Provider Trust

APRIL 26, 2023

An increasing trend of nurse strikes and hospital staffing shortages across the country in early 2023 has led many healthcare organizations to turn to travel nurses and staffing agencies to fulfill their workforce needs. However, this solution comes with its share of compliance risks, especially if interstate licenses are involved.

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Licensing Nurses Compliance Hospitals 52

Provider Trust

JANUARY 18, 2023

In October 2022, the South Carolina Medicaid Fraud Control Unit (SCMFCU) arrested a 37-year-old South Carolina woman named Alyssa Beth Steele for working as a registered nurse despite not having a license. Pursuant to federal regulations, the SCMFCU is authorized to investigate and prosecute any acts of Medicaid provider fraud.

Nurses 52

Nurses Licensing Fraud Medicaid 52

Provider Trust

JUNE 1, 2022

Organizations across the healthcare continuum have experienced several workforce trends that are creating gaps in license monitoring and verifications. Hospitals and health systems continue to find themselves desperately searching for available frontline nurses to relieve their exhausted staff and make up for vacant positions due to burnout.

Licensing 52

Licensing Nurses COVID-19 Compliance 52

Provider Trust

MARCH 13, 2023

Between 2016 and 2021, over 7,600 fake diplomas were sold to nursing students who used the fraudulent degrees to qualify for the National Council Licensure Exam (NCLEX). In addition, an estimated 37 percent of student nurses with fake diplomas passed the NCLEX.

Fraud 52

Fraud US Department of Health and Human Services Licensing Compliance Officers 52

The Health Law Firm

FEBRUARY 3, 2021

Board Certified by The Florida Bar in Health Law On September 23, 2020, a Tennessee woman who posed as a nurse working at several medical facilities was sentenced to more than four years in prison. In December 2019, she pled guilty to wire fraud, healthcare fraud, identity theft, and practicing nursing without a license.

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Fraud Nurses Licensing 40

Healthcare Compliance Blog

MARCH 10, 2022

Complaints of resident abuse in a Michigan nursing home led to an investigation by the Michigan Office of Attorney General’s Health Care Fraud Division, working with the Michigan Sentinel Project. The investigation determined that a nurse was working at the nursing home while her license was suspended, which is a felony.

Nursing Homes 59

Nursing Homes Nurses Licensing Fraud 59

Hall Render

FEBRUARY 8, 2023

Department of Health and Human Services Office of Inspector General (“OIG”) recently announced that it coordinated with law enforcement partners in launching a multi-state enforcement action dedicated to uncovering a massive fraudulent nursing diploma scheme. Fraudulent Scheme On January 25, 2023, the U.S.

Nurses 40

Nurses Licensing Fraud Governance 40

HIT Consultant

DECEMBER 10, 2021

What You Should Know: – Report from Codoxo that finds 10-15% of telehealth claims fall outside of approved CMS codes and indicates a high potential for rapidly increasing fraud schemes (and provider coding errors) in a new telehealth era. Licensed Clinical Social Worker. Certified Clinical Nurse Specialist.

Fraud 98

Fraud COVID-19 Nurses Licensing 98

HIPAA Journal

DECEMBER 15, 2022

A former nurse employed by the Roswell Park Comprehensive Cancer Center in Buffalo, NY, has been sentenced to 37 months in prison for tampering with and stealing controlled medications intended for cancer patients. Mulvey, 30, of Grand Island, NY, worked as a registered nurse at Roswell Park between February 2018 and June 2018.

Nurses 87

Nurses HIPAA Fraud Licensing 87

C&M Health Law

SEPTEMBER 11, 2023

Department of Health and Human Services, through the Centers for Medicare & Medicaid Services (“CMS”) issued a much anticipated and contested proposed rule that seeks to establish minimum staffing level requirements for nursing homes. hours of nursing staff per resident per day, or 3.0 HPRD from registered nurses (RNs) and 2.45

Nursing Homes 98

Nursing Homes Nurses Medicaid Medicaid 98

Healthcare Compliance Blog

MARCH 28, 2022

An Illinois licensed practical nurse (LPN) was convicted and sentenced for failing to administer lifesaving measures to a resident in a nursing home in 2017. Additionally, the LPN’s nursing license was suspended for an unspecified period of time. Discussion Points: Review your policies and procedures on CPR.

Nurses 59

Nurses Nursing Homes Licensing Fraud 59

Hall Render

OCTOBER 20, 2023

Effective October 1, 2023, Connecticut enacted a law that contains several updates to Connecticut’s change of ownership laws for nursing homes and other health care providers. The CHOW Law creates new change of ownership requirements for health care providers.

Nursing Homes 40

Nursing Homes Nurses Licensing Public Health 40

The Health Law Firm Blog

APRIL 18, 2022

Board Certified by The Florida Bar in Health Law On March 13, 2022, a licensed professional counselor (LPC) was sentenced to nearly five years in prison for defrauding the Connecticut Medicaid Program of more than $1.3 By George F. Indest III, J.D., million, announced the U.S. Attorney for the U.S. District of Connecticut. [.].

Licensing 40

Licensing Medicaid Medicaid Fraud 40

Healthcare Compliance Blog

MARCH 11, 2022

A Boston registered nurse (RN) has pled guilty to one count of tampering with a consumer product and one count of obtaining a controlled substance by fraud and deception. The RN was working in a nursing home when she tampered with morphine that was prescribed to a resident under her care.

Nurses 59

Nurses Nursing Homes Fraud Licensing 59

The Health Law Firm Blog

AUGUST 22, 2023

Board Certified by The Florida Bar in Health Law On June 15, 2023, a United States District Judge sentenced a Florida man to 15 years in prison for his role in an HIV prescription drug fraud scheme that amassed more than $230 million in two years. Indest III, J.D.,

Fraud 52

Fraud FDA Licensing Nurses 52

The Health Law Firm Blog

AUGUST 8, 2023

Board Certified by The Florida Bar in Health Law On June 15, 2023, a United States District Judge sentenced a Florida man to 15 years in prison for his role in an HIV prescription drug fraud scheme that amassed more than $230 million in two years. Indest III, J.D.,

Fraud 52

Fraud FDA Licensing Nurses 52

The Health Law Firm Blog

JULY 17, 2023

Board Certified by The Florida Bar in Health Law On June 15, 2023, a United States District Judge sentenced a Florida man to 15 years in prison for his role in an HIV prescription drug fraud scheme that amassed more than $230 million in two years. Indest III, J.D.,

Fraud 52

Fraud FDA Licensing Nurses 52

The Health Law Firm Blog

JUNE 26, 2023

Board Certified by The Florida Bar in Health Law On June 15, 2023, a United States District Judge sentenced a Florida man to 15 years in prison for his role in an HIV prescription drug fraud scheme that amassed more than $230 million in two years. Indest III, J.D.,

Fraud 52

Fraud FDA Licensing Nurses 52

The Health Law Firm Blog

JANUARY 2, 2024

Board Certified by The Florida Bar in Health Law and Hartley Brooks, Law Clerk, The Health Law Firm On October 18, 2023, an ex-Navy officer was sentenced to 30 months in prison after he pleaded guilty to conspiracy to commit wire fraud for his role in an [.] Indest III, J.D.,

Fraud 52

Fraud Nurses Licensing Doctors 52

Healthcare Compliance Blog

APRIL 6, 2022

A Pennsylvania nurse formerly employed at a senior living facility has pled guilty to neglect of a care-dependent person and tampering with medical records. A patient under the care of the nurse was left in the lobby of the facility and died hours after suffering a fall and serious head injury. Update as needed.

Nurses 59

Nurses Nursing Homes Fraud Licensing 59

Healthcare Compliance Blog

JANUARY 17, 2022

A 29 year old Chicago nurse is charged with two counts of tampering with a consumer product. It is alleged that the Chicago nurse removed morphine from bottles that were prescribed to two patients and replaced it with another liquid. The nurse was aware that the diluted substance would be dispensed to the patients.

Nurses 59

Nurses Fraud Licensing Governance 59

Verisys

MAY 11, 2023

Publication of Notice – Operation Nightingale Oregon : The Oregon Medical Board has proposed a new rule to add “license denials” as a class of cases exempt from the 90-day timeline requirements. This new rule would allow a longer timeline due to board meeting schedules and the complexity of license denial cases.

Licensing 52

Licensing Nurses Medicaid Medicaid 52

Provider Trust

JULY 26, 2022

On June 7, 2022, Theresa Pickering of Norcross, Georgia was indicted by a federal grand jury on federal charges of health care fraud, aggravated identity theft, and distribution of controlled substances. In addition to these allegations of fraud, waste, and abuse, Pickering had a history of fraud. According to the U.S.

Licensing 52

Licensing Fraud Compliance Nurses 52

Med-Net Compliance

SEPTEMBER 14, 2022

A Massachusetts home health aide, who was licensed as a Certified Nursing Assistant (CNA), has been indicted in connection with a home surveillance video showing her abusing an elderly patient, Attorney General Maura Healey announced.

US Department of Health and Human Services 59

US Department of Health and Human Services Fraud Medicaid Medicaid 59

Verisys

FEBRUARY 16, 2023

Transition Process Oregon: License Suspensions and Terminations of Orders by Operation of Law and Continuing Education Deficiencies: Oregon Administrative Rule 847-001-0035 has been amended to expand the reasons for which the Executive Director or Medical Director may issue final orders.

Licensing 52

Licensing Nurses Fraud Compliance 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. Through years of oversight, they have discovered various obstacles and weaknesses within nursing home facilities.

Nursing Homes 52

Nursing Homes COVID-19 Fraud Medicaid 52

Healthcare IT Today

DECEMBER 20, 2022

Five former employees of Methodist Hospital in Memphis, TN, including a recently-licensed Registered Nurse, were indicted by a federal grand jury for allegedly selling medical information about car accident victims to personal injury attorneys and chiropractors. Former Hospital Employees Accused of Selling Patient Information.

HIPAA 88

HIPAA Nurses Licensing Compliance 88

The Health Law Firm

JUNE 22, 2015

Board Certified by the Florida Bar in Health Law and Shelby Root The largest criminal health care fraud takedown in the history of the US Justice Department, in terms of both loss amount and arrests, took place June 18, 2015. Indest III, J.D.,

Fraud 40

Fraud Medicare Medicare Licensing 40

Pharmacy Law Blog

MARCH 8, 2018

On December 6, 2017, three nurse practitioners and a doctor were arrested following an Alabama federal grand jury indictment accusing them of operating a “pill mill.” They face maximum sentences of 10 years in prison on the health care fraud counts. Alabama doctor, 3 nurse practitioners federally indicted in pill mill case.”

Nurses 40

Nurses Doctors Licensing Medical Personnel 40

Provider Trust

JULY 17, 2023

Their guidance aims to improve a number of potential risks within the healthcare space by improving care at nursing homes and strengthening the program integrity in managed care. OIG pointed to the increased instances of patient neglect abuse as well as the need for oversight within nursing homes.

Compliance 52

Compliance Nursing Homes Nurses Fraud 52

MedTrainer

FEBRUARY 12, 2024

Non-compliance can lead to significant fines, legal battles, and the loss of license or accreditation. For example, healthcare fraud or intentional non-compliance with regulations can lead to criminal charges. These actions can include fines, sanctions, or even revocation of licenses or certifications.

Compliance 52

Compliance Licensing Governance Fraud 52

The Health Law Firm Blog

MARCH 26, 2024

It provides information and statistics on actions involving licensed health professionals through March 2021. Indest III, J.D., Board Certified by The Florida Bar in Health Law The Florida Department of Health's Quarterly Performance Report (QPR) for the Third Quarter of Fiscal Year 2020-2021, was recently released.

Licensing 52

Licensing Nurses Fraud Medicaid 52

MedTrainer

APRIL 17, 2024

Navigating the complex landscape of state licensing laws can be time-consuming and costly for organizations. This may involve additional steps, such as biometric authentication or identity verification services, to prevent fraud and ensure patient safety.

Licensing 52

Licensing Compliance Fraud HIPAA 52

The Health Law Firm Blog

MARCH 11, 2024

It provides information and statistics on actions involving licensed health professionals through March 2021. Indest III, J.D., Board Certified by The Florida Bar in Health Law The Florida Department of Health's Quarterly Performance Report (QPR) for the Third Quarter of Fiscal Year 2020-2021, was recently released.

Licensing 52

Licensing Nurses Fraud Medicaid 52

HIPAA Journal

FEBRUARY 8, 2024

Azura Vascular Care said individuals who had sensitive information exposed such as Social Security numbers have been offered complimentary identity protection, credit monitoring, and fraud resolution services.

Ransomware 84

Ransomware Electronic Medical Records Licensing Health Insurance 84

HIT Consultant

DECEMBER 10, 2021

Fraud Schemes in a Telehealth Era: What Healthcare Payers Should Know. What You Should Know: – Report from Codoxo that finds 10-15% of telehealth claims fall outside of approved CMS codes and indicates a high potential for rapidly increasing fraud schemes (and provider coding errors) in a new telehealth era. Nurse Practitioner.

COVID-19 98

COVID-19 Fraud Nurses Licensing 98

Provider Trust

AUGUST 16, 2023

Despite such mandates, OIG investigations over the past five years have found that vendors are accountable for much of the healthcare ecosystem’s fraud, waste, and abuse. This includes physicians, nurses, custodians, cafeteria staff, lawn care, and laundry personnel.

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Fraud Compliance Licensing Compliance Officers 52