Innovaare Compliance

MARCH 24, 2024

The Importance of Payment Integrity Payment integrity is crucial for health plans to control costs, reduce fraud, waste, and abuse (FWA), and ensure the accuracy of healthcare payments. billion in healthcare fraud judgments and settlements. billion in healthcare fraud judgments and settlements.

Fraud 52

Fraud Health Insurance Compliance Medicaid 52

The Health Law Firm Blog

NOVEMBER 29, 2022

Board Certified by The Florida Bar in Health Law On August 24, 2022, managed healthcare company, Centene Corporation, agreed to pay $19 million to the State of Washington to settle fraud allegations. Centene owns and operates Sunshine State Health Plan, d/b/a Sunshine Health, in Florida. Indest III, J.D.,

Fraud 52

Fraud Medicaid Medicaid Overpayments 52

The Health Law Firm Blog

DECEMBER 19, 2022

Board Certified by The Florida Bar in Health Law On August 24, 2022, managed healthcare company, Centene Corporation, agreed to pay $19 million to the State of Washington to settle fraud allegations. Centene owns and operates Sunshine State Health Plan, d/b/a Sunshine Health, in Florida. Indest III, J.D.,

Fraud 52

Fraud Medicaid Medicaid Overpayments 52

The Health Law Firm Blog

OCTOBER 14, 2022

Board Certified by The Florida Bar in Health Law On August 24, 2022, managed healthcare company, Centene Corporation, agreed to pay $19 million to the State of Washington to settle fraud allegations. Centene owns and operates Sunshine State Health Plan, d/b/a Sunshine Health, in Florida. Indest III, J.D.,

Fraud 52

Fraud Medicaid Medicaid Overpayments 52

The Health Law Firm Blog

NOVEMBER 7, 2022

Board Certified by The Florida Bar in Health Law On August 24, 2022, managed healthcare company, Centene Corporation, agreed to pay $19 million to the State of Washington to settle fraud allegations. Centene owns and operates Sunshine State Health Plan, d/b/a Sunshine Health, in Florida. Indest III, J.D.,

Fraud 52

Fraud Medicaid Medicaid Overpayments 52

Healthcare IT Today

FEBRUARY 17, 2023

This article focuses on the relatively young technologies that enable CMS to uncover overbillings, whether they be errors or fraud. Challenges of Investigating Overpayments Undeserved payments are needles lurking in the haystack of 135 million Americans enrolled in Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP).

Overpayments 89

Overpayments Overpayment COVID-19 Medicare 89

Hall Render

APRIL 19, 2024

Cedars Leads Latest Round Of Funding In Yolo County, 16,000 Medi-Cal patients lose doctors in Dignity Health dispute with Partnership HealthPlan Kaiser med school names CEO Kaiser Permanente launches food-is-medicine hub Kaiser, Vizient target healthcare greenhouse gas emissions L.A. Can lawmakers do anything about it?

Nursing Homes 40

Nursing Homes Nurses Hospitals Doctors 40

AIHC

SEPTEMBER 5, 2023

Most private insurers and Medicaid cover telebehavioral health care, but check for reimbursement restrictions and obtain professional coding and billing guidance to avoid overpayment situations. Not all forms of technology are recognized as services which can be reimbursed by health insurance.

Telemedicine 59

Telemedicine COVID-19 Compliance Informed Consent 59

CMS.gov

NOVEMBER 16, 2018

Fraud, waste, & abuse. Even more significant for CMS, is that for the first time in improper payment reporting history, we have achieved improper payment rate reductions across the board in Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP). Jeremy.Booth@c…. Fri, 11/16/2018 - 18:46. Seema Verma. Leadership.

Medicare 20

Medicare Medicare Overpayments Overpayment 20

Hall Render

JUNE 30, 2023

spoiler bid for home health care company Thousands of Minnesotans at risk of losing health insurance get a one-month reprieve MISSISSIPPI $5.3M for stroke and kidney treatment Optum wins $3.2B

US Department of Health and Human Services 40

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

HIPAA Journal

MARCH 30, 2022

For example: Had the health insurance industry been allowed to continue operating as it did prior to HIPAA, tens of millions of Americans would be excluded from health plan benefits. Had the momentum to improve health care not been given a kickstart by HIPAA, subsequent health care initiatives may never have happened.

HIPAA 124

HIPAA Fraud Health Insurance Health Care Reform 124

Hall Render

AUGUST 26, 2022

The New 988 Mental Health Hotline Is Off To A Busy Start In Hawaii. Luke’s is joining the health insurance business. Judge Halts Part of Idaho’s Abortion Ban, Saying It Violates Health Law. Idaho Business for Education releases report on health care worker shortage in Idaho. CHS faces class-action fraud suit.

Nursing Homes 40

Nursing Homes COVID-19 Nurses Hospitals 40

Hall Render

NOVEMBER 10, 2023

California physician convicted of healthcare fraud, kickbacks California’s healthcare minimum wage boost to cost $4B City Council upholds approval of Hollywood Presbyterian medical offices at 1321 N. Will it survive the next few years?

Nursing Homes 40

Nursing Homes Nurses Hospitals COVID-19 40

Hall Render

MARCH 22, 2024

Banner Health to expand clinical AI to 33 hospitals, 6 states Banner reports $282.8M family sues hospital over life-altering injuries Calif.

Nursing Homes 40

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

Hall Render

MARCH 15, 2024

Trinity: How the 3 largest nonprofit systems’ finances compare BAMF, Corewell Health partner on clinical trial for advanced cancer treatment Doctor files whistleblower lawsuit against DMC after patient becomes quadriplegic Lakeshore outpatient surgery center completes $9.3M

US Department of Health and Human Services 40

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