Healthcare IT News - Telehealth

DECEMBER 13, 2021

A group of legislators from the House Ways and Means Health Subcommittee have introduced a bill aimed at temporarily extending telehealth flexibilities established during the COVID-19 pandemic. "The COVID-19 pandemic has shifted how rural Americans receive health care in fundamental ways," said Rep.

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Provider Trust

JANUARY 25, 2024

This report helps HHS fulfill its mission to improve the health and well-being of Americans while also providing suggestions for how healthcare organizations can stay ahead of the curve to avoid and combat fraud, waste, and abuse. With Medicaid, the challenges are equally formidable.

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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. Medicare/Medicaid Compliance Reviews. The OIG performs regular compliance reviews of Medicare and Medicaid providers.

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American Medical Compliance

AUGUST 1, 2022

In Spring 2022’s Semiannual Report to Congress (SAR), the Department of Health and Human Services’ Office of Inspector General (HHS-OIG) reported that nearly $3 billion had been misspent on Medicare and Medicaid services. HHS Examines Medicare Spending and COVID-19 Tests.

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Healthcare IT Today

OCTOBER 22, 2020

The US Department of Justice has filed charges against 345 defendants, including more than 100 medical professionals, accusing them of engaging in healthcare fraud schemes. The […].

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Healthcare Compliance Blog

FEBRUARY 7, 2022

A Michigan woman has pled guilty to stealing government funds that were designated to aid medical providers in the treatment of patients suffering from COVID-19 and acknowledged using the money for her own personal use. She is scheduled to be sentenced on May 19, and faces a maximum penalty of 10 years in prison.

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American Medical Compliance

AUGUST 1, 2022

In Spring 2022’s Semiannual Report to Congress (SAR), the Department of Health and Human Services’ Office of Inspector General (HHS-OIG) reported that nearly $3 billion had been misspent on Medicare and Medicaid services. HHS Examines Medicare Spending and COVID-19 Tests.

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US Department of Health and Human Services COVID-19 Nursing Homes Medicare 52

Bill of Health

FEBRUARY 10, 2023

That is why the ACA’s Medicaid expansion doesn’t exist in 11 states , why the penalties for failing to have insurance under the “individual mandate” has been set to $0.00. Or an extension of the doctrine of public fraud? Witness the success of environmental policy litigation in the ’70s. Maybe some form of public nuisance litigation?

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Healthcare IT News - Telehealth

SEPTEMBER 2, 2021

The scheme, as outlined in court documents, exploited COVID-19-era amendments to telehealth restrictions. "We will continue to support the unprecedented COVID-19 public health effort by holding accountable people who use deceptive tactics to profit from the pandemic," he said. WHY IT MATTERS. THE LARGER TREND.

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Healthcare IT News - Telehealth

JULY 2, 2020

Secretary of Health and Human Services Alex Azar and Centers for Medicare and Medicaid Services Administrator Seema Verma to provide a written plan for permanent changes to Medicare, Medicaid and Children’s Health Insurance Program rules around telehealth. WHY IT MATTERS. Kat Jercich is senior editor of Healthcare IT News.

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Healthcare Law Blog

DECEMBER 12, 2022

The COVID-19 Public Health Emergency (“PHE”) led to a rapid expansion in the utilization of telehealth. Now, almost three years later, governmental entities have focused their attention on telehealth services and the potential for fraud and abuse. Mark Warner , and industry groups. Increased DOJ Activity.

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YouCompli

JANUARY 18, 2023

Featured speakers : Eric Gold , Chief, Massachusetts Attorney General’s Office Healthcare Division; Jennifer Goldstein , Managing Attorney, Medicaid Fraud Division, Massachusetts Attorney General’s Office; and Steven Sharobem , Assistant US Attorney, District of Massachusetts. Moderated by David S.

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Healthcare IT News - Telehealth

JULY 16, 2020

The COVID-19 pandemic has made it clear that the "normal" healthcare landscape won't return for some time, if ever. Now, the question becomes : How many of those changes, particularly regarding temporary waivers issued by the Centers for Medicare and Medicaid Services, will become permanent?

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Health Law Advisor

FEBRUARY 10, 2023

The total recoveries in fraud cases brought with respect to the health care and life sciences industries fell to the lowest level since 2009. Not insignificantly, recoveries in declined cases led the way in all fraud recoveries, not just in health care. 1] While total recoveries exceeded $2.2 Last year, $1.2

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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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Hall Render

FEBRUARY 27, 2023

This has been a growing trend in health care enforcement, and health care fraud remained the leading source of all FCA cases in 2022. Health Care Fraud Actions Medicaid. The Medicaid program was a target in 2022. COVID-10 Related Fraud. It also recovered $70.7 A DME manufacturer paid $24.75

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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.

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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.

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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.

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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.

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Hall Render

SEPTEMBER 16, 2022

Full 4th Circuit to tackle Medicaid fraud standard under False Claims Act. These 10 states still have COVID emergency orders in place. HHS expected to renew COVID-19 PHE for 11th time. Alabama’s COVID-19 positivity rate, hospitalization rate continues its decline. Covid cases remain low in Alaska.

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Kaiser Health News

NOVEMBER 11, 2021

In response, the Centers for Medicare & Medicaid Services has threatened to penalize private insurance companies selling Medicare Advantage and drug plans if they or agents working on their behalf mislead consumers. She told the woman she had reported the calls to CMS, the AARP Fraud Watch Network Helpline and the FTC.

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Hall Render

APRIL 22, 2022

Supreme Court tosses Medicaid work requirement cases. This nursing home chain reported the highest COVID death rate. Bill banning COVID-19 vaccine mandates heads to Ducey’s desk. California to delay COVID-19 vaccine mandate for students. California weighing third COVID-19 ETS renewal.

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YouCompli

AUGUST 9, 2023

An opportunity to reframe, regroup, and refocus  Now that the COVID-19 Public Health Emergency (PHE) is well behind us, we have an opportunity to reframe patient expectations – and regroup and refocus on compliance-related patient care needs. Get the latest from healthcare compliance experts Never miss an article from Denise Atwood.

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Hall Render

APRIL 19, 2024

to Study Treatments for Vascular Abnormalities Federal Appeals Court Hears Arguments on Nation’s First Ban on Gender-affirming Care for Minors Jason Demke Hired as COO at Mercy Hospital Fort Smit Pulaski Tech Awarded $5.7M

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Hall Render

FEBRUARY 4, 2022

Of that, $5 billion relates to health care fraud involving drug and medical device manufacturers, managed care providers, hospitals, pharmacies, hospice organizations, laboratories and physicians. That figure does not include even more funds recovered for state Medicaid programs. Health Care Fraud Actions.

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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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Hall Render

MAY 9, 2022

In connection with the COVID-19 public health emergency (the “PHE”), and the expanded coverage of telehealth services by Medicare and state Medicaid programs in response thereto, the FQHC received grant funding from the Federal Communications Commission and a local charity to purchase approximately 3,000 smartphones.

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Hall Render

MAY 13, 2022

FDA limits J&J COVID-19 vaccine due to rare blood clot risk. Travel nurses raced to help during Covid. Alabama hospital rationing medical supplies due to COVID disruptions in China. Alabama sees bump in COVID-19 cases, state health department monitoring. Covid-19 continues climbing in state.

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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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Hall Render

DECEMBER 6, 2022

As part of the final regulations released by the Centers for Medicare & Medicaid Services (“CMS”) effective January 19, 2021, CMS finalized a new exception for arrangements where an entity pays a physician less than $5,000 over the course of a calendar year in exchange for items or services. New Exception for Limited Remuneration.

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Hall Render

MAY 10, 2024

Million CALIFORNIA California hospital dismisses CEO California physician pleads guilty to $2.5M million expansion ‘Very, very unusual.’ Million CALIFORNIA California hospital dismisses CEO California physician pleads guilty to $2.5M million expansion ‘Very, very unusual.’ million expansion ‘Very, very unusual.’

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Hall Render

NOVEMBER 4, 2022

CMS gives nursing homes a longer leash on staff COVID-19 vaccination requirements. Governor Hutchinson Announces Expansion To Rural Health Services With ARHOME Medicaid Program. California physician charged with $53M mail fraud and money laundering scheme. Colorado ends daily reporting of COVID-19 numbers.

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Health Law Advisor

MAY 3, 2022

On April 20, 2022, the Department of Justice (DOJ) announced a nationwide coordinated enforcement action targeting COVID-19-related fraud involving charges against 21 individuals across nine federal districts, and over $149 million in alleged false claims submitted to federal programs. [1]. 2] See id. [3] 2] See id. [3]

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Healthcare IT News - Telehealth

SEPTEMBER 28, 2022

David Gray When President Joe Biden recently declared on national television that “the pandemic is over,” he offered a glimpse into the strategy his administration will be using on COVID-19 going forward: We’re ready to move on. In January 2020, then-Secretary of the U.S. 13, 2022, unless it’s renewed yet again.

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Healthcare Law Blog

MAY 16, 2022

On April 29, 2022 , the Centers for Medicare and Medicaid Services (“CMS”), issued the final rule on Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs (the “Final Rule”). Additional Opportunities for Integration through State Medicaid Agency Contracts (§ 422.107).

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Hall Render

JULY 28, 2023

million for rural hospital expansion Hospices in Arizona & other states receive scrutiny over concerns of fraud, waste & abuse Phoenix Children’s Building New 44,000-Square Foot Level IV Neonatal Intensive Care Unit Firefighters oppose Banner’s planned $400M hospital There’s a growing nurse shortage in Arizona.

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