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Spotting Financial Fraud & Exploitation of the Elderly

AIHC

Basic definitions associated with elder abuse are provided below for clarification. Department of Justice (DOJ) “ State Elder Abuse Statutes ” for easy reference for definitions, rules applying to institutional settings, Native American elder justice and more. Call the Elder Fraud Hotline at 1-833-372-8311 (Monday-Friday, 10:00 a.m.-6:00

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Required Training For Medicare-Enrolled Providers

MedTrainer

Fraud, Waste, and Abuse (FWA) Training Fraud, Waste, and Abuse (FWA) training is designed to help healthcare professionals detect, prevent, correct, and report fraudulent, wasteful, and abusive practices within the Medicare system. Attestation: Providers must complete training within 90 days of their hire date and annually thereafter.

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Post-Acute Compliance Program Update: OIG Proposes Amendments to Exclusion Rules

Hall Render

OIGs new Industry Segment-Specific Compliance Program Guidance For Nursing Facilities (Nursing Facility ICPG) for nursing home members of the health care compliance community emphasizes the importance of staff screening and exclusion checks. Under 42 CFR Sec.

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Hospice Update: CMS Proposes Informal Dispute Resolution Program, Starting Special Focus Program and Change of Ownership Restrictions 

Hall Render

Selection Approach In establishing the proposed SFP, CMS examined the Special Focus Facility program for nursing homes and its methodology for facility selection. 489.18 (the traditional definitions of CHOW) is necessary to trigger this “36-month rule.” CMS’ goal is to select SFP hospices starting in 2024.

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The Cobra Effect & Enforcing Compliance Standards

AIHC

The GCPG standardized the seven Elements of a Successful Compliance Program, which differs slightly from the individual compliance guidance documents (CPGs) directed at various segments of the health care industry, such as hospitals, nursing homes, third-party billers, and durable medical equipment suppliers.

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The Cobra Effect & Enforcing Compliance Standards

AIHC

The GCPG standardized the seven Elements of a Successful Compliance Program, which differs slightly from the individual compliance guidance documents (CPGs) directed at various segments of the health care industry, such as hospitals, nursing homes, third-party billers, and durable medical equipment suppliers.

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CMS Issues a Final Rule Requiring Nursing Facilities and Other Providers and Suppliers to Disclose Additional Ownership Information

Healthcare Law Blog

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]

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