MedTrainer

AUGUST 1, 2022

Here’s a look at one of the OIG’s current medicare investigations to curb fraud, waste, and abuse. Established in 1976, the Office of Inspector General (OIG) was created to fight fraud and abuse in Medicare and Medicaid. OIG Medicare Fraud at Skilled Nursing Facilities. OIG Plans for Ending Medicare Fraud.

Nurses 52

Nurses Medicare Medicare Nursing Homes 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 hospital terminated her employment. The defendant began working at a nursing home 11 days later.

Nurses 59

Nurses Nursing Homes Fraud Hospitals 59

MedTrainer

JANUARY 30, 2024

In these cases, the Centers for Medicare and Medicaid Services (CMS) require compliance programs from the following facilities: Hospitals: General acute care and specialty hospitals. Nursing Homes: Skilled nursing facilities, long-term care facilities, and other types of nursing homes.

Governance 52

Governance Compliance Nursing Homes Medicaid 52

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

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. Findings from OIG audits can identify compliance areas needing improvement. and cybersecurity threats.

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Compliance Officers Compliance Medicare Medicare 52

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. Office of Inspector General (OIG) Compliance Program Guidance Office of Inspector General (OIG) compliance program guidance is for individual providers like hospitals or nursing homes.

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Compliance Compliance Officers Fraud Compliance Framework 52

Hall Render

JANUARY 10, 2025

The sale of Ascension’s 11 Illinois hospitals for $375M to Prime Healthcare has received regulatory approval. The HHS OIG has recommended that CMS enhance its review of nursing homes’ related-party cost reporting. A new hospital , Cedar Hill Regional Medical Center, is set to open in Southeast Washington, D.C.,

Nursing Homes 40

Nursing Homes Nurses Hospitals Fraud 40

Florida Health Care Law Firm

JANUARY 20, 2022

It may be easier to list what Florida AHCA does NOT regulate rather than all it does, but here are just a few of the primary things that ACHA regulates: Fraud and abuse of billing and services. Licensure of healthcare professionals, healthcare clinics and other facilities, including hospitals and long-term care programs.

Nursing Homes 40

Nursing Homes Medicaid Medicaid Fraud 40

YouCompli

JANUARY 4, 2022

Unger, Chief of Medicaid Fraud Division, Office of the Massachusetts Attorney General; and Patrick Callahan, Healthcare Fraud Unit, US Attorney’s Office. Unger and Callahan addressed the Massachusetts Health and Hospital Association’s Healthcare Legal Compliance Forum in December 2021. Featured speakers: Toby R. Read a summary.

Fraud 40

Fraud Compliance Elder Abuse Medicaid 40

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

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.

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Compliance Compliance Officers Fraud Governance 40

Healthcare IT Today

MARCH 16, 2021

Throughout the health care field, clinical and administrative staff complain about the burden of collecting data required by government regulations–often with no idea what purpose the data serves.

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Governance Nursing Homes Fraud Nurses 88

Hall Render

NOVEMBER 25, 2024

Department of Health and Human Services (“HHS”) issued new Industry Segment-Specific Compliance Program Guidance For Nursing Facilities (“Nursing Facility ICPG”) for nursing home members of the health care compliance community. On November 20, 2024, the Office of Inspector General (“OIG”) for the U.S.

Nurses 40

Nurses Compliance Compliance Officers Medicare 40

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. This came after a 2016 guilty plea to a charge of conspiracy to commit health care fraud. By George F. Indest III, J.D., Board Certified by The Florida Bar in Health Law.

Fraud 40

Fraud Medicare Medicare Governance 40

Med Law Blog

MAY 1, 2023

Similar issues were raised with respect to the private equity acquisition of Hahnemann Hospital. In the article entitled “The Death of Hahnemann Hospital” published in the New Yorker magazine in May 2021. Christopher’s Hospital, to American Academic Health System, which then closed Hahnemann Hospital in June of 2019.

Nursing Homes 52

Nursing Homes Malpractice Hospitals Nurses 52

AIHC

FEBRUARY 16, 2024

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, nursing homes, third-party billers, and durable medical equipment suppliers.

Compliance 52

Compliance US Department of Health and Human Services COVID-19 Hospitals 52

AIHC

FEBRUARY 16, 2024

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, nursing homes, third-party billers, and durable medical equipment suppliers.

Compliance 52

Compliance US Department of Health and Human Services COVID-19 Hospitals 52

Hall Render

MAY 13, 2022

340B hospitals amplify loss projections as more drugmakers unveil restrictions. Nurses make exit plans after RaDonda Vaught’s conviction. Travel nurses raced to help during Covid. US faces deficit of 450,000 nurses by 2025. Alabama hospitals were just ranked for safety: See how yours fared. HHS awards $16.3M

COVID-19 40

COVID-19 Nurses Nursing Homes Hospitals 40

Hall Render

MAY 20, 2022

AHA responds to report on hospitals’ requested price hikes to insurers. HHS Announces $15M in Funding For Behavioral Healthcare In Nursing Homes. Nonprofit hospital margins to remain weak through Q2, Fitch says. Nonprofit hospitals squeezed by pricier labor, investment losses in Q1. Arkansas Gets $3.9M

COVID-19 40

COVID-19 Nursing Homes Nurses Hospitals 40

Hall Render

DECEMBER 20, 2024

physician pay bump in new healthcare package Health systems restructure operating models amid industry challenges Health systems join new collaborative to scale hospital-at-home care HHS final rule aims to boost interoperability HHS issues 2nd info blocking rule in 1 week Hospitals tried to cut labor expenses this year.

Nursing Homes 40

Nursing Homes Nurses Hospitals Fraud 40

Hall Render

JULY 26, 2024

How hospitals can mitigate the damage.

US Department of Health and Human Services 40

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

Hall Render

JULY 26, 2024

How hospitals can mitigate the damage.

US Department of Health and Human Services 40

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

Hall Render

OCTOBER 25, 2024

in 2023 100M hit by Change Healthcare breach AHA pushes for hospital-at-home changes Amazon One Medical, Cleveland Clinic partner on primary care Big systems looking ‘outside of the four walls of the hospital’ Calm Health, UnitedHealthcare form partnership: 3 notes Cigna-Humana merger talks are back on: report Doctors hate MIPS.

Nursing Homes 40

Nursing Homes Nurses Hospitals Doctors 40

Hall Render

MAY 17, 2024

in Federal Funds to 19 Nursing Schools Steward Health Plans to Sell Its Hospitals in Hope, Texarkana UAMS Researcher Awarded $1.6M in Federal Funds to 19 Nursing Schools Steward Health Plans to Sell Its Hospitals in Hope, Texarkana UAMS Researcher Awarded $1.6M

Nurses 40

Nurses Nursing Homes Hospitals Ransomware 40

Hall Render

JUNE 21, 2024

Homer hospital bond ARIZONA After 24 years as CEO of Banner, Peter Fine pinpoints the most important traits for leaders Banner’s momentum blueprint Doctors speak out as U.S. NATIONAL 50% of U.S. to buy property. NATIONAL 50% of U.S. to buy property. The deal fell through, but that won’t solve Bartlett’s budget issues.

US Department of Health and Human Services 40

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

Hall Render

OCTOBER 11, 2024

Luke’s Behavioral Health to lay off more than 250 employees after suspension Top Valley hospital, health care execs take home big paychecks HonorHealth selected as new med school’s clinical affiliate: 4 notes Phoenix Children’s appoints 4 new division chiefs SMI patients at risk after St.

US Department of Health and Human Services 40

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

Hall Render

FEBRUARY 2, 2024

Vincent North in Sherwood Washington Regional Medical System Names Lucas Campbell as VP & Chief Transformation Officer 4 more Arkansas hospitals awarded federal funds Arkansas Legislative Council approves Department of Human Services’ requests for $13.4M

Nursing Homes 40

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

Hall Render

AUGUST 9, 2024

NATIONAL 10 multimillion-dollar Stark law cases in 2 years 40 hospital ownership changes made in 1 day 15 Areas That Would Change Under Health Data Rule Proposal 5 states cracking down on noncompetes New DOJ whistleblower program not ‘easy money’: legal expert CMS’ inpatient rule adds ‘insult to injury,’ say hospital groups CMS drops (..)

US Department of Health and Human Services 40

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

Hall Render

JUNE 7, 2024

News ranks hospitals in health equity. These hospitals earn top honors. facility Southern Research CEO talks biotech incubator, future of Birmingham medicine ALASKA Juneau’s hospital is bleeding cash. facility Southern Research CEO talks biotech incubator, future of Birmingham medicine ALASKA Juneau’s hospital is bleeding cash.

US Department of Health and Human Services 40

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

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. to Develop Wearable Blood Loss Detector An Academic Lifeline for Rural Hospitals CHI St.

Nursing Homes 40

Nursing Homes Nurses Hospitals Medicaid 40

Hall Render

MARCH 14, 2025

Vincent hospital names chief medical officer UAMS Awarded $1.9M Vincent hospital names chief medical officer UAMS Awarded $1.9M to Study Environmental Links to Breast Cancer in Arkansas Arkansas approves additional $4.5 operating margin in FY24 What’s new with Kaiser Permanente?

Nurses 40

Nurses Nursing Homes Medicaid Medicaid 40

Hall Render

DECEMBER 13, 2024

in Refinancing for Medical Office Building in Goodyear, Arizona Northern Arizona VA part of national campaign to help veterans with ‘blast exposure’ become eligible for benefits Pharmaceutical company now profits off Arizona opioid crisis settlement Scottsdale hospital performs breakthrough heart procedure with new technology St.

US Department of Health and Human Services 40

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

Hall Render

SEPTEMBER 1, 2023

ALABAMA American Family Care opens new health care center in Northeast Birmingham doctors secure $13.9M

COVID-19 40

COVID-19 Nurses Nursing Homes Hospitals 40

Hall Render

DECEMBER 29, 2023

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 (..)

Nursing Homes 40

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

Hall Render

JUNE 28, 2024

NATIONAL 50% of physicians are thinking of leaving the field due to shortage AHA backs bid to repeal nursing home staffing rule AHA wins lawsuit against HHS over third-party web tracking AHA responds to study blaming hospital prices for societal issues AHA slams study tying unemployment to hospital price increases Behind the battle against corporate (..)

US Department of Health and Human Services 40

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

Hall Render

SEPTEMBER 20, 2024

Mesa hospital Phoenix bioscience boom poised to improve health care and local economy, proponents say What’s next for Steward hospitals in Arizona? Federal Grant to Study Eye Disease UAMS Study to Address Maternal, Infant Deaths with $2.4M Federal Grant to Study Eye Disease UAMS Study to Address Maternal, Infant Deaths with $2.4M

US Department of Health and Human Services 40

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

Hall Render

MARCH 31, 2023

in 2022, survey finds Senate votes to end COVID-19 national emergency Why are 600+ rural hospitals at risk of closing? in 2022, survey finds Senate votes to end COVID-19 national emergency Why are 600+ rural hospitals at risk of closing? What happens if it disappears?

US Department of Health and Human Services 40

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