Remove Fraud Remove Health Care Access Remove Medicaid Remove Medicare
article thumbnail

2024 Final Rule: CMS Announces More Changes to Medicare Advantage but Declines to Reform the “60 Day Rule”

Health Care Law Brief

On April 5, the Centers for Medicare & Medicaid Services (“CMS”) released the 2024 Medicare Advantage and Prescription Drug Benefit Programs Final Rule (“Final Rule”), which will be codified at 42 C.F.R. 405.986) or “reliable evidence” of fraud or “similar fault” (as defined in 42 C.F.R. 79452 (2022)). 405.902). .

article thumbnail

What is HIPAA?

HIPAA Journal

HIPAA consisted of five Titles addressing the primary objectives of the Act: Title I: Health care access, portability, and renewability. Title II: Preventing health care fraud and abuse; administration simplification; medical liability reform. What is HIPAA Title II?

HIPAA 91
Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Health Provider News

Hall Render

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.

article thumbnail

Health Provider News

Hall Render

for physician referral scheme In Los Angeles, hospital CEO pay could be capped Kaiser Permanente ratings affirmed amid healthy financial profile Nurses vote ‘no confidence’ in California hospital administration, board Nursing facility, management company settle physician kickback allegations for $3.8M

article thumbnail

Health Provider News

Hall Render

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.

article thumbnail

Health Provider News

Hall Render

Francis emergency room KENTUCKY Apollo’s 220-hospital ‘stranglehold’ harms patients and workers, report alleges Humana cuts ‘small’ number of jobs in multiple locations LMU School of Nursing will open Lexington site at CHI Saint Joseph Health Mercy Health announces acquisition of orthopedic center in Paducah, Ky.

article thumbnail

Health Provider News

Hall Render

Mary’s ‘modernization’ project UChicago Medicine AdventHealth Bolingbrook Hospital Names New CFO Nurses asks lawmakers for staffing mandates, hospital leaders disagree Loyola Medicine Burr Ridge outpatient medical center trades for $59.95