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. HHS Concerned About Quality of Nursing Homes.

US Department of Health and Human Services 52

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

Provider Trust

JANUARY 25, 2024

Ensuring the Financial Integrity of HHS Programs In fiscal year (FY) 2022, improper payments within healthcare programs like Medicare, Medicaid, and Children’s Health Insurance Program (CHIP) were estimated at a staggering $131.6 Managed care now covers more than half of Medicare enrollees and over 80% of Medicaid enrollees.

Fraud 52

Fraud Medicaid Medicaid Medicare 52

Med-Net Compliance

JULY 26, 2022

Additionally, the Centers for Medicare & Medicaid Services (CMS), Center for Program Integrity (CPI), announced that it took administrative actions against 52 providers involved in similar schemes. Often, these test results or durable medical equipment were not provided to the patients or were worthless to their primary care doctors.?.

Fraud 59

Fraud Telemedicine Medicare Medicare 59

Kaiser Health News

MAY 27, 2022

Having just moved back to San Antonio, the 30-something searched for a doctor to manage her Crohn’s disease, an inflammatory bowel condition that is successfully managed with medications and lifelong monitoring — including regular colonoscopies. For those 65 and older, Medicare picks up the tab.

Doctors 114

Doctors Nursing Homes Nurses Medicare 114

Bill of Health

SEPTEMBER 27, 2023

My mother was busy raising four children, and I watched her try to navigate and manage the health needs of my great grandmother and saw firsthand how difficult it was to get services in the home, how difficult it was to get her out to see the doctor.

Nursing Homes 144

Nursing Homes Doctors Health Care Reform Nurses 144

Healthcare IT Today

APRIL 19, 2024

Laura Ferrara, Chief Strategy Officer at Intus Care The focus on healthcare delivered in the comfort of one’s home has surged in recent times, particularly in light of the pandemic. If an anomaly was discovered or an alert sent to the physician, the patient would need to go to the doctor’s office to address the alert.

Telemedicine 129

Telemedicine COVID-19 Nurses Nursing Homes 129

Hall Render

FEBRUARY 23, 2024

CT’s Medicaid reimbursement rates lower than peer states: report Better safety training, reporting, escorts for CT home health care workers focus of new legislation D.C. What they say sets them apart. Acquisition of BCBSLA Paused a Second Time It was the biggest health care deal in Louisiana history.

Nursing Homes 40

Nursing Homes Nurses Hospitals Medicaid 40

Healthcare IT News - Telehealth

SEPTEMBER 15, 2021

These may be technologies used from the home or that a doctor uses to improve or support healthcare services. The Centers for Medicare and Medicaid Services (CMS) began to allow for reimbursement for videoconferencing between healthcare provider and patient.

Telemedicine 171

Telemedicine COVID-19 Medicare Medicare 171

HIT Consultant

NOVEMBER 16, 2022

Even with a shift to providing higher-intensity care in people’s homes, the demand for nursing facility-level care is slated to double. Meanwhile, there are significant workforce challenges that prohibit nursing home patients from getting the medical care they need. Fortunately, telehealth can help fill these gaps.

Nurses 52

Nurses Telemedicine Patient Satisfaction Medicare 52

Hall Render

JUNE 10, 2022

Alabama doctors launch nation’s first follow up clinic for snakebites. Report: Mesa nursing home fined $500 after negligence leads to resident’s death. Police ID suspect in attack on doctor, nurses at Southern California hospital. California nurses plan for potential 2nd strike of 2022.

COVID-19 40

COVID-19 Nursing Homes Nurses Hospitals 40

Hall Render

SEPTEMBER 1, 2023

ALABAMA American Family Care opens new health care center in Northeast Birmingham doctors secure $13.9M Newsom announces distressed hospital loan program Kaiser Permanente frontline workers strike could begin Oct.

COVID-19 40

COVID-19 Nurses Nursing Homes Hospitals 40

Healthcare IT News - Telehealth

OCTOBER 5, 2022

An average doctor's appointment across the U.S. is about a two-hour encounter, including travel time, check-in, waiting, seeing the clinician, paying and traveling home. It's also costly to transport elderly patients from nursing homes or assisted living facilities to clinics or hospitals and back, and then to a pharmacy.

Licensing 155

Licensing Telemedicine Hospitals Nursing Homes 155

Healthcare IT News - Telehealth

APRIL 30, 2019

"Generally, a nursing home doctor or medical director is a family practitioner who is extremely proficient in nursing home rules," he added. This population requires all sorts of advanced interventions; they’re not simply a conventional nursing home long-term resident.

Telemedicine 150

Telemedicine Nurses Nursing Homes Hospitals 150

Hall Render

JUNE 30, 2023

after home health provider reneges on Option deal Will the doctor see you now? Here’s why. Report: Amazon Pauses 50-State Virtual Care Service Expansion UnitedHealth acquires Amedisys for $3.3B Maybe not amid the changing healthcare landscape in the US. Here’s how new laws aim to fix that.

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes Nurses Hospitals 40

Healthcare IT News - Telehealth

APRIL 24, 2020

The Alliance for Integrated Care of New York (AICNY) oversees the healthcare needs of roughly 6,200 dually eligible Medicare and Medicaid beneficiaries with intellectual and developmental disabilities (IDD). Many AICNY beneficiaries reside in group homes and use Federally Qualified Community Health Centers. THE PROBLEM.

Telemedicine 149

Telemedicine COVID-19 Medicaid Medicaid 149

Hall Render

APRIL 22, 2022

GAO investigating private equity ownership of nursing homes. This nursing home chain reported the highest COVID death rate. San Francisco’s Laguna Honda Hospital Loses Medicaid, Medicare Funding. Sutter Health: Nurses who staged 1-day strike must wait 5 days to return to work. Then it deleted deaths.

COVID-19 40

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

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.

US Department of Health and Human Services 40

US Department of Health and Human Services Nurses Nursing Homes Hospitals 40

The Health Law Firm

JANUARY 28, 2014

Indest III, J.D.,

US Department of Health and Human Services 40

US Department of Health and Human Services Medicare Medicare Nursing Homes 40

Bill of Health

SEPTEMBER 9, 2022

And we know that our prisons, jails, and detention centers employ doctors with suspended and limited licenses as the exclusive source for health care for incarcerated people. But the Centers for Medicare and Medicaid Services (CMS) do much more than simply administer financial payments for services. One of the largest failures of U.S.

COVID-19 349

COVID-19 COVID-19 Vaccine Medicaid Medicaid 349

HIT Consultant

OCTOBER 6, 2021

It doesn’t even take you to the Centers for Medicare & Medicaid Services (CMS) website. Add to this the fact that patients with multiple chronic illnesses see multiple doctors – all creating care plans and prescribing medications to address their specialized areas. Try Googling the word “caregiving.”

COVID-19 98

COVID-19 Doctors Health Outcomes Licensing 98

Hall Render

NOVEMBER 4, 2022

AMA scrutinizes lack of competition, consumer harms in Medicare Advantage plans. CMS gives nursing homes a longer leash on staff COVID-19 vaccination requirements. CMS makes big changes to Medicare Shared Savings Program. In Bethel, a homegrown solution to the state’s nursing shortage. percent in final rule.

US Department of Health and Human Services 40

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

Hall Render

MAY 20, 2022

HHS Announces $15M in Funding For Behavioral Healthcare In Nursing Homes. OIG: 25% of Medicare hospital patients experienced harm pre-pandemic. State Actions to Address Nursing Home Staffing During COVID-19. California aims to tighten licensing of nursing homes after pandemic exposes deadly lapses.

COVID-19 40

COVID-19 Nursing Homes Nurses Hospitals 40

Hall Render

MAY 13, 2022

Doctor & Nurse Prevail at Trial Over Death of Patient Discharged From GA Emergency Department. Nursing Home Operator Leaving 8 Locations. COVID outbreaks strike 8 nursing homes as cases rise across Maine. Massachusetts to receive $250,000 from 5 nursing homes over patient neglect, inadequate care claims.

COVID-19 40

COVID-19 Nurses Nursing Homes Hospitals 40

YouCompli

JANUARY 4, 2022

Unger reported that her unit is focused on about 65% Medicare fraud and about 35% abuse and neglect. When people defraud the system they don’t just defraud Medicaid, they also get Medicare and private insurance. We are always looking at arrangements between doctors, providers and industry, like consulting arrangements,” he said. “We

Fraud 40

Fraud Compliance Elder Abuse Medicaid 40

Hall Render

SEPTEMBER 16, 2022

House passes reform to Medicare Advantage prior authorizations. On Average, Two Nurses Are Assaulted Every Hour, New Press Ganey Analysis Finds. Medical Impact of Roe Reversal Goes Well Beyond Abortion Clinics, Doctors Say. Iowa nurse fired for incorrectly administering monkeypox shots. Locals are skeptical.

US Department of Health and Human Services 40

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

Hall Render

JANUARY 5, 2024

Wade; expected to remain big issue in 2024 races Most nursing home residents in Arizona still haven’t gotten their COVID-19 booster COVID-19 hospitalizations are up in Arizona and around the U.S. Retina Group of Washington reports massive data breach A trifecta of viruses in the D.C.

COVID-19 40

COVID-19 Nursing Homes Nurses Hospitals 40

Healthcare IT News - Telehealth

DECEMBER 16, 2020

” "Nearly overnight, as volumes dropped precipitously, the deadly pandemic thrust patients, doctors, pharmaceutical companies and payers headfirst onto virtual platforms and other digital technologies." For example, nursing homes were hit hard by the virus.

COVID-19 209

COVID-19 Hospitals Doctors Health Insurance 209

Hall Render

DECEMBER 1, 2023

1 Mass General Brigham to build AI products with Australian health tech company Mass General Brigham hospital workers to receive average 21% raises Mass General Brigham to integrate triage AI across system Mass General Brigham sued over infection control lapse Nurse practitioner pleads guilty to $7.8M

Nursing Homes 40

Nursing Homes Nurses Ransomware COVID-19 40

Hall Render

FEBRUARY 18, 2022

13-year Medicare payment dispute will return to HHS, court rules. Doctors: Pediatric COVID cases appear to be trending down. Aspen University investigation: Students vent frustration amid nursing board probe into private college. Nursing homes say they’re being price gouged by direct care staffing agencies.

COVID-19 40

COVID-19 Nursing Homes Nurses COVID-19 Vaccine 40

Hall Render

MARCH 3, 2023

on 7th medical office building acquisition in a year Baptist Health expanding in Nassau and St.

Nursing Homes 40

Nursing Homes COVID-19 Nurses Hospitals 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? County-owned buildings facing potential earthquake risk Gilead drops option to buy cancer therapeutics company Health and Life Organization Inc. 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 Nurses COVID-19 40

Hall Render

AUGUST 19, 2022

Nursing homes and long-term care facilities face increased turnover, look to new solution to attract workers. Rat infestation closes Veteran Affairs nursing home in Arizona. Deadline to Close Nursing Home Extended by 2 Months. Valley nursing home workers calling for increased pay and staffing.

COVID-19 40

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

Verisys

NOVEMBER 20, 2022

Pain management doctor gave patients steroid injections even after patients complained of negative side effects. A psychiatrist caught improperly billing over $1.36M to Medicare over the course of seven years. Physician group improperly billed Medicare for fitness services. Nursing Home Fraud: . Pharma Fraud .

Fraud 52

Fraud Medicaid Medicaid Nursing Homes 52

Hall Render

APRIL 15, 2022

34 urban hospitals win challenge to Medicare rate formula change. CMS: End to pandemic waivers helps nursing homes ‘redirect efforts’ to meet residents’ needs. rate hike for Medicare Advantage, Part D plans in 2023. CMS pushes for mandatory flu vax monitoring among nursing home staff. CMS finalizes 8.5%

COVID-19 40

COVID-19 Nursing Homes Nurses Hospitals 40

Hall Render

FEBRUARY 25, 2022

40% of Nursing Home Residents Haven’t Received COVID-19 Boosters, Analysis Finds. No COVID-19 boosters for 70% of nursing home staffs, AARP says. The 55 hospitals penalized by Medicare 8 years straight over patient complications. Contract Nurse Agencies Are Making Big Money in the Age of COVID-19.

COVID-19 40

COVID-19 Nursing Homes Nurses Hospitals 40

Hall Render

JANUARY 19, 2024

Workers at another D.C. Bipartisan Ky. hospital company Kansas City Orthopaedic Institute appoints new CEO Kansas City University’s new research center aims to answer: ‘How do we keep people well?’ Bipartisan Ky.

Nursing Homes 40

Nursing Homes Nurses Hospitals COVID-19 40

Hall Render

APRIL 12, 2024

New president tapped to lead major hospital system in Denver area New president to lead opening of $650M hospital in Wheat Ridge Telehealth program offers support to forensic nurses Colorado Medicaid program settles lawsuit over lack of mental health care for children Colorado is trying to cut prescription drug prices.

Nursing Homes 40

Nursing Homes Nurses Hospitals Medicaid 40