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

MedTrainer

SEPTEMBER 20, 2023

Examples of covered entities include health plans, clearinghouses, and certain health care providers including but not limited to: doctors, clinics, psychologists, dentists, chiropractors, nursing homes, and pharmacies. There are a number of laws built to fight against Medicare/Medicaid noncompliance and fraud. Certification.

Medicaid 97

Medicaid Medicaid Medicare Medicare 97

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

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.

Compliance 52

Compliance Compliance Officers Fraud Compliance Framework 52

Hall Render

JULY 28, 2023

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.

US Department of Health and Human Services 40

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

Hall Render

APRIL 22, 2022

3 hacker gangs targeting hospitals. GAO investigating private equity ownership of nursing homes. Hospitals to receive a proposed 3.2% This nursing home chain reported the highest COVID death rate. Mask mandate ruling was ‘irresponsibly abrupt,’ hospital exec says. HHS is giving $226.5

COVID-19 40

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

The Health Law Firm

MARCH 14, 2013

Individuals working in the health care industry, whether for hospitals, nursing homes, medical groups, home health agencies or others, often become aware of questionable activities. In many cases the activity may amount to fraud on the government. Indest III, J.D., Board Certified by The Florida Bar in Health Law.

Fraud 40

Fraud Governance Nursing Homes Nurses 40

The Health Law Firm

MARCH 13, 2013

Individuals working in the health care industry, whether for hospitals, nursing homes, medical groups, home health agencies or others, often become aware of questionable activities. In many cases the activity may amount to fraud on the government. Indest III, J.D., Board Certified by The Florida Bar in Health Law.

Fraud 40

Fraud Governance Nursing Homes Nurses 40

Hall Render

JUNE 30, 2023

after home health provider reneges on Option deal Will the doctor see you now? Here’s why. Report: Amazon Pauses 50-State Virtual Care Service Expansion UnitedHealth acquires Amedisys for $3.3B Maybe not amid the changing healthcare landscape in the US.

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes Nurses Hospitals 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 52

Nursing Homes Medicaid Medicaid Fraud 52

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

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

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

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

NOVEMBER 4, 2022

CMS gives nursing homes a longer leash on staff COVID-19 vaccination requirements. Rural hospitals plan to reject Congress’ program. Staff shortages make patient surges harder for children’s hospitals — and the situation won’t get better soon. 2 orthopedic hospitals facing Medicare readmission penalties.

US Department of Health and Human Services 40

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

Hall Render

SEPTEMBER 16, 2022

Full 4th Circuit to tackle Medicaid fraud standard under False Claims Act. On Average, Two Nurses Are Assaulted Every Hour, New Press Ganey Analysis Finds. Rural hospitals in trouble if Congress doesn’t renew funding programs, AHA says. Rural hospitals on ‘life support’, more closures likely: Report. CALIFORNIA.

US Department of Health and Human Services 40

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

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

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.

Compliance 40

Compliance Compliance Officers Fraud Governance 40

Hall Render

JANUARY 5, 2024

Wade; expected to remain big issue in 2024 races Most nursing home residents in Arizona still haven’t gotten their COVID-19 booster COVID-19 hospitalizations are up in Arizona and around the U.S.

COVID-19 40

COVID-19 Nursing Homes Nurses Hospitals 40

Hall Render

MARCH 3, 2023

NATIONAL 14 rural senators push CMS to extend low-wage hospitals’ payment bump in FY2024 American Hospital Association voices support for telehealth expansion bill Behavioral health market to hit $262B by 2029 Biden administration moves to establish ‘guardrails’ for telehealth prescriptions CMS Officials Confirm End of PHE Nursing (..)

Nursing Homes 40

Nursing Homes COVID-19 Nurses Hospitals 40

Hall Render

DECEMBER 1, 2023

to Recruit, Train Primary Care Students UAMS Gets $17.5M to Recruit, Train Primary Care Students UAMS Gets $17.5M to Recruit, Train Primary Care Students UAMS Gets $17.5M to Recruit, Train Primary Care Students UAMS Gets $17.5M to Recruit, Train Primary Care Students UAMS Gets $17.5M to Recruit, Train Primary Care Students UAMS Gets $17.5M

Nursing Homes 40

Nursing Homes Nurses Ransomware COVID-19 40

Hall Render

FEBRUARY 18, 2022

48 hospitals on Forbes’ list of best employers. Hospitals plead with Congress to tackle workforce shortages. Hospitals urge HHS to fix, not end, direct contracting model. Only 14% of Hospitals Met Price Transparency Rule Compliance. . How a Small Alabama Company Fueled Private Equity’s Push Into Hospitals.

COVID-19 40

COVID-19 Nursing Homes Nurses COVID-19 Vaccine 40

Hall Render

AUGUST 19, 2022

Ambulatory surgery centers compete with hospitals for outpatient dollars. CDC to regain control of hospital pandemic data despite criticism. FTC tells states to avoid shielding hospital mergers from antitrust enforcement. Huntsville Hospital received $2 million in pandemic aid despite reporting $40 million in expenses.

COVID-19 40

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

Hall Render

APRIL 15, 2022

34 urban hospitals win challenge to Medicare rate formula change. AHA-supported bill to aid small rural hospitals introduced in Senate. Amazon wants a hospital C-leader whisperer. Casey, Grassley, introduce bill to help rural hospitals. CMS ‘birthing-friendly’ hospital designation will debut in 2023.

COVID-19 40

COVID-19 Nursing Homes Nurses Hospitals 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 Nurses COVID-19 40

Hall Render

JULY 22, 2022

cancer, cardio lab fraud. Omicron variant fueling uptick in Alabama COVID-19 hospitalizations. Five leading children’s hospitals secure $29M in federal funding to enhance future pandemic readiness. Hospital holds 2nd CEO candidate meet and greet: Dennis Welsh talks the future of Juneau’s health care community. CALIFORNIA.

COVID-19 40

COVID-19 Nursing Homes Nurses Hospitals 40

Hall Render

FEBRUARY 25, 2022

40% of Nursing Home Residents Haven’t Received COVID-19 Boosters, Analysis Finds. 342 hospitals have received price transparency noncompliance notices from CMS. No COVID-19 boosters for 70% of nursing home staffs, AARP says. The 55 hospitals penalized by Medicare 8 years straight over patient complications.

COVID-19 40

COVID-19 Nursing Homes Nurses Hospitals 40

Hall Render

DECEMBER 22, 2023

Million in Retaliation Suit John Muir, Tenet scrap hospital deal after FTC challenge Kaiser to lay off 79 administrative employees Leaning toward big wins in schizophrenia and vaccines, venture group raises new fund of $389 million Madera hospital creditors want to be paid, including CEO. health care spending hits $4.5

Nursing Homes 40

Nursing Homes Nurses Hospitals COVID-19 40

Hall Render

JUNE 9, 2023

Here’s why ARKANSAS Arkansas Children’s Hospital raises $5.9 Here’s why ARKANSAS Arkansas Children’s Hospital raises $5.9

Nurses 40

Nurses COVID-19 Nursing Homes Hospitals 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

MAY 19, 2023

Supplemental Grant for Rural Health Programs UAMS to Study Affordable Care Act’s Impact on Breast Cancer Treatment Arkansas Children’s Hospital Auxiliary Donates $1.4 Supplemental Grant for Rural Health Programs UAMS to Study Affordable Care Act’s Impact on Breast Cancer Treatment Arkansas Children’s Hospital Auxiliary Donates $1.4

Nurses 40

Nurses COVID-19 Hospitals Nursing Homes 40

Hall Render

MARCH 25, 2022

Hospital stays for nursing home residents down nearly 9%, federal data shows. What’s holding up hospital at home? Alabama COVID hospitalizations drop to lowest point since pandemic started. New rural hospital model could preserve communities, jobs. As nurses quit, states seek to train more.

COVID-19 40

COVID-19 US Department of Health and Human Services Nursing Homes Nurses 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 4, 2023

10 Providers prepare for new vaccine threats as mandate officially sunsets Senate committee passes HHS appropriations bill for FY 2024 Stark law changes ramp up in 2023 The gap between strong hospitals and struggling systems is growing This trend could reduce the number of ASCs UnitedHealthcare Invests $11.1M To Address SDOH Needs U.S.

COVID-19 40

COVID-19 Hospitals Nursing Homes Nurses 40

Hall Render

OCTOBER 27, 2023

Ransomware attacks against hospitals put patients’ lives at risk, researchers say States, FTC continue to target noncompetes: 3 updates The best hospital in each state, per Newsweek What to know about Stark law’s $9.2M

US Department of Health and Human Services 40

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

Hall Render

AUGUST 12, 2022

Hospitals still fall short on price transparency, consumer group says. Major nursing home association urges COVID emergency extension, revised guidance. Major nursing home association urges COVID emergency extension, revised guidance. Sewell introduces bipartisan legislation to protect long-term care hospitals.

COVID-19 40

COVID-19 Nurses Nursing Homes Hospitals 40