind-down of the COVID-19 public health emergency (“PHE”), new legislation in states such as Utah may be a sign of what is to come for online and telehealth prescribing. Contact an EBG attorney for more information on how to stay compliant. [1] 1] [link]. [2]

Telemedicine 52

Telemedicine COVID-19 Fraud Licensing 52

Healthcare Law Blog

MAY 16, 2022

At the beginning of the applicable contract year, the credit and the use of LOIs will no longer apply and, if the application is approved, the MAO must be in full compliance with network adequacy, including having signed provider and facility contracts. A warning letter = 3 points. A notice of noncompliance = 1 point.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Provider Trust

MAY 9, 2023

What is a Medicaid Fraud Control Unit (MFCU)? Fraud and abuse are unfortunate realities of the healthcare industry. Hundreds of claims and investigations are carried out yearly to combat the growing number of providers, organizations, and entities contributing to fraud and abuse within state and federal healthcare programs.

Fraud 52

Fraud Medicaid Medicaid Nurses 52

Hall Render

SEPTEMBER 16, 2022

4 Health Systems Join Provider-Created Data Collective to Improve Care. Full 4th Circuit to tackle Medicaid fraud standard under False Claims Act. Main Line Health shifts pediatric affiliation to CHOP after 25 years with Nemours. Delaware public health officials working to expand monkeypox vaccine access.

US Department of Health and Human Services 40

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

Hall Render

SEPTEMBER 1, 2023

ALABAMA American Family Care opens new health care center in Northeast Birmingham doctors secure $13.9M operating margin, $1B net gain halfway through its first year Illinois public health officials warn of “rising COVID-19 activity” St.

COVID-19 40

COVID-19 Nurses Nursing Homes Hospitals 40

YouCompli

JANUARY 4, 2022

The Massachusetts Health and Hospital Association recently convened its Healthcare Legal Compliance Forum to update members on key areas of regulatory change, compliance and enforcement in this late COVID era. It reduced the rate of whistleblower and other fraud complaints, and for Unger at least, abuse cases increased.

Compliance Officers 40

Compliance Officers Compliance Elder Abuse COVID-19 40

New Jersey Healthcare Blog

JULY 22, 2022

509(a), Governor Murphy issued an Executive Order updating and clarifying timeframes for requiring covered workers at health care facilities and high-risk congregate settings to be up-to-date with their COVID-19 vaccinations, including having received a booster shot. Following a thorough review in compliance with Executive Order No.

COVID-19 Vaccine 40

COVID-19 Vaccine Licensing COVID-19 Public Health 40

Hall Render

MARCH 31, 2023

County-owned buildings facing potential earthquake risk Gilead drops option to buy cancer therapeutics company Health and Life Organization Inc. in 2022, survey finds Senate votes to end COVID-19 national emergency Why are 600+ rural hospitals at risk of closing? What happens if it disappears?

US Department of Health and Human Services 40

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

COVID-19 40

COVID-19 Nurses Hospitals Nursing Homes 40

Hall Render

FEBRUARY 18, 2022

Lawmakers call on Biden to end public health emergency. License wait times reach crisis levels for healthcare workers. Only 14% of Hospitals Met Price Transparency Rule Compliance. Florida physician convicted of $110M fraud. Florida Health System Uses AI to Predict Hepatitis C Treatment Outcomes.

COVID-19 40

COVID-19 Nursing Homes Nurses COVID-19 Vaccine 40

Hall Render

SEPTEMBER 23, 2022

Amazon PillPack Founders to Leave in Latest Health-Care Shakeup. Congress presses Meta about health data privacy after hospitals remove Facebook tracker. Healthcare Compliance Will Be a Challenge in Post-PHE World. Health systems grow apprenticeships to tackle shortages. Aspen U surrenders nursing program license.

COVID-19 40

COVID-19 Nurses Nursing Homes Hospitals 40

Hall Render

MARCH 3, 2023

million for youth mental health care KENTUCKY Pike County nursing home officials release statement following loss of Medicare agreement Three Humana executives drop $11.2M

Nursing Homes 40

Nursing Homes COVID-19 Nurses Hospitals 40

Hall Render

AUGUST 26, 2022

CMS informational bulletin urges steps for improving health outcomes in nursing homes. Compliance with Oct. Despite Lackluster Operator Adoption, EHRs Positioned to Shape Behavioral Health Care’s Future. Alaska Public Health centers now have doses of the monkeypox vaccine. 30 months into pandemic. 2 strike date.

Nursing Homes 40

Nursing Homes COVID-19 Nurses Hospitals 40

Hall Render

DECEMBER 29, 2023

of Health Won’t Release Details R.I. health tech company Lifespan considering $300M bond issue for construction projects R.I. Penn Medicine buys Montgomeryville site for $7.5M physicians group partners with Calif.

Nursing Homes 40

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

Hall Render

FEBRUARY 24, 2023

Moore’s 2024 budget MASSACHUSETTS Cancer drugmaker down to 3 employees after trial failure Fallon Health CEO to retire after 25 years with Worcester-based health plan FEMA provides $4M to Massachusetts for daycare Covid-19 testing costs Massachusetts hospital to remain closed for 3 months after fire Nurses keep protesting staffing shortages.

Nursing Homes 40

Nursing Homes COVID-19 Nurses Hospitals 40

Hall Render

JULY 1, 2022

How hospitals should prepare for the end of the public health emergency. North Alabama doctor’s medical license suspended after investigation into overdose death. Insurance company Cigna, Ascension Health Alabama struggle to reach contract renewal. Dr. Anthony Torres named CEO of Dignity Health hospital.

COVID-19 40

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

Hall Render

MARCH 24, 2023

grant for public health response Hawaii Gov. Mary’s hospital names new president and CEO; starts April 24 HAWAII Maui healthcare workers remain on strike, no clear end Hawaii gets $14.2M

Nursing Homes 40

Nursing Homes Nurses COVID-19 Hospitals 40

Healthcare IT Today

JANUARY 17, 2024

Sanjeev Agrawal, President & COO at LeanTaaS In 2024, the potential of generative AI could create new purpose – helping clinicians function at the top of their license. Proven technology that enables augmented users will serve as guardrails for GenAI, maintaining compliance and safeguarding patient safety. Enter academia.

Governance 127

Governance Nurses Compliance Public Health 127

Hall Render

MARCH 8, 2024

What it’s saying — and not saying Idaho committee passes Medicaid extension for postpartum care Foundation opens fast-track grant cycle for rural health ILLINOIS 20 IL Hospitals Ranked Among The Best In The World: Report 4 hospitals with uncertain futures Attune Medical acquired by Massachusetts-based Haemonetics for $160 million Chicago building with (..)

Nursing Homes 40

Nursing Homes Nurses Hospitals COVID-19 40

Hall Render

MAY 5, 2023

area MedStar Health delays Olney cancer center expansion, expects to exceed original $3M budget Owner of DC’s closed Providence Hospital may turn campus into housing DC Council Committee on Health Holds Roundtable About End of COVID Emergency Coalition seeks to overhaul D.C.’s

US Department of Health and Human Services 40

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

Hall Render

OCTOBER 20, 2023

joint venture Hospitalist Companies Agree To Pay Nearly $4.4

COVID-19 Vaccine 40

COVID-19 Vaccine COVID-19 Nursing Homes Nurses 40

Hall Render

SEPTEMBER 29, 2023

million into USF Health’s new nursing simulation lab UF Health to open ER in former Lake County CVS Nurse Practitioner Convicted of $200M Health Care Fraud Scheme Florida joins 3 other states in adopting new, paid maternity leave for state workers GEORGIA Albany nonprofit addresses medical debt with D.C.

US Department of Health and Human Services 40

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

Hall Render

MARCH 22, 2024

Banner Health to expand clinical AI to 33 hospitals, 6 states Banner reports $282.8M Banner Health to expand clinical AI to 33 hospitals, 6 states Banner reports $282.8M Nevada Medicaid must cover abortion services, judge rules Clark County health rankings improve, but physicians per capita still well below U.S.

Nursing Homes 40

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

Hall Render

AUGUST 11, 2023

to advance nursing education OREGON Bomb threat shuts down OHSU clinic after anti-trans information posted online CEO of CareOregon on maximizing state health care spending Portland-area medical clinic expands in Northeast and Clackmas County Providence St. hospitals urge regulators to sign off on budget requests Vt.

US Department of Health and Human Services 40

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

Hall Render

FEBRUARY 16, 2024

UTAH Intermountain opens new children’s hospital ‘We can’t go on like this:’ Utahns share their vision for health care Real Salt Lake, Utah Royals Partner With Intermountain Health Lehi’s New Children’s Hospital is Now Open St. George, Cedar City hospitals are only Utah facilities to make top maternity ward list St.

US Department of Health and Human Services 40

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