Provider Trust

JANUARY 25, 2024

This report helps HHS fulfill its mission to improve the health and well-being of Americans while also providing suggestions for how healthcare organizations can stay ahead of the curve to avoid and combat fraud, waste, and abuse. Unfortunately, Medicare Advantage programs are not exempt from instances of fraud, waste, and abuse.

Fraud 52

Fraud Medicaid Medicaid Medicare 52

Hall Render

FEBRUARY 27, 2023

The government initiated 296 FCA cases on its own last year without input of a relator, which is the highest volume of DOJ initiated cases since the 1986 FCA amendments. This has been a growing trend in health care enforcement, and health care fraud remained the leading source of all FCA cases in 2022. COVID-10 Related Fraud.

Nursing Homes 40

Nursing Homes Fraud Medicaid Medicaid 40

Pharmacy Law Blog

FEBRUARY 13, 2018

On November 22, 2017, a Florida woman who was accused of a $45 million Medicare fraud, received a six-and-a-half-year prison sentence, following a 2016 U.S. Supreme Court decision in her case holding that the government could not freeze untainted assets. Indest III, J.D., Board Certified by The Florida Bar in Health Law.

Fraud 40

Fraud Medicare Medicare Governance 40

Compliancy Group

AUGUST 31, 2023

Healthcare compliance laws play a vital role in safeguarding patients’ rights, preventing fraud and abuse, and maintaining the integrity of healthcare systems. Let’s delve into the importance of healthcare compliance laws and regulations, their impact on providers and organizations, and the guidelines governing their implementation.

Compliance 52

Compliance Compliance Officers Fraud Compliance Framework 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. But what exactly is a compliance plan in healthcare, and why is it so crucial?

Compliance 52

Compliance Fraud Nursing Homes Governance 52

Hall Render

NOVEMBER 10, 2023

Since the release of its first compliance program guidance (“CPG”) for hospitals in 1998, OIG has developed a series of voluntary CPGs directed at various subsets of the health care industry, such as hospitals, nursing homes, third-party billing companies, clinical laboratories, among many others.

Compliance 40

Compliance Compliance Officers Fraud Governance 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

Healthcare Law Blog

NOVEMBER 16, 2023

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]

Nurses 52

Nurses Medicaid Medicaid Medicare 52

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

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

Hall Render

DECEMBER 22, 2023

fraud scheme UConn Health is in financial trouble. Louis nursing home lost major Medicaid cash infusion Crisis at north St. Louis nursing home: Residents displaced, staff left in the dark Employees without pay, residents displaced after largest St. health care spending hits $4.5

Nursing Homes 40

Nursing Homes Nurses Hospitals COVID-19 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

AIHC

FEBRUARY 16, 2024

The GCPG is a reference guide for the health care compliance community and other health care stakeholders and provides information about relevant Federal laws, compliance program infrastructure, OIG resources, and other information useful to understanding health care compliance. The result? a day for orphans, but $2.75

Compliance 52

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

AIHC

FEBRUARY 16, 2024

The GCPG is a reference guide for the health care compliance community and other health care stakeholders and provides information about relevant Federal laws, compliance program infrastructure, OIG resources, and other information useful to understanding health care compliance. The result? a day for orphans, but $2.75

Compliance 52

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

Hall Render

APRIL 12, 2024

in billing fraud Arizona system names new CEO Banner Health CEO Peter Fine to retire after 24 years, handing the reins to health system president Four UArizona bioscience startups selected for Flinn Foundation program Gov. Connecticut’s ‘certificate of need’ law under scrutiny Hartford HealthCare’s Black & Red Gala raises $2.6M

Nursing Homes 40

Nursing Homes Nurses Hospitals Medicaid 40

Hall Render

FEBRUARY 2, 2024

of Health provides $250 thousand grant to tackle high Hispanic infant mortality rate Indiana lawmakers consider legislation to reduce prior authorization Lawrence company takes medical care on the road Indiana does not have enough nurses – will unionization or legislation help? 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

Hall Render

MARCH 25, 2022

Hospital stays for nursing home residents down nearly 9%, federal data shows. Huntsville Hospital to launch new nurse training program. Alabama hospitals, nursing homes split $80 million in ARPA funds. New apprenticeship program to address nursing shortage in Alabama. vaccinated nursing home staff.

COVID-19 40

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

Hall Render

OCTOBER 27, 2023

Million Health Care Fraud Conspiracy in Idaho Orthopedic activity in the 5 most underserved states St. Ransomware attacks against hospitals put patients’ lives at risk, researchers say States, FTC continue to target noncompetes: 3 updates The best hospital in each state, per Newsweek What to know about Stark law’s $9.2M

US Department of Health and Human Services 40

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

Hall Render

AUGUST 4, 2023

News Ranking DC DC-area hospitals ranked among best in the nation DC Health releases results of investigation into nursing home after 7News story about medication errors Inova Fairfax tops new U.S. to settle Medicare fraud claims Maine in top 10 for health care, No.

COVID-19 40

COVID-19 Hospitals Nursing Homes Nurses 40

Hall Render

NOVEMBER 27, 2023

face growing challenges to stay open KENTUCKY BehaVR merges with New York City-based Fern Health For years, a powerful Louisville hospital sued people for unpaid bills. renovation St. cash Tenet’s $2.4B cash Tenet’s $2.4B

US Department of Health and Human Services 40

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

Hall Render

OCTOBER 13, 2023

Vincent Partners With Park Plaza Mall on Community Health Programs Former Arkansas Medical Board Chair Brian Hyatt Arrested for Medicaid Fraud New Provider in Arkansas Focuses on No-Rush Health Care Walker Foundation Pledges $1M to UAMS Radiation Oncology Center Five nonprofits to split $5.9 Luke’s receives $1.5

Nurses 40

Nurses Hospitals Nursing Homes Doctors 40

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

Nursing Homes 40

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

Hall Render

DECEMBER 8, 2023

health care Skilled nursing providers embrace bill nixing staff mandate, despite uncertain fate US News to begin rating ASCs ALABAMA Birmingham business lands pharmacy contract with Louisiana hospital Madison Co. NATIONAL 8.5M NATIONAL 8.5M NATIONAL 8.5M NATIONAL 8.5M Here’s what comes next. for community health in Md., DC and northern Va.

US Department of Health and Human Services 40

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

Hall Render

JANUARY 26, 2024

Luke’s recognized for quality maternity care Regents approve bylaws, renaming of Mercy as University of Iowa Health Care transition nears UI Hospitals and Clinics completes 10,000 robot-assisted surgeries UI Health Care to assume operations at Mercy IC Jan.

Nursing Homes 40

Nursing Homes Nurses Hospitals COVID-19 40

Hall Render

NOVEMBER 17, 2023

Jill Biden will lead new initiative to boost federal government research into women’s health Joint Commission says acute, critical access hospitals must join safety network Lawsuit claims UnitedHealth AI wrongfully denies elderly extended care Most Rural U.S. Compensation is key Is spine surgery expansion next for ASCs?

Nursing Homes 40

Nursing Homes Nurses Hospitals Doctors 40

Hall Render

JUNE 3, 2022

AZDHS not protecting nursing home residents by reviewing complaints. Arizona Becomes 3rd State to Provide In-Home Care for Sick Children. Pritzker signs nursing home reform legislation. Mercyhealth nurses look to form union after they claim administration won’t listen. Iowa hospital appoints CFO.

COVID-19 40

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

COVID-19 40

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

Hall Render

APRIL 28, 2023

million to benefit South Side and south suburban communities in fiscal 2022 INDIANA Beacon Health announces hiring freeze, pay cuts for employees Carmel-based NICO Corp. million to benefit South Side and south suburban communities in fiscal 2022 INDIANA Beacon Health announces hiring freeze, pay cuts for employees Carmel-based NICO Corp.

Nurses 40

Nurses Nursing Homes COVID-19 Hospitals 40

Hall Render

JUNE 23, 2023

Children’s mental health programs in danger after budget cuts Disciplinary information is missing from some doctor profiles in CT. Maryland AG urges White House to strengthen HIPAA for people getting abortions Westminster startup raising $2.3M

US Department of Health and Human Services 40

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

Hall Render

MARCH 17, 2023

NATIONAL AMA pressures federal government to fix prior authorization problem plaguing radiology AHA pushes back on new 340B alliance Biden’s $6.8T NATIONAL AMA pressures federal government to fix prior authorization problem plaguing radiology AHA pushes back on new 340B alliance Biden’s $6.8T and Del.

US Department of Health and Human Services 40

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

Hall Render

JANUARY 21, 2022

5 states facing highest, lowest weekly nursing home COVID-19 positivity rates. Nursing home industry reacts to health care worker vaccine mandate. Ransomware: 2,300+ local governments, schools, healthcare providers impacted in 2021. Stretched Hospitals, Nursing Homes Fear Losing More Staff Over Vaccine Mandate.

COVID-19 40

COVID-19 Nursing Homes COVID-19 Vaccine Nurses 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. Arizona asks federal government to send paramedics to help 5 Phoenix-area hospitals. Nursing homes need more COVID boosters, says AARP.

COVID-19 40

COVID-19 Nursing Homes Nurses COVID-19 Vaccine 40

Hall Render

MAY 5, 2023

Here’s how, and why hospitals say it ‘cherry-picks data.’ healthy village’ George Washington University medical residents vote overwhelmingly to form a union Kaiser Permanente’s Mid-Atlantic president, Ruth Williams-Brinkley, to retire Kaiser Permanente to spend billions on new value-based care nonprofit based in the D.C.

US Department of Health and Human Services 40

US Department of Health and Human Services COVID-19 Nurses 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 21, 2023

NATIONAL 6 health systems using GPT and AI tools 100,000 nurses left industry during the pandemic, report finds AHA backs bill to delay Medicaid DSH cuts by 2 years AHA launches info hub for healthcare quality leaders AHA opposes MedPAC recommendations to Congress on site-neutral, Part B drug, wage index policies AHA ramps up 340B protection efforts (..)

US Department of Health and Human Services 40

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

SEPTEMBER 29, 2023

in Stark law self disclosures: 3 things to know CMS’ staffing proposal will cost nursing homes $6.8B in Stark law self disclosures: 3 things to know CMS’ staffing proposal will cost nursing homes $6.8B in Stark law self disclosures: 3 things to know CMS’ staffing proposal will cost nursing homes $6.8B

US Department of Health and Human Services 40

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