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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 nursinghomes. hours of nursing staff per resident per day, or 3.0 HPRD from nurse aids (NAs). [2]
A federal jury convicted a licensed Illinois psychologist of defrauding Medicare over the course of several years by causing the submission of fraudulent claims for psychotherapy services he never provided. The psychologist was convicted of four counts of healthcare fraud.
Complaints of resident abuse in a Michigan nursinghome 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 nursinghome while her license was suspended, which is a felony.
Effective October 1, 2023, Connecticut enacted a law that contains several updates to Connecticut’s change of ownership laws for nursinghomes and other health care providers. The CHOW Law creates new change of ownership requirements for health care providers.
Here is a round up of bad actors: National Health Care Fraud Enforcement Action Results in 193 Defendants Charged and Over $2.75 Million to Settle Allegations Related to Telehealth Services for NursingHome Residents ( Full Story ) Chronic Disease Management Provider to Pay $14.9M
Here is a round up of bad actors: National Health Care Fraud Enforcement Action Results in 193 Defendants Charged and Over $2.75 Million to Settle Allegations Related to Telehealth Services for NursingHome Residents ( Full Story ) Chronic Disease Management Provider to Pay $14.9M
Here is a round up of bad actors: National Health Care Fraud Enforcement Action Results in 193 Defendants Charged and Over $2.75 Million to Settle Allegations Related to Telehealth Services for NursingHome Residents ( Full Story ) Chronic Disease Management Provider to Pay $14.9M
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 nursinghome when she tampered with morphine that was prescribed to a resident under her care.
Their guidance aims to improve a number of potential risks within the healthcare space by improving care at nursinghomes 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 nursinghomes.
OIGs new Industry Segment-Specific Compliance Program Guidance For Nursing Facilities (Nursing Facility ICPG) for nursinghome members of the health care compliance community emphasizes the importance of staff screening and exclusion checks. Under 42 CFR Sec.
South Carolina Attorney General Alan Wilson announced that his office’s Medicaid Fraud Control Unit (SCMFCU) arrested a 37-year-old woman for allegedly practicing medicine as a registered nurse without a license at seven nursing and assisted living facilities in Anderson, Greenville, and Pickens counties.
An Illinois licensed practical nurse (LPN) was convicted and sentenced for failing to administer lifesaving measures to a resident in a nursinghome in 2017. Additionally, the LPN’s nursinglicense was suspended for an unspecified period of time. Discussion Points: Review your policies and procedures on CPR.
The nurse was sentenced to six months under house arrest and may not seek reinstatement of her license or work in a care facility/home during her five-year supervision period. Falsifying medical records can be viewed as fraud, and quick action should be taken when falsified medical records are discovered.
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 nursinghome facilities.
HHS Announces $15M in Funding For Behavioral Healthcare In NursingHomes. State Actions to Address NursingHome Staffing During COVID-19. How does Arizona solve its nursing shortage? Group home at center of Gilbert murder investigation fights to keep license to operate. CALIFORNIA. Christus St.
million Medicaid grant will expand mental health services in Kansas schools New staffing mandate has some Kansas nursinghomes concerned about sustainability New study ranks Missouri, Kansas among worst states for women’s health care Freeman Health System announces plan to open SEK hospital UKHS St.
million Medicaid grant will expand mental health services in Kansas schools New staffing mandate has some Kansas nursinghomes concerned about sustainability New study ranks Missouri, Kansas among worst states for women’s health care Freeman Health System announces plan to open SEK hospital UKHS St.
Humana sues to reverse cut to Medicare Advantage ratings Karen Lynch steps down as CVS Health CEO Nursinghome survey teams don’t always have to include nurses: federal appeals court Senate report: How private equity ‘gutted’ dozens of U.S. health care company acquires three Del.
Medicare fraud scheme One of Michigan’s largest insurers is altering telehealth billing. Medicare fraud scheme One of Michigan’s largest insurers is altering telehealth billing. California to make $3.3 Luke’s Hospital sees record number of twin births Iowa Gov. What does it mean?
manufacturing plant Riley Hospital for Children turns 100 years old Riley ranked among ‘Best Children’s Hospitals’ HealthLinc to take over two northwest Indiana pediatric offices Franciscan Health ER awarded accreditation IOWA More than 50 Iowa nursinghomes have agreed to repay taxpayers $13.9 Here is what it will involve.
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. Connecticut’s ‘certificate of need’ law under scrutiny Hartford HealthCare’s Black & Red Gala raises $2.6M
Aurora Spine completes enrollment in lumbar fusion study California GI group faces wrongful termination, retaliation lawsuit California healthcare district replaces CEO How Stanford is doing home care differently COLORADO 5 years later, long COVID patients still getting treated in Colorado 22 Fort Collins-area providers are leaving Village Medical.
Care Taps Health Net Exec as New CEO COLORADO Aurora’s Fitzsimons plans development opportunities on 60 acres Boulder drug discovery co. 3 in the U.S. for maternity care Healthcare Shifts Driving Demand For Outpatient Facilities In Denver Insider Breach, Email Attacks Net $1.7M
Children’s Hospital Colorado seeks congressional help on funding cuts UCHealth appoints new board members for Longs Peak, Broomfield hospitals CONNECTICUT Gov. Martin redirecting ambulances due to flooding MAINE MaineHealth CFO announces retirement Sen. million bird flu shots to U.S. million bird flu shots to U.S.
Here’s how to find quality care CEOs turn attention from recovery to growth ARKANSAS Statistics show many northern Arkansas locations considered maternity care deserts How broadband expansion is bolstering rural healthcare Arkansas leaders work to close gap between medical school graduates and in-state residencies Program in south Arkansas provides (..)
Luke’s Health Center to Open in Northwest New Jersey Former CEO sues New Jersey hospital over ‘amateurish’ firing As COVID-19 cases slowly rise again, 1 in 4 nursinghomes in N.J. million to Resolve False Claims Act Allegations Michigan Pain Center Owner Pays $6.5M
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? County-owned buildings facing potential earthquake risk Gilead drops option to buy cancer therapeutics company Health and Life Organization Inc. buys industrial property in Rancho Cordova for $5.12
About 20K nursinghome staff now have vaccine medical exemptions. More than 400 nursinghome closures projected for 2022: report. Strikes averted at four Connecticut nursinghomes but not in Windsor. State suspends Destin nursinghomelicense, orders it to discharge 100-plus residents.
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.
nursinghomes to pay $4M over claims of substandard care Mass. officials take aim at anti-abortion centers with new public awareness campaign Massachusetts, DC loosen CRNA supervision requirements Nursinghome chain with 3 Central Mass. nursinghomes to pay $4M over claims of substandard care Mass.
judgment against nursinghome chain over woman’s death Arkansas BCBS names VP of group market U of Arkansas to offer dual DNP-MBA program Unity Health welcomes Jacksonville community to new hospital Baptist Health Opens Behavioral Services Clinic in North Little Rock Arkansas Children’s Hospital gets $2.5
government grant for maternal health care Alabama slides to 50th on nursinghome and long-term care report card Ascension sells Alabama hospital Ascension St.
government grant for maternal health care Alabama slides to 50th on nursinghome and long-term care report card Ascension sells Alabama hospital Ascension St.
NATIONAL 9 health systems working with Amazon, Microsoft, Apple 293 hospitals at immediate risk of closure AHA chair-elect participates in CEO roundtable on rural health care crisis AHA report demonstrates benefits of 340B program AHA Urges OCR to Suspend or Amend Online Tracking Guidance AMA and others launch collective call for health equity in Rise (..)
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.’
GAO investigating private equity ownership of nursinghomes. This nursinghome chain reported the highest COVID death rate. Colorado Springs health clinic to pay settlement in fraud lawsuit. Order to Expire Requiring Masks in NursingHomes, Hospitals. NursingHome Will Settle COVID-19 Death Suit.
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. Iowa nurse fired for incorrectly administering monkeypox shots. Lawsuit seeks to unmask nursinghome owners who ‘defrauded’ creditors. Locals are skeptical.
Providers happy nursinghomes are among White House’s top priorities but disheartened at approach. OSHA conducting new wave of COVID-19 inspections among previously dinged hospitals, nursing facilities. Governor Ivey Awards Additional $80 Million to Hospitals and NursingHomes. CALIFORNIA.
nursinghome advocate: industry in ‘death spiral’ from lack of health care providers, low pay Georgia medical center named one of the ‘most beautiful hospitals in the U.S.’ joint venture Hospitalist Companies Agree To Pay Nearly $4.4
How tight nursinghome capacity is bottlenecking hospital operations. Investigators found high rates of bed sores and extended isolation among Providence nursinghome patients, leading to $310K fine. Could virtual nursing help combat the shortage of nurses? Home Health Care Company Owners Sentenced for $6.7
Former CMS Chief Seema Verma Blasts NursingHome Reform Proposals. How the PE NursingHome Crackdown Could Affect the Home Health Industry. New Bill Aims to Extend Acute Hospital Care at Home Waiver. Nursinghome lobbyists request sit-down with Biden about reforms.
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