about Definition Fraud Governance Medicare 
Healthcare Law Blog
NOVEMBER 16, 2023
Department of Health and Human Services’ Centers for Medicare and Medicaid Services (“CMS”) will publish a final rule requiring Medicare skilled nursing facilities (“SNFs”) and Medicaid nursing facilities (“Facilities”) to provide more detailed ownership, managerial and other information on Form CMS-855A (the “Final Rule”). [1]
Healthcare Law Today
JANUARY 11, 2023
The government alleged that, between April 2014 and April 2019, Jet Medical introduced devices into interstate commerce that were misbranded under the Federal Food, Drug and Cosmetic Act (FDCA) because Jet Medical did not obtain approval or clearance from the U.S. Food and Drug Administration (FDA) prior to distribution.
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Bill of Health
FEBRUARY 10, 2023
This replacement, “neoliberalism,” has as its central tenet that markets are, in all ways and at all times, superior to government in allocating societal resources. Do we have people thinking about how to sue Fox News, pundits, and political candidates for their lies? Or an extension of the doctrine of public fraud?
Compliancy Group
JANUARY 3, 2024
Respond Promptly to Claim Denials The claim denial rate has increased to about 20% within the past five years. When auditing claims, medical records, and financial documentation, it is essential to incorporate guidance based on the following questions: Are all codes for services and supplies correct?
Provider Trust
MAY 17, 2022
In this post, we’ll break down the definition of healthcare vendors and summarize the most important and impactful laws and regulations that apply to vendors and the healthcare organizations that contract with them. Which regulations govern vendor compliance? So what does that mean for your healthcare organization’s compliance program?
Health Law RX
JULY 18, 2023
The IB Rule, among other things, promulgated regulations further defining what information blocking is and establishing reasonable and necessary activities that do not constitute information blocking, i.e., exceptions to the definition of information blocking. The OIG anticipates working closely with ONC to make these threshold assessments.
AIHC
SEPTEMBER 5, 2023
Medicare covers many telebehavioral and telemental health services including audio-only services. Using telehealth services, patients can receive care, consult with a provider, get information about a condition or treatment, arrange for prescriptions, and receive a diagnosis. This is also called “store-and-forward telemedicine.”
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