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The Wilsonville, OR-based home health care service provider and nursinghome operator, Avamere Holdings, is facing a class action lawsuit over a major data breach that affected 96 senior living and healthcare facilities and resulted in the exposure of the protected health information of more than 380,000 individuals.
We summarize enforcement trends and deliver the latest compliance and HIPAA developments to your inbox with our Monthly Compliance News Report. MPA’s clients use the News Report to find ideas for compliance and HIPAA training, and identify areas where policies or audits are needed. Twelve new HIPAA enforcements.
This means your organization must comply with the Health Insurance Portability and Accountability Act of 1996 (HIPAA). Examples of covered entities include health plans, clearinghouses, and certain health care providers including but not limited to: doctors, clinics, psychologists, dentists, chiropractors, nursinghomes, and pharmacies.
Fraud, Waste, and Abuse (FWA) Training Fraud, Waste, and Abuse (FWA) training is designed to help healthcare professionals detect, prevent, correct, and report fraudulent, wasteful, and abusive practices within the Medicare system. Attestation: Providers must complete training within 90 days of their hire date and annually thereafter.
Healthcare compliance laws play a vital role in safeguarding patients’ rights, preventing fraud and abuse, and maintaining the integrity of healthcare systems. Office of Inspector General (OIG) Compliance Program Guidance Office of Inspector General (OIG) compliance program guidance is for individual providers like hospitals or nursinghomes.
NursingHomes: Skilled nursing facilities, long-term care facilities, and other types of nursinghomes. Additionally, compliance programs address a wide range of potential issues, including fraud, waste, and abuse. Is a Compliance Program Useful If It’s Not Mandated?
Download the Ultimate List of Training Requirements for Long-Term Care to see a full list of federal training requirements for nursinghomes and skilled nursing staff broken down by role, with the applicable standard, CMS violation category, and frequency.
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. and cybersecurity threats. Medicare Advantage (M.A.): Organizations using M.A.
Department of Health and Human Services (“HHS”) issued new Industry Segment-Specific Compliance Program Guidance For Nursing Facilities (“Nursing Facility ICPG”) for nursinghome members of the health care compliance community. On November 20, 2024, the Office of Inspector General (“OIG”) for the U.S.
The OIG is making major investments to systematically detect and prosecute fraud. In this guidance it’s clear the OIG expects healthcare organizations and suppliers to understand their role and responsibilities to fight fraud, waste, and abuse. We all should be a LOT more prepared!
The GCPG standardized the seven Elements of a Successful Compliance Program, which differs slightly from the individual compliance guidance documents (CPGs) directed at various segments of the health care industry, such as hospitals, nursinghomes, third-party billers, and durable medical equipment suppliers.
The GCPG standardized the seven Elements of a Successful Compliance Program, which differs slightly from the individual compliance guidance documents (CPGs) directed at various segments of the health care industry, such as hospitals, nursinghomes, third-party billers, and durable medical equipment suppliers.
for low readmissions after heart bypass Kentucky nurse pleads guilty in connection with nursinghome case Norton Heart & Vascular implants Louisvilles first dual-chamber leadless pacemaker Norton West Louisville Hospital sees more than 2,500 patients in first month Signature HealthCARE Appoints Tim Lehner as New COO St.
Medicare fraud scheme One of Michigan’s largest insurers is altering telehealth billing. Medicare fraud scheme One of Michigan’s largest insurers is altering telehealth billing. California to make $3.3 Luke’s Hospital sees record number of twin births Iowa Gov. What does it mean?
To Settle Telehealth Fraud Accusations State Health Dept, Hospital Association Honor Yale New Haven Hospital D.C. Supreme Court weighs future of ER abortions Flinn Foundation report identifies bioscience growth areas for Phoenix metro Medical center office building in Chandler sells for $7.3
Regional Health named one of the best places to work in Kentucky UK HealthCare taps chief revenue officer LOUISIANA Louisiana opens $33M mental health hospital Louisiana physician, wife to pay $450K for neurostimulator fraud scheme Louisiana physician charged for $6.6M Vincent hospital names chief medical officer UAMS Awarded $1.9M
NATIONAL 4 largest healthcare data breaches of 2023 Anesthesia practices sue CMS over reimbursement method Antitrust enforcements hit a high in 2022, with health deals impacted ASCs face leadership exodus CMS floats appeals process over observational stays CMS proposes additional Medicare appeals processes FTC eyes healthcare mergers, report shows (..)
attracts Merck as an investor Centura Health Pushes Back on Class Action Alleging Wrongful Liens Children’s Hospital Colorado fined $548K for HIPAA violations CommonSpirit builds market leadership team Denver business leader tapped to be CEO of Aurora innovation campus Denver metro hospitals No. 3 in the U.S.
nursinghomes to pay $4M over claims of substandard care Mass. officials take aim at anti-abortion centers with new public awareness campaign Massachusetts, DC loosen CRNA supervision requirements Nursinghome chain with 3 Central Mass. nursinghomes to pay $4M over claims of substandard care Mass.
judgment against nursinghome chain over woman’s death Arkansas BCBS names VP of group market U of Arkansas to offer dual DNP-MBA program Unity Health welcomes Jacksonville community to new hospital Baptist Health Opens Behavioral Services Clinic in North Little Rock Arkansas Children’s Hospital gets $2.5
Children’s National Hospital hosts prom for patients battling illnesses Unfair labor complaints filed against George Washington University Hospital as nurses try to unionize DELAWARE ChristianaCare spin-out named ‘Most Promising New Company’ at Delaware Bio pitch event Delaware among states that struggle to provide nursinghome oversight.
Senators look to address privacy, new technology in renewed push to modernize HIPAA. Aspen University investigation: Students vent frustration amid nursing board probe into private college. ‘I feel extorted:’ Former FMC nurses told to pay $5K after being fired for refusing vaccine. Million in Covid Relief.
CMS gives nursinghomes a longer leash on staff COVID-19 vaccination requirements. HHS releases video on documenting recognized HIPAA security practices. California physician charged with $53M mail fraud and money laundering scheme. Owner of Chicago nursinghome fined after 3 seniors died due to heat wave.
It costs state $1 million a month to run. million expansion plan MidState Medical Center seeks permission for $8.4M million expansion plan MidState Medical Center seeks permission for $8.4M
cancer, cardio lab fraud. Director says multiple Arizona nursinghomes had around 300 complaints. ESI Closes on 280-Bed SNF Sale; Blueprint Secures Deal for Connecticut NursingHome. The Journey from Nursing to COO of John Dempsey Hospital. Illinois nursinghome closes its doors after 70 years.
Medicaid fraud scheme Union leaders say payroll problems persist for home care workers CT universities embrace holistic care as a way to teach the new generation of health care workers Thousands of CT residents to lose HUSKY coverage, health group says. Therapist pleads guilty to $1.6M
Medicaid fraud scheme Union leaders say payroll problems persist for home care workers CT universities embrace holistic care as a way to teach the new generation of health care workers Thousands of CT residents to lose HUSKY coverage, health group says. Therapist pleads guilty to $1.6M
Vincent’s nurse, physician communication among top in Alabama UAB Hospital receives millions in state funds to expand ED 988 one year later: More needed to expand mental health in Alabama communities of color Alabama lawmakers hear from Pickens County on effort to re-open medical center ALASKA City OKs $8.1M 11th in mental health, No.
NATIONAL 5 Stark law issues physicians are closely watching Anti-monopoly advocates urge FTC to block McKesson, Cardinal Health’s big-ticket oncology acquisitions Biden administration doles out $68.5M to resolve fraudulent lab testing allegations Lilly to invest another $4.5B to make breast cancer treatments safer St.
fraud scheme Blue Cross Blue Shield, Phoenix Children’s at odds over contract renewal Former Tucson Heart Hospital to become El Rio Health clinic California company will manage troubled St. Vincent’s acquisition on Nov. Vincent’s acquisition on Nov.
Dunleavy proposes extending Medicaid coverage for new mothers ARIZONA Banner Health pays $1.25M penalty over HIPAA failures from 2016 breach Arizona nursing school at risk of losing accreditation St. billion since pandemic U.S. billion since pandemic U.S. million to UMass Memorial Health Care for COVID-19 costs Four Mass.
fraud scheme UConn Health is in financial trouble. Louis nursinghome lost major Medicaid cash infusion Crisis at north St. Louis nursinghome: Residents displaced, staff left in the dark Employees without pay, residents displaced after largest St. health care spending hits $4.5
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 and Delaware Delaware struggles to investigate nursinghomes, assisted living facilities.
s Vanda Pharmaceuticals pays $100M for commercial rights to Johnson & Johnson company’s drug Hundreds of DC’s Medicaid nursinghome patients sent to Maryland Medical facility in DC’s Ward 8 gets $22.5M NATIONAL AHA pushes back on HHS proposal to penalize hospitals for cyberattacks AHA urges Congress to oppose H.R.
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
in Medicare fraud settlement 10 behavioral health policy changes taking effect in 2025 An uncertain era for Stark law: 12 updates in 2024 CMS launches campaign to support nursinghome staffing rule CMS taps 4 states for behavioral innovation model: 5 things to know Epic files to dismiss antitrust lawsuit Healthcare company to pay $15.2
million recovered for Kent County Memorial Hospital workers denied overtime Connecticut ASC postpones surgeries after car damages building Connecticut judge nixes appeal for new ASC Connecticut psychiatrist settles fraud allegations CT OHS fines Johnson Memorial Hospital $153.5K
News Ranking DC DC-area hospitals ranked among best in the nation DC Health releases results of investigation into nursinghome 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. 1 CMS final rule boosts Medicare hospice payments by 3.1%
in federal funds will allow CT colleges to hire more nursing instructors, provide student tuition support Connecticut hospital expenses $3.5B Billion in Unpaid Care to Loved Ones Proposed bill aims to address ‘truth in advertising’ by Connecticut health care providers Shuttered nursinghome in Wallingford sells for $1.6M
House report attacks, nursinghomes fight back over allegations of deficient staffing, care and safe practices as pandemic hit. Senators Seek HHS Update to HIPAA, FBI Warns About Legacy Devices. million to resolve Medicare fraud claims. Illinois grappling with nurse shortage which officials say will get worse.
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