The Health Law Firm

OCTOBER 3, 2019

Board Certified by The Florida Bar in Health Law On October 1, 2019, a Florida doctor was implicated in what federal investigators say is one of the largest health care fraud schemes ever charged. billion worth of false Medicare and Medicaid claims between July 2018 and January 2019. Indest III, J.D., The vast fraud scheme totaled $2.1

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Fraud Doctors Medicare Medicare 40

Health Populi

MAY 21, 2020

Doctors maintain their top status as U.S. However, as patients continue to be concerned about exposure to COVID-19, 3 in 5 are concerned about being at-risk to the virus in their doctor’s office, according to research from the Alliance of Community Health Plans (ACHP) and AMCP , the Academy of Managed Care Pharmacy.

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COVID-19 Doctors Health Insurance Medicare 159

Medisys Compliance

FEBRUARY 7, 2022

Medicare pays a physician for an Annual Wellness Visit (AWV) service. This visit is planned to develop or update a Personalized Prevention Plan (PPP) and perform a Health Risk Assessment (HRA) which is covered once every 12 months by Medicare. Medicare also waives the AWV coinsurance or co-payment and the Medicare Part B deductible.

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Medisys Compliance

JUNE 10, 2022

Medicare covers limited chiropractic services when performed by a chiropractor who is licensed or legally authorized to furnish chiropractic services by the State or jurisdiction in which the services are furnished. In this article, we shared coding guidelines and Medicare coverage for Chiropractic Manipulative Treatment (CMT).

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Healthcare IT News - Telehealth

APRIL 10, 2020

The Centers for Medicare and Medicaid Services has temporarily suspended several regulations to enable hospitals, clinics and other providers to boost their front-line medical staff during the coronavirus pandemic.

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Nurses Medicare Medicare Licensing 213

Verisys

NOVEMBER 3, 2023

Agrees to Pay $653,143 to Resolve Allegations of Kickback Violations Full Story Physician Fraud Georgia doctor ordered to pay $27 million for submitting false claims to Medicare Full Story Louisiana Doctor Pleads Guilty in $5,600,000 Medicare Fraud Scheme Full Story Florida Pain Management Physician Agrees To Pay $1.5

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Fraud Compliance Medicare Medicare 52

Verisys

MARCH 8, 2024

Million Medicare and Medicaid Fraud Full Story Pharmacist Fraud Pharmacy Owner and Operations Manager Convicted of $2.3M With Verisys, you can instantly validate identities, licenses, and ensure there are no sanctions, exclusions, or debarments associated with anyone in your business network. Secure your success by choosing Verisys.

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Fraud Medicaid Medicaid Medicare 52

Medisys Compliance

APRIL 11, 2024

Marriage and Family Therapists (MFTs) and Mental Health Counselors (MHCs) can now directly bill Medicare for services they furnish and diagnose. This milestone represents a major victory for the mental health professions, expanding access to much-needed care for Medicare beneficiaries and offering exciting new possibilities for MFTs and MHCs.

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Medicare Medicare Medical Billing Outsourcing Medical Billing 59

Verisys

FEBRUARY 9, 2024

Million Full Story Doctor Agrees to Pay $95,000 to Settle Allegations of Health Care Fraud Full Story Columbia Physician Indicted for False Statements to Medicare Full Story Pharmacist Fraud Current and Former Owners of Center City Philadelphia Pharmacy Agree to Pay Over $4.6 Secure your success by choosing Verisys.

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The Health Law Firm Blog

JANUARY 9, 2024

By George F. Indest III, J.D., Board Certified by The Florida Bar in Health Law Someone arrested for a criminal offense knows that it can lead to a criminal record that may or may not be on your record for the rest of your life. However, once you pay your fine and carry [.]

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Licensing Doctors Nurses Medicare 52

Verisys

APRIL 2, 2024

Million Medicare Fraud Scheme ( Full Story ) New York-Presbyterian/Brooklyn Methodist Hospital Settles Health Care Fraud Claims for $17.3 Million Medicare Fraud Scheme ( Full Story ) New York-Presbyterian/Brooklyn Methodist Hospital Settles Health Care Fraud Claims for $17.3 Secure your success by choosing Verisys.

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Fraud Telemedicine Licensing Doctors 52

Healthcare IT News - Telehealth

MAY 26, 2021

Medgate's round-the-clock online treatment programme connects patients to licensed specialist doctors; provides e-prescriptions, laboratory requests and certificate of medical teleconsultation; and facilitates medicine delivery. million patients over the past year.

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Telemedicine COVID-19 Doctors Licensing 155

Healthcare IT News - Telehealth

SEPTEMBER 13, 2021

Despite HHS instituting waivers making tele-ICU services payable under Medicare, RICU says it has been unable to expand its services to more hospitals – because the agency disallows payment for critical-care telemedicine if the physician is located outside the United States. hospitals via telemedicine, has sued the U.S. WHY IT MATTERS.

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COVID-19 Doctors Medicare Medicare 113

Verisys

JANUARY 2, 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. Million Civil Settlement with Total Access Urgent Care Over False Claims Allegations Full story Former Co-Owners of New Jersey Marketing Company Sentenced to Prison in $8.8

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Fraud Licensing Doctors Medicare 52

The Health Law Firm Blog

JANUARY 8, 2024

Previously published on October 14, 2022By George F. Indest III, J.D., Board Certified by The Florida Bar in Health Law Someone arrested for a criminal offense knows that it can lead to a criminal record that may or may not be on your record for the rest of your life. However, once you [.]

Licensing 52

Licensing Doctors Nurses Medicare 52

Medisys Compliance

JULY 10, 2023

GT Modifier – Synchronous Telehealth Services [Medicare] The GT modifier is specifically used for Medicare claims to indicate that mental health services were provided through synchronous telehealth. It is similar to the 95 modifier and is used to ensure proper billing and reimbursement for telehealth services under Medicare.

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Medical Billing Outsourcing Licensing Doctors Medicare 52

Healthcare Law Today

JANUARY 10, 2023

When asked about a potential downturn in the telemedicine industry following the expiration of the PHE waivers, Lacktman said, “We cannot ignore the reality that if you terminate Medicare coverage of certain services, it will inhibit doctors from offering those services.”

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Telemedicine Medicare Medicare Licensing 93

Healthcare Law Today

DECEMBER 22, 2022

“Absent one or two other examples that largely focus on Medicare or national physician licensing writ large, there’s been no comprehensive advocacy organization that focused on creating harmony and consistency for telemedicine laws across the 50 State,” Lacktman said. Listen to a recording of the interview here.

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Telemedicine Fraud Doctors COVID-19 119

The Health Law Firm Blog

JANUARY 26, 2024

By George F. Indest III, J.D., Board Certified by The Florida Bar in Health Law Someone arrested for a criminal offense knows that it can lead to a criminal record that may or may not be on your record for the rest of your life. However, once you pay your fine and carry [.]

Licensing 40

Licensing Doctors Nurses Medicare 40

The Health Law Firm Blog

OCTOBER 15, 2022

By George F. Indest III, J.D., Board Certified by The Florida Bar in Health Law Someone arrested for a criminal offense knows that it can lead to a criminal record that may or may not be on your record for the rest of your life. However, once you pay your fine and carry [.].

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Licensing Doctors Nurses Medicare 52

The Health Law Firm Blog

OCTOBER 14, 2022

By George F. Indest III, J.D., Board Certified by The Florida Bar in Health Law Someone arrested for a criminal offense knows that it can lead to a criminal record that may or may not be on your record for the rest of your life. However, once you pay your fine and carry [.].

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Licensing Doctors Nurses Medicare 52

Pharmacy Law Blog

MARCH 8, 2018

On December 6, 2017, three nurse practitioners and a doctor were arrested following an Alabama federal grand jury indictment accusing them of operating a “pill mill.” Additional arrests of co-conspirators, including other doctors and health providers, are forthcoming, according to the DEA. By George F. Indest III, J.D., Narea, Nicole.

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Nurses Doctors Licensing Medical Personnel 40

Healthcare IT News - Telehealth

OCTOBER 5, 2022

how streamlined licensing and credentialing can help with the psychiatrist shortage. How can telehealth, combined with streamlined licensing and credentialing, help solve the nation's current psychiatrist shortage? An average doctor's appointment across the U.S. Telehealth, however, does so directly and immediately.

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Licensing Telemedicine Hospitals Nursing Homes 161

Health Populi

MARCH 9, 2022

One factor defining convenience is travel time to a facility: 40% of patients with in-person doctor’s appointments traveled less than 15 minutes to receive care, and 43% spent between 15 and 30 minutes getting to the doctor’s office. ” she added. This week, the U.S.

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The Health Law Firm

JUNE 22, 2015

The US Department of Justice, along with 900 law enforcement officials, arrested 243 people across the country, including doctors, nurses, and other licensed professionals, for their alleged participation. The individuals have been charged with submitting fake billing for Medicare that totaled approximately $712 million.

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Fraud Medicare Medicare Licensing 40

Provider Trust

JULY 26, 2022

District Attorney alleges that Pickering was hired in 2019 as a licensed physician’s assistant at a family practice in Norcross, Georgia but had not been a licensed physician’s assistant in Georgia, or any state, since March 2014. The Importance of Conducting License Verification and Monitoring. According to the U.S.

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Licensing Fraud Compliance Nurses 52

MedTrainer

FEBRUARY 12, 2024

Non-compliance can lead to significant fines, legal battles, and the loss of license or accreditation. These actions can include fines, sanctions, or even revocation of licenses or certifications. Automated exclusions monitoring and license verification ensure you’re aware anytime something is awry.

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The Health Law Firm Blog

NOVEMBER 1, 2022

By George F. Indest III, J.D., Board Certified by The Florida Bar in Health Law Someone arrested for a criminal offense knows that it can lead to a criminal record that may or may not be on your record for the rest of your life. However, once you pay your fine and carry [.].

Licensing 52

Licensing Doctors Nurses Medicare 52

MedTrainer

NOVEMBER 14, 2023

Exclusion from Government Programs: Entities found non-compliant may be barred from participating in government healthcare programs like Medicare and Medicaid. Loss of Licenses: Healthcare providers may lose their professional licenses, hindering their ability to practice.

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Compliance HIPAA Governance Medicare 52

Healthcare IT News - Telehealth

JUNE 3, 2020

He noted the moves by the Centers for Medicare and Medicaid Services to reimburse providers for services and allow telehealth care between states , and the relaxed HIPAA regulations around technology use , as important contributors to the uptick in telehealth availability. Telehealth in the long term. Now, it's for everyone.

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Telemedicine COVID-19 HIPAA Medicare 209

Healthcare IT News - Telehealth

SEPTEMBER 9, 2020

"On the doctor side, they're also finding it very convenient." "If we do a remote written second opinion delivered from consulting doctor to treating doctor, the physician in-state can discuss it with their patient," he said. "COVID-19 has forced people into virtual mediums," Flannery continued.

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COVID-19 Doctors HIPAA Telemedicine 107

YouCompli

JULY 12, 2022

In fact, Medicare beneficiaries used telehealth to receive 12 percent of their services during the first year of the pandemic. An initial report from the OIG also notes that, “over 28 million Medicare beneficiaries used telehealth during the first year of the pandemic. This was more than two in five Medicare beneficiaries.

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COVID-19 Medicare Medicare Telemedicine 52

YouCompli

AUGUST 29, 2023

Health and Human Services Office of Inspector General (OIG) found that Medicare beneficiaries used 88 times more telehealth services during the first year of the pandemic than they did the previous year. million in Medicare fee-for-service payments. million in Medicare fee-for-service payments. It involved an estimated $1.2

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Fraud Medicare Medicare COVID-19 52

HIT Consultant

DECEMBER 14, 2021

In order to prescribe buprenorphine, clinicians need a separate license from the federal government called an x-waiver, which only 5 percent have. At its core is buprenorphine (Suboxone), a medication used to treat withdrawal and cravings while also mitigating overdose risk. A major barrier to expanding access to MAT in the U.S.

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Licensing Governance FDA Telemedicine 98

Verisys

DECEMBER 13, 2023

With Verisys, you can instantly validate identities, licenses, and ensure there are no sanctions, exclusions, or debarments associated with anyone in your business network. Each month we will give a roundup of recent healthcare fraudsters and compliance busters. Secure your success by choosing Verisys.

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Fraud Telemedicine Licensing Compliance 52

Healthcare IT News - Telehealth

OCTOBER 2, 2020

The simplification or alignment of provider licensing, credentialing and enrollment protocols with respect to telehealth across states, state Medicaid plans and Medicaid managed care organizations. Enable the HHS to expand telehealth in Medicare during all future emergencies and disasters; among other provisions. this summer.

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Healthcare IT Today

SEPTEMBER 24, 2023

Medicare Advantage costs are 12% lower than similar beneficiaries covered under fee-for-service Medicare, according to research from Inovalon and Harvard Medical School. Patient engagement platform MediKarma will be licensed to FloridaMed Health Network and CareNational Health System.

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