Provider Trust

SEPTEMBER 12, 2022

In 2006, New York’s Office of the Medicaid Inspector General (OMIG) was established as an independent office within New York State’s Department of Health to combat fraud and abuse in New York State’s Medicaid program. What is New York's OMIG List of Restricted and Excluded Providers?

Medicaid 52

Medicaid Medicaid Fraud Licensing 52

Provider Trust

AUGUST 9, 2023

Grimm, the OIG continues its tireless efforts to uncover instances of fraud, waste, and abuse within HHS programs. OIG continues to work tirelessly to identify instances of fraud, waste, and abuse and prosecute offenders. Led by acting Inspector General Christi A. What is the HHS-OIG Semiannual Report to Congress?

Nursing Homes 52

Nursing Homes COVID-19 Fraud Medicaid 52

Provider Trust

JULY 8, 2022

A holistic approach to exclusion monitoring and license verifications must include monitoring of disciplinary databases such as the National Practitioner Data Bank (NPDB). Its mission is to enhance healthcare quality, defend the public, and decrease healthcare fraud and misuse in the U.S. Who Can Search the NPDB?

Licensing 52

Licensing Malpractice Fraud Compliance 52

HIPAA Journal

OCTOBER 10, 2022

According to the breach notice, a presentation was emailed to the DHS Children’s Long-Term Support Council in April 2021 that contained protected health information. Steps were also taken to recover all distributed copies of the presentation.

Medicaid 55

Medicaid Medicaid Governance Fraud 55

Healthcare IT News - Telehealth

JANUARY 26, 2022

Healthcare IT News interviewed Griffin to take a closer look at what he will be presenting at the HIMSS22 conference. The evergreen concern about virtual care is that of fraud, waste and abuse and how to balance it with the demonstrated value of extended medical services to patients who are either geographically or economically underserved.

Fraud 148

Fraud Telemedicine COVID-19 Licensing 148

Verisys

JANUARY 6, 2022

Payments from Medicare, Medicaid, TRICARE, CHIP, and other federal programs are a significant source of funds for nearly every healthcare organization and provider. The OIG through the Social Security Act has the power to bar individuals and entities from receiving federal payments as the result of intentional fraud or abuse.

US Department of Health and Human Services 52

US Department of Health and Human Services Fraud Medicaid Medicaid 52

Health Care Law Brief

JUNE 2, 2022

For example, New York continues to maintain a professional licensing waiver that enables certain providers, licensed out of state, to render care within the state, for the duration of the declared state of emergency. Variety of Risks Present in Telehealth Arrangements. Provider Licenses.

Public Health 52

Public Health Compliance COVID-19 Licensing 52

Verisys

APRIL 27, 2023

If an application is missing key pieces, such as a scan through a primary source or a copy of their license, table the application. Start with quality data As a first step, pre-screening all applicants ensures that only viable applicants are presented to the credentials committee for review. With over 5.5

Malpractice 52

Malpractice Licensing Fraud Medicaid 52

Hall Render

NOVEMBER 15, 2023

Billing for Advanced Practice Professionals (“APPs”) has been a challenging area for providers and practitioners because of different and changing Medicare, Medicaid and state law requirements. The Arrangement contains safeguards that lower the risk of fraud and abuse under the federal AKS. 42 CFR 482.22 (emphasis added).

Medicare 40

Medicare Medicare Medicaid Medicaid 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. Store-and-forward is less commonly reimbursed by Medicare and Medicaid programs. This is also called “store-and-forward telemedicine.”

COVID-19 59

COVID-19 Telemedicine Compliance Informed Consent 59

Healthcare Law Blog

MAY 31, 2022

These advancements, present challenges and raise novel questions as to how the current healthcare and life sciences legal regime would apply to the metaverse. For example, services that are billed to Medicaid or Medicare must comply with regulations that may not apply to services that are paid for in cash. Data Privacy and Security.

FDA 90

FDA HIPAA Medicare Medicare 90

Hall Render

JUNE 16, 2023

24 spot in national ranking of life science talent What changes did CT make to its Medicaid program in 2023? before Baptist merger Bankruptcy Trustee Wants Doctor To Pay Her $1.6M before Baptist merger Bankruptcy Trustee Wants Doctor To Pay Her $1.6M Baltimore, and Northern Virginia DELAWARE Bayhealth adds northern Del.

US Department of Health and Human Services 40

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

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

Provider Trust

MAY 18, 2022

OIG may exclude the provider if certain circumstances regarding the ownership are present. In addition, the suit involved alleged submission of false claims for reimbursement to the Massachusetts Medicaid Agency. Check out pages 15-16 of the OIG Bulletin to learn more on the specifics of ownership and excluded individuals.

Compliance 52

Compliance Due Diligence Medicaid Medicaid 52

Hall Render

DECEMBER 1, 2023

fraud scheme Nursing home must face vaccine-related wrongful firing claim, but not $2M retaliation accusations Transgender woman sues employer, Harvard Pilgrim for discrimination MICHIGAN 48-unit senior housing development could go up next to Vicksburg Halls in Marysville Can ads help a Michigan nursing home fix a staffing crisis?

Nursing Homes 40

Nursing Homes Nurses Ransomware COVID-19 40

New Jersey Healthcare Blog

JULY 22, 2022

The chapter describes the policies and procedures of the New Jersey Medicaid/NJ FamilyCare program regarding transportation services. Additionally, the Board does not offer continuing education on any topic, but rather approves providers who review and present continuing education courses. On April 4, 2022, at 54 N.J.R. See N.J.A.C.

COVID-19 Vaccine 40

COVID-19 Vaccine Licensing COVID-19 Public Health 40

Hall Render

MARCH 24, 2023

Sanders pushes funding boost for rural health care Struggling to survive, the first rural hospitals line up for new federal lifeline ALABAMA AARP report puts spotlight on caregiving issues, expenses in Alabama All of Us Research Program launching new enrollment location in Dothan Local partnership to provide cancer screening for rural patients Medical (..)

Nursing Homes 40

Nursing Homes Nurses COVID-19 Hospitals 40

Hall Render

MARCH 3, 2023

million for youth mental health care KENTUCKY Pike County nursing home officials release statement following loss of Medicare agreement Three Humana executives drop $11.2M

Nursing Homes 40

Nursing Homes COVID-19 Nurses Hospitals 40

Hall Render

APRIL 28, 2023

on EHR upgrade New SSM Health children’s developmental center opening today Illinois Capitol bills would give more money to community health centers Illinois physician selected for year-long NASA Mars simulation HSHS St.

Nurses 40

Nurses Nursing Homes COVID-19 Hospitals 40

Hall Render

JANUARY 12, 2024

Lima FLORIDA Allstate accuses Florida clinic of billing fraud, unnecessary spine surgeries Baptist Health, Compass Surgical Partners to launch ASC network Broward Health taps former Cleveland Clinic Florida CEO Cape Coral medical office building sells for $2.2M to settle improper billing allegations COVID-19 variant JN.1

Nursing Homes 40

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

Hall Render

OCTOBER 6, 2023

without consent under proposed law The Children’s Institute has ambitious growth plans. without consent under proposed law The Children’s Institute has ambitious growth plans.

US Department of Health and Human Services 40

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

Hall Render

OCTOBER 6, 2023

without consent under proposed law The Children’s Institute has ambitious growth plans. without consent under proposed law The Children’s Institute has ambitious growth plans.

US Department of Health and Human Services 40

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

Hall Render

APRIL 1, 2022

Arizona extends temporary licenses for healthcare workers. Governor Ducey Signs Bill Extending Temporary Health Care Professional Licenses. Ducey signs bill extending temporary health care worker licenses in Arizona. Fraud plagues California’s hospice industry, audit finds. over MassHealth fraud.

COVID-19 40

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

Hall Render

FEBRUARY 24, 2023

Dunleavy adds $9M to budget to address food stamp, Medicaid backlog New study provides snapshot of increase in maternal deaths in Alaska Mental Health Trust Grants $1.6M Dunleavy adds $9M to budget to address food stamp, Medicaid backlog New study provides snapshot of increase in maternal deaths in Alaska Mental Health Trust Grants $1.6M

Nursing Homes 40

Nursing Homes COVID-19 Nurses Hospitals 40

Hall Render

APRIL 29, 2022

Alabama Medicaid enrollment increases as pandemic requirement continues. State suspends Destin nursing home license, orders it to discharge 100-plus residents. Kisners to present $1M to Children’s Hospital of Georgia. Doctor overseeing coronavirus testing at BWI accused of health-care fraud. Florida Blue $3.7M

COVID-19 40

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

Hall Render

FEBRUARY 18, 2022

License wait times reach crisis levels for healthcare workers. Colorado mental health professionals incensed after Medicaid forum that was intended to clear the air. Florida physician convicted of $110M fraud. Florida health system settles improper Medicaid payment allegations for $5.5M. billing fraud.

COVID-19 40

COVID-19 Nursing Homes Nurses COVID-19 Vaccine 40

Hall Render

JULY 29, 2022

Kansas expands Medicaid coverage to mothers postpartum. Testing the Limits: How a Covid-19 testing company accused of sloppiness, fraud and profiteering kept expanding. Medicaid expansion would mean $500 million a month for NC, state health department says. COVID-19 cases rising in Oklahoma, new variant present.

COVID-19 40

COVID-19 Nursing Homes Nurses Hospitals 40

Hall Render

NOVEMBER 3, 2023

Luke’s themed rooms a hit with young patients Mercy reverses auction results; declares University of Iowa winner KANSAS As rural Kansas emergency department announces closure, Gov.

US Department of Health and Human Services 40

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

Hall Render

MARCH 25, 2022

Alabama lawmaker’s push to extend postpartum Medicaid coverage. $12 Florida Medicaid hits Sunshine Health with $9M sanction for not paying providers’ claims. increase for 2023 Medicaid budget. 2 sentenced for $48M medical reimbursement account fraud scheme. lawmaker presents plan to improve women’s healthcare.

COVID-19 40

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

Hall Render

FEBRUARY 2, 2024

continues crackdown on nursing homes, 2 more cited for poor care and ‘massive fraud’ Wow! The fight over the deal is heating up. Groups aim to improve La. healthcare ranking, equity through advocacy Louisiana lawmakers call meeting on Blue Cross Blue Shield MAINE St. 4 Of The 25 Healthiest Counties In The U.S.

Nursing Homes 40

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

Hall Render

JUNE 9, 2023

million from Miracle Day Arkansas Hospice Takes Over LifeTouch Hospice Arkansas hospitals say they are struggling; report questions those claims Arkansas law allows physician assistants to be rendering providers for Medicaid Arkansas rural hospitals work to keep their doors open Panda Express Pledges $1.2M

Nurses 40

Nurses COVID-19 Nursing Homes Hospitals 40

Healthcare Law Blog

MARCH 8, 2023

First, the Biologics License Application approval letter from the U.S. The rationale for providing medical flights as opposed to other forms of travel is due to the high-risk of infection that is present with all patients with the Condition.

FDA 52

FDA Doctors Medicaid Medicaid 52