Healthcare IT News - Telehealth

JULY 19, 2021

It has nine licensed mental health professionals on staff, all committed to providing thorough delivery of psychiatric care based on the latest research. Unsecure telehealth connections can open the door for fraud, phishing and ransomware attacks, with serious reputational and financial consequences. THE PROBLEM.

COVID-19 167

COVID-19 HIPAA Ransomware Governance 167

Provider Trust

APRIL 26, 2023

However, this solution comes with its share of compliance risks, especially if interstate licenses are involved. There’s no doubt that frontline nurses have been warriors throughout the spread of COVID-19, providing critical care during an unstable and dangerous time. This can spell trouble for everyone involved.

Licensing 52

Licensing Nurses Compliance COVID-19 52

Healthcare IT News - Telehealth

JANUARY 26, 2022

Telehealth and remote patient monitoring have proven themselves to be not only convenient but necessary tools for patient care during the COVID-19 pandemic. Further, telehealth providers can help reduce the chance for fraud, waste and abuse by implementing risk-management policies and mechanisms. Dr. Shawn P.

Fraud 148

Fraud Telemedicine COVID-19 Licensing 148

MedTrainer

JULY 28, 2023

Earlier this year, an in-depth OIG investigation resulted in a six-day trial of a former Louisiana health clinic CEO , who was ultimately convicted of Medicaid fraud and sentenced to 82 months in federal prison. But what exactly is considered fraud, waste, and abuse? These complaints can trigger an audit. Data Analysis and Trends.

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Fraud Compliance Medicaid Medicaid 98

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.

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Fraud Medicaid Medicaid Nurses 52

Verisys

MAY 13, 2024

With Verisys, you can instantly validate identities, licenses, and ensure there are no sanctions, exclusions, or debarments associated with anyone in your business network. Here is a round up of bad actors: Doctor sentenced to 10 years in prison for unlawfully dispensing controlled substances ( Full Story ) Doctor Convicted for $5.4M

Fraud 52

Fraud COVID-19 Doctors Licensing 52

Verisys

MAY 13, 2024

With Verisys, you can instantly validate identities, licenses, and ensure there are no sanctions, exclusions, or debarments associated with anyone in your business network. Here is a round up of bad actors: Doctor sentenced to 10 years in prison for unlawfully dispensing controlled substances ( Full Story ) Doctor Convicted for $5.4M

Fraud 52

Fraud COVID-19 Doctors Licensing 52

Verisys

JULY 25, 2024

Here is a round up of bad actors: National Health Care Fraud Enforcement Action Results in 193 Defendants Charged and Over $2.75 Here is a round up of bad actors: National Health Care Fraud Enforcement Action Results in 193 Defendants Charged and Over $2.75 The post June 2024 Bad Actors Roundup appeared first on Verisys.

Fraud 52

Fraud Nursing Homes COVID-19 Licensing 52

Verisys

JULY 25, 2024

Here is a round up of bad actors: National Health Care Fraud Enforcement Action Results in 193 Defendants Charged and Over $2.75 Here is a round up of bad actors: National Health Care Fraud Enforcement Action Results in 193 Defendants Charged and Over $2.75 The post June 2024 Bad Actors Roundup appeared first on Verisys.

Fraud 52

Fraud Nursing Homes COVID-19 Licensing 52

Verisys

JULY 25, 2024

Here is a round up of bad actors: National Health Care Fraud Enforcement Action Results in 193 Defendants Charged and Over $2.75 Here is a round up of bad actors: National Health Care Fraud Enforcement Action Results in 193 Defendants Charged and Over $2.75 The post June 2024 Bad Actors Roundup appeared first on Verisys.

Fraud 52

Fraud Nursing Homes COVID-19 Licensing 52

YouCompli

AUGUST 29, 2023

Fraud, waste, and abuse (FWA) associated with telehealth services existed before COVID-19, but it significantly increased during the pandemic. Situation One: Before the Pandemic   In April 2019, government officials announced Operation Brace Yourself: a fraud takedown related to telemedicine and durable medical equipment (DME).

Fraud 52

Fraud COVID-19 Medicare Medicare 52

Health Care Law Brief

JUNE 2, 2022

The onset of the COVID-19 public health emergency (“PHE”) led to a surge in the use of telehealth by health care providers. For example, the Department of Justice has aggressively pursued health care fraud claims against individuals and entities involved in non-compliant telehealth models. Provider Licenses.

Public Health 52

Public Health Compliance COVID-19 Licensing 52

YouCompli

JULY 12, 2022

The COVID-19 pandemic opened the door to greater use of telehealth services, and healthcare providers and consumers walked through it. One of the significant allegations in the case was performing medically unnecessary telehealth services during the COVID-19 pandemic. National fraud takedown: $1.1

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COVID-19 Medicare Medicare Telemedicine 52

YouCompli

JULY 26, 2023

Fraud, waste, and abuse (FWA) associated with telehealth services existed before COVID-19, but it significantly increased during the pandemic. Situation One: Before the Pandemic   In April 2019, government officials announced Operation Brace Yourself: a fraud takedown related to telemedicine and durable medical equipment (DME).

Fraud 52

Fraud COVID-19 Compliance Medicare 52

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. Higher rates of use of telehealth are now standard in many practices since the coronavirus disease 2019 (COVID-19) pandemic.

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COVID-19 Telemedicine Informed Consent Compliance 59

Provider Trust

JULY 17, 2023

This is sometimes due to staffing shortages, infection control, and emergency preparedness, though COVID-19 certainly exacerbated longstanding issues and created new ones. To combat this fraud, waste, and abuse, the OIG introduced a three-part plan called the PRO framework to guide the oversight of nursing homes.

Compliance 52

Compliance Nursing Homes Nurses Fraud 52

Healthcare Law Blog

MAY 16, 2022

Allow CMS to Calculate Star Ratings for Certain Measures for 2023 Given Impacts of the COVID-19 Public Health Emergency (§ 422.166). ii) disclose to the beneficiary that he or she is being transferred to a licensed agent who can enroll him or her into a new plan.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

HIPAA Journal

APRIL 27, 2025

The following three years saw similar numbers of financial penalties; however, there was another major increase in HIPAA fines in 2020 when 19 HIPAA violation cases were settled with OCR. OCR investigated and determined that a HIPAA-compliant risk analysis was not completed until January 19, 2024.

HIPAA 85

HIPAA Ransomware Hospitals Compliance 85

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.

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Fraud COVID-19 Medicare Medicare 213

Healthcare IT News - Telehealth

JUNE 8, 2022

While the nation seeks to reopen and put COVID-19 behind us, providers are still addressing new variants and recovering from the financial and emotional impact of the pandemic. Outside the blanket waiver, it is also a CMS reimbursement requirement that the practitioner must be licensed in the state. Federal rules.

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US Department of Health and Human Services Compliance COVID-19 Overpayment 209

Provider Trust

FEBRUARY 3, 2023

What about license verification and screening? A September 2022 report by the OIG found that Telehealth visits increased drastically after the onset of the COVID-19 pandemic. In July 2022, the OIG issued a Special Fraud Alert urging providers to exercise caution before entering into arrangements with telemedicine companies.

Compliance 52

Compliance Fraud Nurses Telemedicine 52

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 Elder Abuse Compliance COVID-19 40

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

Provider Trust

AUGUST 9, 2023

Grimm, the OIG continues its tireless efforts to uncover instances of fraud, waste, and abuse within HHS programs. OIG continues to work tirelessly to identify instances of fraud, waste, and abuse and prosecute offenders. Led by acting Inspector General Christi A. A Message from Acting Inspector General Christi A.

Nursing Homes 52

Nursing Homes COVID-19 Fraud Medicaid 52

Healthcare IT News - Telehealth

MARCH 18, 2021

Department of Health and Human Services Secretary Xavier Becerra on his confirmation Thursday afternoon, urging him to use the position to advance digital health initiatives and continue responding to the COVID-19 pandemic. Allow state licensing boards and practitioners to determine the appropriate standards of care for patients.

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COVID-19 Telemedicine Fraud Public Health 192

HIT Consultant

DECEMBER 6, 2022

As within many areas of health care, however, expansion and innovation contributed to a higher risk of fraud and resulted in an increase in enforcement activity. In certain states, specific types of providers may provide services to patients in the states as long as they hold a license in good standing in their home state.

Compliance 98

Compliance COVID-19 Medicaid Medicaid 98

Hall Render

MAY 20, 2022

COVID-19 public health emergency set to be extended. Covid-19 remains a public health emergency in US, administration says. State Actions to Address Nursing Home Staffing During COVID-19. Alaska reports more new COVID-19 cases among visitors as tourist season gets underway. Arkansas Gets $3.9M

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COVID-19 Nursing Homes Nurses Hospitals 40

Healthcare IT Today

FEBRUARY 15, 2023

Among respondents, 67% also agreed that a lack of clear identities for patients put their organization at a higher risk for fraud, while 71% said it created identity verification and eligibility issues that made member enrollment and patient admission unnecessarily difficult.

US Department of Health and Human Services 131

US Department of Health and Human Services COVID-19 Public Health Hospitals 131

Hall Render

JULY 26, 2024

million Medicaid grant will expand mental health services in Kansas schools New staffing mandate has some Kansas nursing homes concerned about sustainability New study ranks Missouri, Kansas among worst states for women’s health care Freeman Health System announces plan to open SEK hospital UKHS St.

US Department of Health and Human Services 40

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

Hall Render

JULY 26, 2024

million Medicaid grant will expand mental health services in Kansas schools New staffing mandate has some Kansas nursing homes concerned about sustainability New study ranks Missouri, Kansas among worst states for women’s health care Freeman Health System announces plan to open SEK hospital UKHS St.

US Department of Health and Human Services 40

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

Hall Render

SEPTEMBER 1, 2023

operating margin, $1B net gain halfway through its first year Illinois public health officials warn of “rising COVID-19 activity” St. 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

Hall Render

MAY 17, 2024

in Federal Funds to 19 Nursing Schools Steward Health Plans to Sell Its Hospitals in Hope, Texarkana UAMS Researcher Awarded $1.6M Medicare fraud scheme One of Michigan’s largest insurers is altering telehealth billing. to Study Liver Repair Arkansas Children’s Research Institute Awarded $2.3M California to make $3.3

Nurses 40

Nurses Nursing Homes Hospitals Ransomware 40

Hall Render

APRIL 29, 2022

Federal judge temporarily blocks Biden administration from ending Title 42 Covid border restrictions for migrants. Hospitals to OSHA: Do not finalize COVID-19 standard for healthcare workers. Alaska reports an increase in COVID-19 cases and rising hospitalizations. CMS Proposes $1.6B CALIFORNIA.

COVID-19 40

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

Hall Render

MARCH 14, 2025

Aurora Spine completes enrollment in lumbar fusion study California GI group faces wrongful termination, retaliation lawsuit California healthcare district replaces CEO How Stanford is doing home care differently COLORADO 5 years later, long COVID patients still getting treated in Colorado 22 Fort Collins-area providers are leaving Village Medical.

Nurses 40

Nurses Nursing Homes Medicaid Medicaid 40

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? buys industrial property in Rancho Cordova for $5.12

US Department of Health and Human Services 40

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

Hall Render

APRIL 12, 2024

in billing fraud Arizona system names new CEO Banner Health CEO Peter Fine to retire after 24 years, handing the reins to health system president Four UArizona bioscience startups selected for Flinn Foundation program Gov. s health, hospital chief says Raising Ky.’s

Nursing Homes 40

Nursing Homes Nurses Hospitals Medicaid 40

Hall Render

DECEMBER 29, 2023

Legislators want to know why Lawsuit: Minnesota’s free training hurt nursing assistant schools A group of Minnesotans are suing local hospitals after losing loved ones to COVID-19 Minnesota Cuts the Ribbon on Dynamic New Clinic MISSISSIPPI Everyone you know sick? system turns profit for 1st time in 4 years Mass.

Nursing Homes 40

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