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by Rebekah Ninan A recent lawsuit in the Southern District of New York has alleged that the health insurance company Anthem Blue and Cross Blue Shield violated state laws and committed fraud by maintaining “ghost networks” of mental health providers. Rebekah Ninan’s (J.D.
HIPAA is an acronym for the Health Insurance Portability and Accountability Act. When the Health Insurance Portability and Accountability Act was passed by Congress in 1996, the establishment of federal standards for safeguarding PHI was not one of the primary objectives. What is HIPAA Title II?
Compliance professionals should conduct routine facility audits to evaluate for areas of potential harm, such as loose stair railings or spaces where patient information can be easily overheard by others. Regrouping on patient billing. We deliver model procedures and expert tools that can be used to fulfill your business requirements.
The Final Rule adopts a host of reforms aimed at improving healthcareaccess, quality, and equity for Medicare beneficiaries that receive coverage through Part C (“Medicare Advantage” or “MA”) and prescription drug benefits through Part D. 405.986) or “reliable evidence” of fraud or “similar fault” (as defined in 42 C.F.R.
for patient experience Emory Hospital Midtown will ‘move to normal operations’ after water pressure returned overnight Marietta’s Wellstar medical center now one of three Level I trauma centers in metro Atlanta Northside Hospital programs prioritize mental health in the workplace Rural U.S. healthcare is in a crisis.
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. s health, hospital chief says Raising Ky.’s
Some Health Providers Still Await Back Pay New innovative cancer treatment helps Montana woman beat cervical cancer NEBRASKA Nearly 60% of Nebraska’s smaller rural hospitals operate at a loss, hospital association says. continues crackdown on nursing homes, 2 more cited for poor care and ‘massive fraud’ Wow!
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.
Elizabeth ranks second UofL Health – Heart Hospital recognized by Becker’s Hospital Review Waystar buys fellow health tech firm HealthPay24 West Louisville nonprofit calls on Rep. Morgan McGarvey to improve healthcareaccess COVID hospitalizations jump again: Where do West Virginia, Ohio and Kentucky stand?
healthcare fraud scheme New Orleans launches tool to help doctors find reproductive care drug amid tight state restrictions MAINE Owner of Woonsocket hospital expands into Maine St. Josephs expands executive team with NJ healthcare industry veteran J&J set to acquire drugmaker for $14.6B
fraud scheme Newly filed legislation in Missouri aims to address workplace violence in healthcare Pressures to merge are high for KC-area hospitals, experts say SSM Health to buy home health business St. Evers’ task force to address challenges in Wisconsin’s healthcare system Gov.
in 2023 income Ransomware group leader told hackers to attack hospitals, FBI, HHS say The 23 health systems pushing Congress to act on virtual care Three examples of how AI is going to change medicine U.S. Monopolizes Care Physician charged in $20.7M hospitals Why can’t Rhode Island find a state health director?
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2 sentenced for $48M medical reimbursement account fraud scheme. How New Orleans health leaders are reacting to city’s lifted vaccine mandate. MA Unveils Bill to Boost Behavioral Health, Primary CareAccess. Massachusetts Doctor Faces HealthCareFraud Charges. 2 subvariant rises.
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lawmakers are considering legislation to require licenses for non-medical home care Mass. health benefits agency running out of cash Mounting costs: As rising health costs hit Hispanic communities hardest, Central Mass. to incubate social health startups Patterson Cos. Louis executive to lead N.C.,
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of Kentucky Small Businesses Offer Health Coverage, Down From 38.6% Medicare fraud scheme Patients who needed financial assistance said nonprofit hospitals in Massachusetts didn’t help them Pharmaceutical company to cut 83 Boston-area jobs Physician charged in $35.3M fraud scheme St. life sciences CEOs Mass.
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