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. Issue: Nursing staff should monitor telemedicine appointments held with their residents, review related medical record documentation, and report any concerns with observed practices immediately.

Fraud 59

Fraud Telemedicine Medicare Medicare 59

Provider Trust

AUGUST 9, 2023

Grimm, the OIG continues its tireless efforts to uncover instances of fraud, waste, and abuse within HHS programs. OIG continues to work tirelessly to identify instances of fraud, waste, and abuse and prosecute offenders. Through years of oversight, they have discovered various obstacles and weaknesses within nursing home facilities.

Nursing Homes 52

Nursing Homes COVID-19 Fraud Medicaid 52

The Health Law Firm

AUGUST 8, 2017

It is reported that Blanco oversaw inspections by the Florida Agency for Health Care Administration or "AHCA" of Florida nursing homes owned by Phillip Esformes. Bertha Blanco faces a wide range of charges including accepting bribes to tip off individuals when state wide investigations were to begin. The Ring Alleged Ring Leader.

Governance 40

Governance Fraud Nursing Homes Medicare 40

YouCompli

AUGUST 2, 2022

Healthcare compliance history has shown that when the government disperses significant funds, audits and enforcement associated with the disbursement of those funds will shortly follow. The Federal government spent unprecedented trillions of dollars throughout the COVID public health emergency (PHE). MorseLife agreed to pay $1.75

COVID-19 Vaccine 52

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

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.

Compliance Officers 52

Compliance Officers Compliance Medicare Medicare 52

The Health Law Firm

MARCH 14, 2013

Individuals working in the health care industry, whether for hospitals, nursing homes, medical groups, home health agencies or others, often become aware of questionable activities. In many cases the activity may amount to fraud on the government. Often they are even asked to participate in it.

Fraud 40

Fraud Governance Nursing Homes Nurses 40

The Health Law Firm

MARCH 13, 2013

Individuals working in the health care industry, whether for hospitals, nursing homes, medical groups, home health agencies or others, often become aware of questionable activities. In many cases the activity may amount to fraud on the government. Often they are even asked to participate in it.

Fraud 40

Fraud Governance Nursing Homes Nurses 40

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

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.

Nurses 59

Nurses Nursing Homes Fraud Hospitals 59

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

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

Hall Render

APRIL 26, 2024

in 256-Slice CT scanner Lifepoint reports $200M+ economic impact in Cen Ky St. health dept. processed 1.5 million Medicaid enrollees in 12 months; one month left in ‘unwinding’ University of Maryland Medical Center physicians unionize, a first in the state Emergency room wait times are worse than bad. health dept. processed 1.5

Nursing Homes 40

Nursing Homes US Department of Health and Human Services Nurses Hospitals 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

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

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

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

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 1, 2024

operating income, 6% margin Why 4 M&A deals were recently stopped in their tracks Former dealmakers agree: U of Minnesota needs hospitals back from Fairview 2 drugs nearing approval to know: Optum Minnesota nursing home workers set date for March walkout MISSISSIPPI Gov. R1 RCM posts $3.3M R1 RCM posts $3.3M

Nursing Homes 40

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

Healthcare Law Blog

NOVEMBER 16, 2023

More broadly, the Final Rule is an important step towards achieving the Biden-Harris Administration’s stated goal of increasing nursing home transparency and accountability. In particular, CMS is interested in evaluating how certain ownership structures impact care and treatment outcomes.

Nurses 52

Nurses Medicaid Medicaid Medicare 52

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

Med Law Blog

MAY 1, 2023

Howell, Constantine Yannelis and Abhinav Gupta positing that their research shows that “PE ownership increases short term mortality of Medicare patients by 10%, in nursing homes”.

Nursing Homes 52

Nursing Homes Malpractice Hospitals Nurses 52

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

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

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 11, 2022

Providers happy nursing homes are among White House’s top priorities but disheartened at approach. OSHA conducting new wave of COVID-19 inspections among previously dinged hospitals, nursing facilities. Governor Ivey Awards Additional $80 Million to Hospitals and Nursing Homes. CALIFORNIA.

COVID-19 40

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

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

JANUARY 26, 2024

Louis nursing home endangered residents, report says Man pleads guilty to stabbing employee inside Missouri ASC A Missouri nursing home shut down suddenly. A new report offers insight into the ensuing confusion Rep. Cori Bush joins St.

Nursing Homes 40

Nursing Homes Nurses Hospitals 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. Francis Kansas hospital not rushing replacement for CFO fired for hiding fraud conviction KENTUCKY $6.5M NATIONAL 8.5M

US Department of Health and Human Services 40

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

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 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

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

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

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

FEBRUARY 10, 2023

Francis Medical Center addressing the nursing shortage LCMC Health Promotes John Nickens to New Role Children’s Hospital’s 41st Sugarplum Ball Aims to Raise $1M MAINE Maine hospital to close its maternity unit Maine’s largest hospital ends fundraising campaign after exceeding goal Mercy Hospital, physician ordered to pay $6.5M

US Department of Health and Human Services 40

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