Healthcare Compliance Blog

JANUARY 10, 2022

A South Carolina man has been arrested for financial transaction card fraud and exploitation of a vulnerable adult who was a resident of a nursing home. Due to his past criminal record, he also faces enhancement to the financial transaction card fraud charge.

Fraud 52

Fraud Nursing Homes Nurses Medicaid 52

Healthcare Compliance Blog

FEBRUARY 8, 2022

The United States has filed a lawsuit against an Alabama psychiatrist for improper prescribing of Nuedexta to nursing home residents. In return, the psychiatrist prescribed Nuedexta to nursing home residents who did not have pseudobulbar affect.

Nursing Homes 52

Nursing Homes Nurses Compliance Medicare 52

Med-Net Compliance

JULY 26, 2022

In connection with the enforcement action, the department seized over $8 million in cash, luxury vehicles, and other fraud proceeds. As alleged in court documents, medical professionals made referrals for expensive and medically unnecessary cardiovascular and cancer genetic tests, as well as durable medical equipment.

Fraud 59

Fraud Telemedicine Medicare Medicare 59

Healthcare Compliance Blog

FEBRUARY 3, 2022

A mother and her two daughters have been charged for providing fraudulent COVID-19 vaccination cards to maintain and obtain employment at a New York nursing home. Vaccination is mandatory for nursing home employment in New York. Bassett stated, “Vaccination fraud is a serious crime. Update your policy as needed.

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COVID-19 Vaccine COVID-19 Nursing Homes Nurses 59

Healthcare Compliance Blog

MARCH 11, 2022

A Boston registered nurse (RN) has pled guilty to one count of tampering with a consumer product and one count of obtaining a controlled substance by fraud and deception. The RN was working in a nursing home when she tampered with morphine that was prescribed to a resident under her care.

Nurses 59

Nurses Nursing Homes Fraud Licensing 59

Med-Net Compliance

OCTOBER 18, 2022

A Montana nurse who admitted to stealing opiates while working at multiple healthcare facilities was sentenced to one year and one day in prison, to be followed by one year of supervised release. The government alleged in court documents that the defendant diverted opiates in 2021 while working at multiple healthcare facilities.

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Nurses Nursing Homes Fraud Hospitals 59

MedTrainer

JANUARY 10, 2024

The OIG is making major investments to systematically detect and prosecute fraud. In this guidance it’s clear the OIG expects healthcare organizations and suppliers to understand their role and responsibilities to fight fraud, waste, and abuse. Remember: If it isn’t documented, it didn’t happen.

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Compliance Fraud HIPAA Compliance Officers 94

Healthcare Compliance Blog

MAY 11, 2022

The South Carolina Attorney General announced that his office’s Medicaid Fraud Control Unit (SCMFCU) had arrested a 57-year-old woman on two counts of Exploitation of a Vulnerable Adult and two counts of Breach of Trust with Fraudulent Intent, value of $10,000 or more. Update as needed.

Fraud 59

Fraud Nursing Homes Medicaid Medicaid 59

Healthcare Compliance Blog

MARCH 28, 2022

An Illinois licensed practical nurse (LPN) was convicted and sentenced for failing to administer lifesaving measures to a resident in a nursing home in 2017. Document that these trainings occurred, and file the signed documents in each employee’s education file. Update as needed.

Nurses 59

Nurses Nursing Homes Licensing Fraud 59

YouCompli

AUGUST 2, 2022

MorseLife Nursing Home Health System was alleged to have provided vaccines to individuals who were not eligible under this program. It was also alleged the nursing home did not promptly test a symptomatic resident for COVID-19 and did not implement facility-wide infection control and prevention measures.

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COVID-19 Vaccine COVID-19 Nursing Homes Compliance Officers 52

Healthcare Compliance Blog

APRIL 6, 2022

The defendant presented the facility staff with falsified documentation indicating that she had performed neurological evaluations throughout the evening. The nurse was sentenced to six months under house arrest and may not seek reinstatement of her license or work in a care facility/home during her five-year supervision period.

Nurses 59

Nurses Nursing Homes Fraud Licensing 59

MedTrainer

SEPTEMBER 20, 2023

Examples of covered entities include health plans, clearinghouses, and certain health care providers including but not limited to: doctors, clinics, psychologists, dentists, chiropractors, nursing homes, and pharmacies. There are a number of laws built to fight against Medicare/Medicaid noncompliance and fraud.

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Medicaid Medicaid Medicare Medicare 97

Compliancy Group

APRIL 17, 2024

Office of Inspector General (OIG) in the Department of Health and Human Services (DHHS) oversees efforts in the healthcare sector to identify, reduce, and prevent incidents of fraud, waste, and abuse of funds from programs like Medicare. and cybersecurity threats.

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Compliance Officers Compliance Medicare Medicare 52

MedTrainer

NOVEMBER 6, 2023

While specific compliance requirements vary depending on the type of facility — from large hospitals and surgery centers to clinics and nursing homes — having a well-structured compliance plan is essential for all medical settings. Establishing documented rules, processes, and behavioral guidelines 2. They are: 1.

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Compliance Fraud Nursing Homes Governance 52

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.’

Nursing Homes 40

Nursing Homes Nurses Hospitals Medicaid 40

YouCompli

JANUARY 4, 2022

Unger, Chief of Medicaid Fraud Division, Office of the Massachusetts Attorney General; and Patrick Callahan, Healthcare Fraud Unit, US Attorney’s Office. Unger reported that her unit is focused on about 65% Medicare fraud and about 35% abuse and neglect. Featured speakers: Toby R. Read a summary. COVID related investigations.

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Fraud Compliance Elder Abuse Medicaid 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

Hall Render

NOVEMBER 4, 2022

CMS gives nursing homes a longer leash on staff COVID-19 vaccination requirements. HHS releases video on documenting recognized HIPAA security practices. California physician charged with $53M mail fraud and money laundering scheme. Owner of Chicago nursing home fined after 3 seniors died due to heat wave.

US Department of Health and Human Services 40

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

Med-Net Compliance

NOVEMBER 1, 2022

South Carolina Attorney General Alan Wilson announced that his office’s Medicaid Fraud Control Unit (SCMFCU) arrested a 37-year-old woman for allegedly practicing medicine as a registered nurse without a license at seven nursing and assisted living facilities in Anderson, Greenville, and Pickens counties.

Nursing Homes 59

Nursing Homes Licensing Nurses Fraud 59

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.

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COVID-19 Nursing Homes Nurses Hospitals 40

Hall Render

MARCH 3, 2023

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

MAY 19, 2023

operating loss in Q2 As RI legislators near session’s end, compromise on expensive proposals looks inevitable ‘It is wrong’: Charlesgate workers ask state to keep nursing home open. AI ‘digital workers’ are cutting tasks that used to take a month down to 10 minutes in New Mexico. Employees love it.

Nurses 40

Nurses COVID-19 Hospitals Nursing Homes 40

Hall Render

FEBRUARY 2, 2024

5 highest paid anesthesiologists in Washington, DC D.C.’s

Nursing Homes 40

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

AIHC

FEBRUARY 16, 2024

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.

Compliance 52

Compliance US Department of Health and Human Services COVID-19 Hospitals 52

AIHC

FEBRUARY 16, 2024

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.

Compliance 52

Compliance US Department of Health and Human Services COVID-19 Hospitals 52

Hall Render

APRIL 14, 2023

But hospitals say they can’t afford to pay California hospital nurses to receive raises of up to 30% California pharmacist pleads guilty to multi-year Medicare fraud scheme Carmichael-based Eskaton pays $5.5 and Delaware Delaware struggles to investigate nursing homes, assisted living facilities.

Nursing Homes 40

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

Hall Render

APRIL 29, 2022

About 20K nursing home staff now have vaccine medical exemptions. More than 400 nursing home closures projected for 2022: report. Strikes averted at four Connecticut nursing homes but not in Windsor. State suspends Destin nursing home license, orders it to discharge 100-plus residents.

COVID-19 40

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

Hall Render

MARCH 18, 2022

Former CMS Chief Seema Verma Blasts Nursing Home Reform Proposals. How the PE Nursing Home Crackdown Could Affect the Home Health Industry. New Bill Aims to Extend Acute Hospital Care at Home Waiver. Nursing home lobbyists request sit-down with Biden about reforms.

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

Hall Render

MARCH 29, 2024

after cyberattack CHI St. after cyberattack CHI St. after cyberattack CHI St. migrants are a housing challenge.

Nursing Homes 40

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

Hall Render

JANUARY 14, 2022

5 states facing the worst nursing home COVID-19 outbreaks. Nursing homes nationwide nearing COVID-19 infection records. hospitals are hiring more foreign nurses. documented COVID-19 cases, nears 25,000 deaths. Nursing homes need more COVID boosters, says AARP. Arizona surpasses 1.5M

COVID-19 40

COVID-19 Nursing Homes Nurses COVID-19 Vaccine 40

Hall Render

JULY 8, 2022

CMS issues updated nursing home staffing compliance guidelines. Nurse pay jumps nearly 5%. Dardanelle nursing home catches fire, no injuries reported. Florida nursing home owner to pay $1.75M in vaccine probe. Tampa General Hospital launches home-based healthcare. CALIFORNIA.

US Department of Health and Human Services 40

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

Hall Render

OCTOBER 7, 2022

How tight nursing home capacity is bottlenecking hospital operations. Over 50% of Text in EHR Notes is Duplicate Clinical Documentation. Investigators found high rates of bed sores and extended isolation among Providence nursing home patients, leading to $310K fine. Is the doctor’s office heading for extinction?

COVID-19 40

COVID-19 Nurses Nursing Homes Hospitals 40

Hall Render

JANUARY 28, 2022

Hospital discharge pressures build as nursing homes clamor for help. The nursing home staffing crisis right now is like nothing we’ve seen before. The nursing home staffing crisis right now is like nothing we’ve seen before. With a vaccine mandate looming, nursing homes face more staffing problems.

Nursing Homes 40

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

Hall Render

APRIL 7, 2023

NATIONAL AHA, AHCA warn CMS against unfunded nursing home staffing mandates AHA to Congress: Funding rural hospitals is critical for access AHA-supported bill to aid small rural hospitals reintroduced in Senate Biden won’t veto Republican-led bill ending COVID emergency CVS-branded hospitals?

US Department of Health and Human Services 40

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

Hall Render

MARCH 22, 2024

To qualify, facilities must close their beds Amazon’s physician acquisition strategy As Many Hospitals Continue to Face Significant Financial Challenges, MedPAC Recommends Highest Ever Medicare Payment Update Change competitors step in but breaking up may be hard to do CMS to launch new primary care ACO program Congress unveils $1.2T

Nursing Homes 40

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

Hall Render

MARCH 9, 2023

in federal funds will allow CT colleges to hire more nursing instructors, provide student tuition support Connecticut hospital expenses $3.5B Billion in Unpaid Care to Loved Ones Proposed bill aims to address ‘truth in advertising’ by Connecticut health care providers Shuttered nursing home in Wallingford sells for $1.6M

COVID-19 40

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

Hall Render

FEBRUARY 10, 2023

billion since pandemic U.S. leading cause of death is heart disease, Alabama’s matches that Alabama lawmakers put temporary hold on $1 billion contract for prison healthcare New rolling NICU a ‘game changer’ for critical babies in Alabama More than a dozen Alabama hospitals at immediate risk of closing; officials say hospitals suffer $1.5

US Department of Health and Human Services 40

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