Compliancy Group

FEBRUARY 28, 2024

Within the US Department of Health and Human Services (HHS), the Centers for Medicare & Medicaid Services (CMS) is responsible for overseeing and administering various healthcare programs, including Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP). This is just the beginning.

Compliance 52

Compliance US Department of Health and Human Services Fraud Medicare 52

Med-Net Compliance

SEPTEMBER 14, 2022

A Massachusetts home health aide, who was licensed as a Certified Nursing Assistant (CNA), has been indicted in connection with a home surveillance video showing her abusing an elderly patient, Attorney General Maura Healey announced. The aide was indicted by a grand jury on two charges of assault and battery on an elder by a caretaker.

US Department of Health and Human Services 59

US Department of Health and Human Services Fraud Medicaid Medicaid 59

Healthcare Compliance Blog

APRIL 26, 2022

The Office of Inspector General (OIG) for the US Department of Health and Human Services (HHS) has made educational resources available for healthcare providers to comply with federal healthcare laws and regulations. Voluntary Compliance: OIG has several self-disclosure processes to report fraud in HHS programs.

US Department of Health and Human Services 59

US Department of Health and Human Services Fraud Compliance Medicaid 59

Healthcare Compliance Blog

MAY 10, 2022

According to a Medicaid Fraud Control Unit investigation, the provider had failed to disclose his former felony convictions that precluded Medicaid from accepting the application. The provider had created a business to provide home and community-based services to Medicaid recipients. List of Excluded Individuals/Entities ?(LEIE).

Medicaid 59

Medicaid Medicaid US Department of Health and Human Services Fraud 59

Compliancy Group

FEBRUARY 26, 2024

Department of Health and Human Services (HHS) released new guidelines for healthcare compliance programs, the first updates in 15 years. Department of Health and Human Services (HHS) released new guidelines for healthcare compliance programs, the first updates in 15 years.

Compliance 52

Compliance US Department of Health and Human Services Hospitals Compliance Officers 52

Med-Net Compliance

JULY 13, 2022

Both defendants also admitted that Defendant 1 stole at least 20 CDC Vaccination Record Cards in March of 2021, that he sent his brother, Defendant 2, some of the stolen vaccination record cards, and that they agreed to use them and sell them to others for $50. Participating in the fraud can result in the person(s) being prosecuted.?.

COVID-19 Vaccine 59

COVID-19 Vaccine US Department of Health and Human Services COVID-19 Fraud 59

Healthcare Compliance Blog

JUNE 9, 2022

His exclusion means that no federal healthcare program payment may be made, either directly or indirectly, for any items or services furnished by him or at his direction or prescription. HHS-OIG will continue to work with the US Attorney’s Office to ensure the integrity of the Medicare Trust Fund.”.

US Department of Health and Human Services 59

US Department of Health and Human Services Medicare Medicare Overpayments 59

AIHC

APRIL 10, 2024

Checklist for Individual & Small Group Practices Written by: Nancie Lee Cummins, CFE, CHA, CIFHA, OHCC, CHCM, CHCO, CORCM This article provides an overview of Health Information Technology for Economic and Clinical Health Act (HITECH) and basic checklist of policies and procedures for compliance of smaller health care organizations.

Compliance 99

Compliance US Department of Health and Human Services HIPAA Electronic Medical Records 99

Compliancy Group

MARCH 19, 2024

Insurance carriers, cloud service providers, pharmacies, medical equipment manufacturers, and other organizations in this industry must comply with various health and safety regulations. It also reduces waste, fraud, and abuse that threaten the efficiency of healthcare delivery and services. name, phone number).

Regulatory Compliance 52

Regulatory Compliance Compliance US Department of Health and Human Services ACA 52

Healthcare Compliance Blog

MAY 19, 2022

Following an internal review and audit, the hospital discovered irregularities regarding its billing of certain services, and proactively contacted the United States to self-disclose the issues.?The If the patient was going to receive ICR for longer than 30 days, a physician must complete and sign updates to the ITP every 30 days thereafter.?

US Department of Health and Human Services 59

US Department of Health and Human Services Hospitals Medicare Medicare 59

HIT Consultant

NOVEMBER 13, 2023

hours entering electronic health records (EHR data), and managing patient loads of 2,000 or more. These healthcare organizations (HCOs) will deploy task-oriented and domain-specific models that build on large-language models (LLMs), using reinforcement learning and knowledge graphs to deliver relevant, accurate, and stable data outputs.

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US Department of Health and Human Services COVID-19 Fraud Nurses 111

Compliancy Group

JANUARY 17, 2024

Understanding the OIG Work Plan The OIG Work Plan for physicians and health organizations is a dynamic document that lays out the various audits, reviews, and inspections the OIG intends to conduct in relation to healthcare programs and services within a time frame. OIG in healthcare , functioning as an arm of the U.S.

US Department of Health and Human Services 52

US Department of Health and Human Services Compliance Regulatory Compliance Regulations Compliance 52

YouCompli

AUGUST 22, 2023

In contrast, Medicare Advantage is provided through a private health plan and typically covers everything in one monthly premium. Examples of Possible Fraud, Waste, and Abuse Christi Grimm, the Inspector General of HHS, commented on this trend in a recent keynote address to compliance professionals.

Medicare 52

Medicare Medicare US Department of Health and Human Services Compliance 52

AIHC

APRIL 10, 2024

Checklist for Individual & Small Group Practices Written by: Nancie Lee Cummins, CFE, CHA, CIFHA, OHCC, CHCM, CHCO, CORCM This article provides an overview of Health Information Technology for Economic and Clinical Health Act (HITECH) and basic checklist of policies and procedures for compliance of smaller health care organizations.

Compliance 52

Compliance US Department of Health and Human Services HIPAA Electronic Medical Records 52

Med-Net Compliance

JULY 19, 2022

Issue: The US Department of Health and Human Services (HHS) Office of Inspector General (OIG) has the authority to exclude individuals and entities from federally funded healthcare programs for a variety of reasons, including a conviction for Medicare or Medicaid fraud. 5 years, 10 years, etc.)

US Department of Health and Human Services 59

US Department of Health and Human Services Licensing Medicare Medicare 59

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

Verisys

FEBRUARY 23, 2022

As government agencies and national regulatory organizations pass more regulations and the need for healthcare services grows, healthcare compliance officers (HCOs) are more important than ever. Ensuring proper creation, maintenance, distribution, and storage of documentation. Reimbursement. Healthcare administration.

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Compliance Officers Compliance US Department of Health and Human Services Governance 52

The Health Law Firm

JANUARY 28, 2013

Board Certified by The Florida Bar in Health Law. A family that owns a number of South Florida pharmacies is allegedly under investigation for Medicare fraud, according to a number of sources. Drug Enforcement Administration (DEA) agents removed boxes of documents and computers from the pharmacy, according to Naples News.

US Department of Health and Human Services 40

US Department of Health and Human Services Medicare Medicare Fraud 40

MedTrainer

AUGUST 8, 2022

During the credentialing procedure, a candidate’s documentation is sent back to the institution that first issued them, such as a university to confirm their legitimacy. After all, there is a bit of a loophole under the Incident-to rule that allows a non credentialed physician to bill under a credentialed physician for services.

US Department of Health and Human Services 40

US Department of Health and Human Services Medical Billing Hospitals Compliance 40

Hall Render

NOVEMBER 4, 2022

CVS Health, Walgreens each to settle all opioid cases for $5B. HHS releases video on documenting recognized HIPAA security practices. Cullman Regional to build north Alabama’s 1st freestanding emergency department. USDA funds 11 rural Alabama health care projects with $7.3 CMS bumps ASC payments to 3.8 prescription drugs.

US Department of Health and Human Services 40

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

MedTrainer

FEBRUARY 13, 2022

During the credentialing procedure, a candidate’s documentation is sent back to the institution that first issued them, such as a university to confirm their legitimacy. After all, there is a bit of a loophole under the Incident-to rule that allows a non credentialed physician to bill under a credentialed physician for services.

US Department of Health and Human Services 40

US Department of Health and Human Services Medical Billing Hospitals Compliance 40

Total HIPAA

SEPTEMBER 11, 2019

Explore the full article to gain a holistic understanding of the law or use the table of contents below to find the specific information you need. To fully obey the law, you must create the necessary documents, including Privacy and Security Policies and Procedures, and follow the protocols for protecting PHI you set.

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HIPAA Compliance US Department of Health and Human Services Health Insurance 52

AIHC

FEBRUARY 16, 2024

Lessons Learned about Consequences & Incentives Submitted by the AIHC Education Department Introduction The Office of Inspector General has released the new General Compliance Program Guidance or “GCPG” in late 2023. Cobra breeders killed the majority of the cobras and redeemed them for money while they continued to breed more cobras.

Compliance 52

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

AIHC

FEBRUARY 16, 2024

Lessons Learned about Consequences & Incentives Submitted by the AIHC Education Department Introduction The Office of Inspector General has released the new General Compliance Program Guidance or “GCPG” in late 2023. Cobra breeders killed the majority of the cobras and redeemed them for money while they continued to breed more cobras.

Compliance 52

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

Verisys

JANUARY 20, 2022

Whether you use paper, spreadsheets, email, or fax, the credentialing process can be long and frustrating when you’re doing it internally. It’s important for a practitioner to be credentialed and have privileges granted before beginning to practice medicine and bill for services rendered. What’s the solution?

US Department of Health and Human Services 52

US Department of Health and Human Services Licensing Compliance Fraud 52

MedTrainer

JULY 21, 2022

These hackers are costing health organizations millions of dollars and threatening the safety of patients. However, unauthorized access is causing more than just identity fraud. In January of 2018, Hancock Health of Indiana experienced a serious ransomware attack that forced their entire network to shut down.

US Department of Health and Human Services 52

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

Hall Render

FEBRUARY 2, 2024

Vincent North in Sherwood Washington Regional Medical System Names Lucas Campbell as VP & Chief Transformation Officer 4 more Arkansas hospitals awarded federal funds Arkansas Legislative Council approves Department of Human Services’ requests for $13.4M Opens in North Little Rock CHI St.

Nursing Homes 40

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

Hall Render

APRIL 14, 2023

NATIONAL 94% of Organizations Experienced a Cyberattack in 2022 AHA blog: Strengthening crisis management in rural health care Biden signs bill ending Covid-19 national emergency Cancer drug shortages are creating dire circumstances for some patients CMS Releases FY24 IPPS Proposed Rule, Seeks to Boost Rates by 2.8%

Nursing Homes 40

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

Hall Render

APRIL 29, 2022

County Struggles with Income Affect Social Determinants of Health. HHS puts $90 million toward addressing health disparities through data. Nearly half of rural hospitals lose money on childbirth services. Juneau clinic offers new option for treating opioid use disorder. Banner Health to build new hospital in Buckeye.

COVID-19 40

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

Hall Render

MARCH 18, 2022

Amazon Pharmacy partners with health plans for discount drugs. Health Policy Brief: Pandemic-Driven Health Policies To Address Social Needs And Health Equity. HHS putting $35 million toward mental health support for children, young adults. How the PE Nursing Home Crackdown Could Affect the Home Health Industry.

COVID-19 40

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

Hall Render

MARCH 29, 2024

Vincent and Morehouse School of Medicine of Atlanta to launch partnership Fayetteville nonprofit to offer state’s first-ever medical respite program for the unhoused Mercy Arkansas Hospitals receive designation Sage Health to Open Third Central Arkansas Location UAMS snags $11.5M after cyberattack CHI St. after cyberattack CHI St.

Nursing Homes 40

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

Hall Render

JULY 8, 2022

SCOTUS won’t hear challenge to health worker vaccine mandate. Why health systems are choosing Amazon as their cloud provider. Worst health system data breaches of 2022, according to Wired. Alabama Department of Corrections picks new medical, mental health care provider. UAB names interim health system CEO.

US Department of Health and Human Services 40

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

Hall Render

APRIL 7, 2023

Some companies claim AI can help States warn of health care worker shortage as they prep for next pandemic How Do Rural Hospitals Survive When Facing Financial Instability? Dignity Health eyes 9th Arizona hospital A nursing shortage is hitting Arizona hard. Sheriff’s deputies had to help 3 of them escape.

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

NATIONAL 79 percent have positive outlook for senior living and care: NIC 12 key legal issues impacting health systems AHA: 94% of hospitals financially impacted by Change Healthcare’s cyberattack A conversation about the HHS plan on AI in health care A new kind of hospital is coming to rural America.

Nursing Homes 40

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

Hall Render

JANUARY 28, 2022

FDA halts use of antibody drugs that don’t work vs. omicron. Safety-net hospitals face the worst of the US’ nursing shortage. State health officer discusses Alabama’s COVID-19 peak. Alabama lawmakers talking about how to use next round of federal pandemic relief funds.

Nursing Homes 40

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

Hall Render

FEBRUARY 10, 2023

Dunleavy proposes extending Medicaid coverage for new mothers ARIZONA Banner Health pays $1.25M penalty over HIPAA failures from 2016 breach Arizona nursing school at risk of losing accreditation St. billion since pandemic U.S. billion since pandemic U.S. billion since pandemic U.S. billion since pandemic U.S. billion since pandemic U.S.

US Department of Health and Human Services 40

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

Hall Render

JUNE 16, 2023

Vincent’s to begin ER construction, gains CON approval Birmingham CRE firm acquires South Carolina medical office property Encompass Health prepares to open rehab hospital, fill gap in care Nearby ED means more avoidable visits from AL residents, study finds Nurse salaries rose last year, dipped in 2023.

US Department of Health and Human Services 40

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