Med-Net Compliance

JULY 19, 2022

In order to participate in the Medicare, Medicaid, and all federal healthcare programs once the term of exclusion ends, the individual or entity must apply for reinstatement and receive written notice from OIG that reinstatement has been granted. An individual or entity with a defined period of exclusion (e.g., 5 years, 10 years, etc.)

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US Department of Health and Human Services Licensing Medicare Medicare 59

Verisys

JANUARY 19, 2022

Due to the complex nature of medical credentialing, it requires coordination between several disparate departments within an organization. According to recent surveys of major metropolitan hospitals , departments that typically share the responsibility for credentialing include: The Compliance Office. Human Resources.

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US Department of Health and Human Services Hospitals Malpractice Compliance Officers 52

Verisys

JANUARY 27, 2022

COVID has impacted every aspect of daily life, and these changes have affected people’s mental health, making telehealth services for behavioral health more important than ever. Others may become susceptible to mental health issues, such as depression or anxiety. The use of telemedicine in the U.S.

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US Department of Health and Human Services Telemedicine Licensing Informed Consent 52

Verisys

JANUARY 6, 2022

Federal payments for healthcare services account for 28% of all healthcare spending in the United States. Payments from Medicare, Medicaid, TRICARE, CHIP, and other federal programs are a significant source of funds for nearly every healthcare organization and provider. There are two types of OIG exclusions : permissive and mandatory.

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US Department of Health and Human Services Fraud Medicaid Medicaid 52

Provider Trust

JANUARY 26, 2022

Luckily for all us, there’s a spectrum–and it was created with visibility and safety in mind. Department of Justice (DOJ), the U.S. And when patient care and reimbursements are on the line, even one bad actor can put an entire organization’s reputation in jeopardy. How the OIG Finds & Prosecutes Healthcare Fraud.

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Fraud US Department of Health and Human Services Medicaid Medicaid 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. Why asking about social determinants of health is so important. Alabama Women’s Health Center Suffers Data Breach, 34K Impacted. Amazon wants to add payer strategy muscle.

US Department of Health and Human Services 40

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

Hall Render

JUNE 30, 2023

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

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

Healthcare IT Today

JANUARY 10, 2024

As we kick off 2024, we wanted to start the new year with a series of 2024 Health IT predictions. Jason Considine, Chief Commercial Officer at Experian Health Staffing shortages will continue to be a major pain point for providers in 2024 and have a direct impact on their bottom line.

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US Department of Health and Human Services Nurses Hospitals Telemedicine 118

Hall Render

MARCH 31, 2023

in 2022, survey finds Senate votes to end COVID-19 national emergency Why are 600+ rural hospitals at risk of closing? 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?

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

Verisys

AUGUST 14, 2023

A big thanks to our compliance team, who monitors state, federal, and international updates. See below for changes from several states introducing legislation. The listening sessions will be held on Tuesday, September 12, 2023, and Wednesday, September 13, 2023, from 9 a.m. to 5:30 p.m.

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US Department of Health and Human Services Licensing Telemedicine Medicare 52

AIHC

NOVEMBER 15, 2022

Written by Joanne Byron , BS, LPN, CCA, CHA, CHCO, CHBS, CHCM, CIFHA, CMDP, COCAS, CORCM, OHCC, ICDCT-CM/PCS The Federal Hospital Price Transparency Rule helps Americans know the cost of a hospital item or service before receiving it. Compliance is mandatory. So, exactly what is this all about? Consequences of Noncompliance?

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Hospitals US Department of Health and Human Services Compliance Governance 52

Hall Render

DECEMBER 29, 2023

NATIONAL 4 largest healthcare data breaches of 2023 Anesthesia practices sue CMS over reimbursement method Antitrust enforcements hit a high in 2022, with health deals impacted ASCs face leadership exodus CMS floats appeals process over observational stays CMS proposes additional Medicare appeals processes FTC eyes healthcare mergers, report shows (..)

Nursing Homes 40

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

Hall Render

MAY 5, 2023

acquisition of Oak Street Health to expand primary care footprint Did Hospitals Violate EMTALA by Failing to Provide Abortion Care? acquisition of Oak Street Health to expand primary care footprint Did Hospitals Violate EMTALA by Failing to Provide Abortion Care?

US Department of Health and Human Services 40

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

Hall Render

JULY 1, 2022

Fewer Than 2% of Hospitals Excelling at Health Equity, Value. How hospitals should prepare for the end of the public health emergency. Justice Department cracks down on ASC, anesthesia provider arrangements. North Alabama doctor’s medical license suspended after investigation into overdose death. Wade reversal.

US Department of Health and Human Services 40

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

Hall Render

MARCH 22, 2024

NATIONAL 79 percent have positive outlook for senior living and care: NIC 12 key legal issues impacting health systems AHA: 94% of hospitals financially impacted by Change Healthcare’s cyberattack A conversation about the HHS plan on AI in health care A new kind of hospital is coming to rural America.

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

Hall Render

SEPTEMBER 29, 2023

million patients Senate committee advances bill cutting hospital facility fees What Joint Commission, NQF’s affiliation means for hospitals Which health systems teamed up with Amazon, Google + Microsoft ALABAMA Alabama gets $3.6M in Stark law self disclosures: 3 things to know CMS’ staffing proposal will cost nursing homes $6.8B

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

Hall Render

AUGUST 11, 2023

But that wasn’t the whole story.

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

Hall Render

FEBRUARY 16, 2024

CALIFORNIA 8 ASCs opening in Florida, California and New York A bankrupt California hospital left a health care desert. CALIFORNIA 8 ASCs opening in Florida, California and New York A bankrupt California hospital left a health care desert.

US Department of Health and Human Services 40

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

Hall Render

JULY 21, 2023

Vincent’s nurse, physician communication among top in Alabama UAB Hospital receives millions in state funds to expand ED 988 one year later: More needed to expand mental health in Alabama communities of color Alabama lawmakers hear from Pickens County on effort to re-open medical center ALASKA City OKs $8.1M Million St. Million St.

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