YouCompli

JULY 26, 2023

Fraud, waste, and abuse (FWA) associated with telehealth services existed before COVID-19, but it significantly increased during the pandemic. The audit also identified 1,714 providers whose billing for telehealth services during the first year of the pandemic posed a high risk to Medicare. million in Medicare fee-for-service payments.

Fraud 52

Fraud Compliance Medicare Medicare 52

YouCompli

JULY 12, 2022

In fact, Medicare beneficiaries used telehealth to receive 12 percent of their services during the first year of the pandemic. An initial report from the OIG also notes that, “over 28 million Medicare beneficiaries used telehealth during the first year of the pandemic. This was more than two in five Medicare beneficiaries.

COVID-19 52

COVID-19 Medicare Medicare Telemedicine 52

MedTrainer

JANUARY 12, 2024

The adoption of electronic health records (EHRs), telemedicine , and data analytics has brought about new challenges and opportunities. Licensing and credentialing were introduced to regulate healthcare professionals and ensure minimum standards of care. Compliance in healthcare began to encompass billing, fraud, and abuse prevention.

Compliance 52

Compliance HIPAA Telemedicine ACA 52

AIHC

SEPTEMBER 5, 2023

Telemedicine is considered to be under the umbrella of telehealth and refers specifically to clinical services. Telehealth and telemedicine cover similar services, including medical education, remote patient monitoring, patient consultation via videoconferencing, wireless health applications, and transmission of imaging and medical reports.

COVID-19 59

COVID-19 Telemedicine Compliance Informed Consent 59

MedTrainer

OCTOBER 4, 2023

These regulations and laws help maintain patient confidentiality, ensure quality care, and prevent fraud and abuse within the healthcare industry. These requirements are designed to protect patient rights, privacy, and safety, as well as to prevent fraud, abuse, and other improper practices within healthcare organizations.

Compliance 52

Compliance Fraud HIPAA Governance 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. Provider Licenses. What types of providers will render care via telehealth?

Public Health 52

Public Health Compliance COVID-19 Licensing 52

Verisys

JANUARY 25, 2023

In short, an entity will lose the ability to service patients or members with Medicare or Medicaid insurance. By contrast, other credentials verification organizations (CVO) limit their searches by license type or to one or a few states. A heavy fine follows based on the length and engagement. states and jurisdictions.

Compliance 52

Compliance Fraud Telemedicine Licensing 52

Verisys

FEBRUARY 23, 2022

The Social Security Act establishes rules for reimbursement from Medicare, Medicaid, and CHIP. The False Claims Act prevents fraud and abuse by making it illegal to file false medical claims. HCO Best Practices Ensure Patient Safety. Healthcare compliance officers are responsible to safeguard patient privacy and safety.

Compliance Officers 52

Compliance Officers Compliance US Department of Health and Human Services Governance 52

Healthcare Law Today

DECEMBER 22, 2022

After three years of operating under these waivers, an abrupt ending to them could cause significant disruption to telemedicine providers and the patients who depend on their care, a concern referred to as the “Telehealth Cliff.”

Telemedicine 119

Telemedicine Fraud Doctors COVID-19 119

Hall Render

MAY 10, 2024

Million CALIFORNIA California hospital dismisses CEO California physician pleads guilty to $2.5M million expansion ‘Very, very unusual.’ Million CALIFORNIA California hospital dismisses CEO California physician pleads guilty to $2.5M million expansion ‘Very, very unusual.’ million expansion ‘Very, very unusual.’

Nursing Homes 40

Nursing Homes Nurses Hospitals Medicaid 40

Healthcare IT News - Telehealth

NOVEMBER 22, 2021

A survey put forward by the national healthcare, life science and workforce management law firm Epstein Becker Green found that telemental health services have increased in quantity this year – as have fraud-related enforcement actions at the state and federal levels. For instance, it cited efforts this year from the U.S.

Fraud 171

Fraud COVID-19 Medicare Medicare 171

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

SEPTEMBER 16, 2022

Full 4th Circuit to tackle Medicaid fraud standard under False Claims Act. House passes reform to Medicare Advantage prior authorizations. Massachusetts nurse pleads guilty in $100M fraud scheme. Health care industry in Nebraska ‘thankful’ after licensing backlog averted. Amazon wants to add payer strategy muscle.

US Department of Health and Human Services 40

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

Hall Render

NOVEMBER 4, 2022

AMA scrutinizes lack of competition, consumer harms in Medicare Advantage plans. CMS makes big changes to Medicare Shared Savings Program. 2 orthopedic hospitals facing Medicare readmission penalties. California physician charged with $53M mail fraud and money laundering scheme. CMS bumps ASC payments to 3.8 CALIFORNIA.

US Department of Health and Human Services 40

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

Hall Render

JUNE 30, 2023

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

US Department of Health and Human Services 40

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

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

771(a), the Department of Law and Public Safety, Division of Consumer Affairs, State Board of Pharmacy proposed new rules setting forth the requirements to allow a pharmacy to have licensed pharmacists and registered pharmacy technicians perform limited pharmaceutical functions at a location other than on the premises of a pharmacy.

COVID-19 Vaccine 40

COVID-19 Vaccine Licensing COVID-19 Public Health 40

Hall Render

DECEMBER 22, 2023

fraud scheme UConn Health is in financial trouble. health care spending hits $4.5 health care spending hits $4.5 approval for obstetrics services in Prince George’s County Maryland health system gets state OK for $300M labor, delivery unit Maryland hospitals must pay back millions to poor patients.

Nursing Homes 40

Nursing Homes Nurses Hospitals COVID-19 40

Hall Render

SEPTEMBER 23, 2022

Aspen U surrenders nursing program license. Aspen University in Phoenix surrenders nursing program license, failing to meet NCLEX first-time pass rate. Colorado senior-care company pauses expansion into Indiana after Medicare audit. 2 companies granted licenses to produce medical cannabis in Georgia. Intermountain St.

COVID-19 40

COVID-19 Nurses Nursing Homes Hospitals 40

Hall Render

OCTOBER 27, 2023

Million Health Care Fraud Conspiracy in Idaho Orthopedic activity in the 5 most underserved states St. 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

JULY 22, 2022

CMS releases Medicare OPPS and ASC proposed rule. Telemedicine exec among 36 charged in $1.2B cancer, cardio lab fraud. Advocates concerned about Alabama’s telemedicine law. Long Beach Memorial avoids losing Medicare funding after serious patient care lapses. CMS pitches outpatient payment rule. CMS proposes 2.7%

COVID-19 40

COVID-19 Nursing Homes Nurses Hospitals 40

Hall Render

MAY 19, 2023

Anthony Regional Hospital Pursues Critical Access Hospital Designation To Strengthen Long-Term Viability UI Health Care ranks second in most trusted healthcare brands University of Iowa eyes consultant to assess value of other health care entities U.S. ProMedica taps Ascension St.

Nurses 40

Nurses COVID-19 Hospitals Nursing Homes 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. NEW JERSEY.

COVID-19 40

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

HIT Consultant

DECEMBER 6, 2022

trillion Consolidated Appropriations Act of 2022, which extended Medicare coverage related to telemedicine practices. As within many areas of health care, however, expansion and innovation contributed to a higher risk of fraud and resulted in an increase in enforcement activity.

Compliance 98

Compliance Medicaid Medicaid COVID-19 98

Hall Render

APRIL 29, 2022

Hospitals sue HHS over Medicare billing calculation. Permanent telehealth expansion could cost Medicare $25B over 1 decade. State suspends Destin nursing home license, orders it to discharge 100-plus residents. Doctor overseeing coronavirus testing at BWI accused of health-care fraud. MASSACHUSETTS. NEW HAMPSHIRE.

COVID-19 40

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

Hall Render

NOVEMBER 17, 2023

million Staff shortages hit Medicare Advantage stars, Kaiser exec says Sutter Health slips to 0.1% million Staff shortages hit Medicare Advantage stars, Kaiser exec says Sutter Health slips to 0.1% million patients stolen during ransomware attack MINNESOTA CFO of the Year 2023: Penny Cermak, HealthPartners Inc.

Nursing Homes 40

Nursing Homes Nurses Hospitals Doctors 40

Hall Render

MARCH 18, 2022

DOJ Settles First Case Under Civil Cyber-Fraud Initiative. California physician, patient recruiter charged with $36M Medicare fraud. This nursing home facility is accused of Medicare fraud. MaineHealth, agilon health agree to form partnership supporting primary care for Medicare Advantage patients.

COVID-19 40

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

Hall Render

MARCH 17, 2023

‘Not what we were looking for,’ CEO says Fired CEO files slander, defamation suit against Scotland County Hospital Missouri health system appoints strategy chief Missouri physician pleads guilty to $537K Medicare fraud scheme New Behavioral Health Crisis Center Open in Cape Girardeau St. and Del.

US Department of Health and Human Services 40

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

Hall Render

MARCH 8, 2024

NATIONAL 34.5% NATIONAL 34.5% NATIONAL 34.5%

Nursing Homes 40

Nursing Homes Nurses Hospitals COVID-19 40

Hall Render

JULY 29, 2022

6 Major Trends Boosting the Telemedicine Market in Health Care. Telehealth expansion for Medicare enrollees would be extended under a bill poised for House vote. Testing the Limits: How a Covid-19 testing company accused of sloppiness, fraud and profiteering kept expanding. hospital caught up in $25 million Medicare scam.

COVID-19 40

COVID-19 Nursing Homes Nurses Hospitals 40

Hall Render

APRIL 21, 2023

Nevada, currently the wild west of birthing, is considering licensing midwifery NEW HAMPSHIRE Dartmouth Health opens new 5-story patient pavilion Report: Anthem has yet to process nearly $300 million in N.H. no longer calls for masks at all health care facilities to fight COVID-19, Gov.

US Department of Health and Human Services 40

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

Healthcare IT Today

JANUARY 17, 2024

Expansion of the use of robots in telemedicine and remote patient monitoring will enable health care providers to reach patients in underserved areas. Sanjeev Agrawal, President & COO at LeanTaaS In 2024, the potential of generative AI could create new purpose – helping clinicians function at the top of their license.

Governance 112

Governance Nurses Compliance Public Health 112

Hall Render

MARCH 22, 2024

To qualify, facilities must close their beds Amazon’s physician acquisition strategy As Many Hospitals Continue to Face Significant Financial Challenges, MedPAC Recommends Highest Ever Medicare Payment Update Change competitors step in but breaking up may be hard to do CMS to launch new primary care ACO program Congress unveils $1.2T

Nursing Homes 40

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

Hall Render

SEPTEMBER 29, 2023

million into USF Health’s new nursing simulation lab UF Health to open ER in former Lake County CVS Nurse Practitioner Convicted of $200M Health Care Fraud Scheme Florida joins 3 other states in adopting new, paid maternity leave for state workers GEORGIA Albany nonprofit addresses medical debt with D.C. officials, helps South Ga.

US Department of Health and Human Services 40

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

Hall Render

JUNE 16, 2023

federal fraud settlement Local nursing home employees picket for better wages and benefits amid contract negotiations Medical office building in Halfmoon sold for $5.5 federal fraud settlement Local nursing home employees picket for better wages and benefits amid contract negotiations Medical office building in Halfmoon sold for $5.5

US Department of Health and Human Services 40

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

Hall Render

FEBRUARY 4, 2022

Medicare patients win the right to appeal gap in nursing home coverage. Medicare patients win the right to appeal gap in nursing home coverage. Georgia nurse practitioner convicted of health care fraud in complex telemedicine fraud scheme. CHS owes fees in $98M fraud case, court rules. CONNECTICUT.

COVID-19 40

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

Hall Render

FEBRUARY 10, 2023

Blue Shield of California is counting on it. million to UMass Memorial Health Care for COVID-19 costs Four Mass. million to UMass Memorial Health Care for COVID-19 costs Four Mass.

US Department of Health and Human Services 40

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