Health Care Law Brief

JUNE 2, 2022

The onset of the COVID-19 public health emergency (“PHE”) led to a surge in the use of telehealth by health care providers. For example, the Department of Justice has aggressively pursued health care fraud claims against individuals and entities involved in non-compliant telehealth models. Provider Licenses.

Public Health 52

Public Health Compliance COVID-19 Licensing 52

HIPAA Journal

APRIL 25, 2023

Data breaches have recently been announced by Santa Clara Family Health Plan, United Steelworkers Local 286, Robeson Health Care Corporation, Two Rivers Public Health Department, and NewBridge Services.

Health Insurance 106

Health Insurance Public Health Ransomware Fraud 106

HIT Consultant

JULY 19, 2024

Protecting Yourself from Supplement Scams Consult Your Doctor: Always seek medical advice from a licensed physician before using any supplements or medications. Anti-Scam Software: Consider using security software with anti-phishing and anti-fraud protection. Secure Payment Methods: Avoid using debit cards for online purchases.

Doctors 105

Doctors Fraud Licensing Public Health 105

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

HIT Consultant

NOVEMBER 24, 2022

. – Prescription hearing aids will require a consumer to have a prescription for a hearing aid from a physician, audiologist or a licensed hearing instrument specialist. – Fraud. Health plans should be on the alert for potential pitfalls arising from the new regulations. 4 And compliance decrease over time. .

FDA 98

FDA Public Health Fraud Medicare 98

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

HIPAA Journal

MAY 6, 2025

Data breaches have been announced by Horizon Behavioral Health, BayMark Health Services, Carlton County Public Health and Human Services, the City of Bristol in Tennessee, and Schewitz Psychological Services (Couples Learn).

Ransomware 51

Ransomware Licensing Public Health HIPAA 51

Hall Render

OCTOBER 20, 2023

The application must include the following: A cover letter identifying the facility or institution, address, county and number and type of beds licensed by the Connecticut Department of Public Health. The name of each proposed new owner or beneficial owner.

Nursing Homes 40

Nursing Homes Nurses Licensing Public Health 40

Healthcare Compliance Blog

MARCH 31, 2022

The New York Wage Parity Act, Public Health Law sets minimum wage and benefit requirements for licensed home care services agencies (LHCSAs) that employ home care aides who render services to Medicaid recipients in New York City and three counties in New York.

Medicaid 59

Medicaid Medicaid Governance Fraud 59

YouCompli

JULY 12, 2022

National fraud takedown: $1.1 Department of Justice (DOJ) announced a national health care fraud enforcement action involving over $1.4 This announcement included nationwide criminal charges against 138 defendants, including 42 doctors, nurses, and other licensed medical professionals. In Fall 2021, the U.S.

COVID-19 52

COVID-19 Medicare Medicare Telemedicine 52

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

Healthcare Law Blog

JULY 5, 2022

As always, with technology comes data, and experts weighed in on issues like data use, licensing, aggregation, new rules on information blocking, ransomware attacks/cyber insurance, and preparing for disasters, whether natural or human-made. Regulatory and Enforcement Environment. Antitrust and Labor Relations.

Fraud 52

Fraud Governance Ransomware Licensing 52

Provider Trust

MARCH 16, 2022

Exclusions are administrative actions that are placed upon an individual or entity by HHS OIG, a state agency or Medicaid Fraud Control Unit (MFCU), or by one of the many agencies associated with SAM.gov. Each state has a department or agency dedicated to upholding the integrity of Medicaid programs and public health.

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

HIPAA Journal

SEPTEMBER 12, 2024

As health insurance premiums are tax deductible, this would impact federal tax revenues. Most of Title II of HIPAA addresses fraud and abuse against federal health programs. To help neutralize the cost of the reforms, Congress added a second title to the Act.

HIPAA 43

HIPAA Health Insurance Fraud Licensing 43

AIHC

SEPTEMBER 5, 2023

This compact does not apply to nurse practitioners (NPs) because they are licensed under state boards of nursing and not medicine. OCR released guidance on April 12, 2023 to help covered health care providers and health plans understand how they can use remote communication technologies for audio-only telehealth.

COVID-19 59

COVID-19 Telemedicine Informed Consent Compliance 59

AIHC

JUNE 6, 2023

Algorithms perform relatively well on knowledge-based tests despite the lack of domain-specific training; ChatGPT achieved ~ 66% and ~ 72% on Basic Life Support and Advanced Cardiovascular Life Support tests, respectively, and performed at or near the passing threshold on the United States Medical Licensing Exam.

Compliance 59

Compliance Medical Billing HIPAA Due Diligence 59

Bill of Health

NOVEMBER 23, 2024

Under Amendment 3 , only licensed medical dispensaries would have been allowed to grow and sell marijuana. Amendment 3 would have offered a significant business advantage to existing dispensaries, because applying for business licenses can cost hundreds of thousands of dollars , and start-up costs can be millions more.

Public Health 100

Public Health Licensing Fraud FDA 100

AIHC

JUNE 6, 2023

Algorithms perform relatively well on knowledge-based tests despite the lack of domain-specific training; ChatGPT achieved ~ 66% and ~ 72% on Basic Life Support and Advanced Cardiovascular Life Support tests, respectively, and performed at or near the passing threshold on the United States Medical Licensing Exam.

Compliance 52

Compliance Medical Billing HIPAA Due Diligence 52

Healthcare Law Blog

MAY 16, 2022

Allow CMS to Calculate Star Ratings for Certain Measures for 2023 Given Impacts of the COVID-19 Public Health Emergency (§ 422.166). ii) disclose to the beneficiary that he or she is being transferred to a licensed agent who can enroll him or her into a new plan.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Healthcare IT Today

JANUARY 17, 2024

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. This includes identifying trends and anomalies in billing, reducing errors, and preventing fraud. What does this look like in practice? Enter academia.

Governance 102

Governance Nurses Compliance Public Health 102

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 214

Fraud COVID-19 Medicare Medicare 214

HIPAA Journal

APRIL 27, 2025

Read more… PIH Health The California healthcare network PIH Health was investigated over a phishing attack between June 11 and June 21, 2019, that saw a hacker gain access to 145 employee email accounts that contained the electronic protected health information of 189,763 individuals.

HIPAA 85

HIPAA Ransomware Hospitals Compliance 85

Healthcare IT News - Telehealth

JUNE 8, 2022

The Department of Health and Human Services once again (for the ninth time) extended the public health emergency this past month , stretching it beyond mid-July. But sooner or later, that provision of the Public Health Service Act will draw to a close. Here's what she had to say. Agency enforcement discretion.

US Department of Health and Human Services 209

US Department of Health and Human Services Compliance COVID-19 Overpayments 209

American Medical Compliance

APRIL 6, 2023

Prosecutors stated that if they passed, they would be able to seek licenses and jobs in numerous locations. Incidence of Healthcare Fraud Numerous scammers view this as a method to make quick, yet unlawful, money. Incidence of Healthcare Fraud Numerous scammers view this as a method to make quick, yet unlawful, money.

Fraud 52

Fraud Nurses Licensing Compliance 52

HIPAA Journal

MAY 12, 2025

Pre-employment screening for healthcare workers – and frequent re-screening thereafter – can also help mitigate the risk of fraud and theft for healthcare organizations. By scrutinizing potential hires, healthcare organizations can reduce the likelihood of incidents that might lead to malpractice, fraud, or other misconduct.

40

40

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. It reduced the rate of whistleblower and other fraud complaints, and for Unger at least, abuse cases increased. Telehealth in the Pandemic and Beyond.

Compliance Officers 40

Compliance Officers Elder Abuse Compliance COVID-19 40

Health Law Advisor

MARCH 1, 2023

In the era of abortion regulation and the wind-down of the COVID-19 public health emergency (“PHE”), new legislation in states such as Utah may be a sign of what is to come for online and telehealth prescribing. Contact an EBG attorney for more information on how to stay compliant. [1] 1] [link]. [2]

Telemedicine 52

Telemedicine COVID-19 Fraud Licensing 52

Provider Trust

AUGUST 9, 2023

The Department of Health and Human Services (HHS) Office of Inspector General (OIG) has released its latest 2023 Spring Semiannual Report to Congress, providing a comprehensive overview of its activities from October 2022 to March 2023. OIG continues to work tirelessly to identify instances of fraud, waste, and abuse and prosecute offenders.

Nursing Homes 52

Nursing Homes COVID-19 Fraud Medicaid 52

Healthcare IT News - Telehealth

MARCH 18, 2021

Allow state licensing boards and practitioners to determine the appropriate standards of care for patients. Ensure Federally Qualified Health Centers and Rural Health Clinics can furnish telehealth and receive equitable reimbursement. Enhance HHS authority to determine appropriate telehealth services and providers.

COVID-19 192

COVID-19 Telemedicine Fraud Public Health 192

Innovaare Compliance

OCTOBER 6, 2022

The purpose of these audits is to evaluate a plan sponsor’s efforts to prevent, detect, and correct fraud, waste, and abuse (FWA) in the Medicare Part C and Part D programs. Plan sponsors will be notified in advance of the upcoming audit schedule and targeted universes under review for each audit type.

Medicare 52

Medicare Medicare Compliance Public Health 52

Healthcare IT Today

FEBRUARY 15, 2023

Among respondents, 67% also agreed that a lack of clear identities for patients put their organization at a higher risk for fraud, while 71% said it created identity verification and eligibility issues that made member enrollment and patient admission unnecessarily difficult.

US Department of Health and Human Services 131

US Department of Health and Human Services COVID-19 Public Health Hospitals 131

Hall Render

MAY 20, 2022

AHA asks HHS to continue the public health emergency until conditions stabilize. Considerations for Social Determinants of Health Screening Design. COVID-19 public health emergency set to be extended. Covid-19 remains a public health emergency in US, administration says. Medicare fraud.

COVID-19 40

COVID-19 Nursing Homes Nurses Hospitals 40

Hall Render

JULY 26, 2024

for schools’ health care Delaware paid over $12 million more on weight loss drugs than expected, trend increases to follow Department of Public Health launches Health Equity Institute, mission to train professionals in social determinants of health FLORIDA 3 local Ascension St. Vincent’s hospitals make U.S.

US Department of Health and Human Services 40

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

Hall Render

JULY 26, 2024

for schools’ health care Delaware paid over $12 million more on weight loss drugs than expected, trend increases to follow Department of Public Health launches Health Equity Institute, mission to train professionals in social determinants of health FLORIDA 3 local Ascension St. Vincent’s hospitals make U.S.

US Department of Health and Human Services 40

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

Hall Render

MAY 17, 2024

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. Medical Society names Hamilton primary care physician as new president Mass. primary care system is in ‘crisis’, says new report Meet the Mass.

Nurses 40

Nurses Nursing Homes Hospitals Ransomware 40

Hall Render

MARCH 14, 2025

Regional Health named one of the best places to work in Kentucky UK HealthCare taps chief revenue officer LOUISIANA Louisiana opens $33M mental health hospital Louisiana physician, wife to pay $450K for neurostimulator fraud scheme Louisiana physician charged for $6.6M Will they face restrictions?

Nurses 40

Nurses Nursing Homes Medicaid Medicaid 40

Hall Render

MARCH 31, 2023

County-owned buildings facing potential earthquake risk Gilead drops option to buy cancer therapeutics company Health and Life Organization Inc. What happens if it disappears? buys industrial property in Rancho Cordova for $5.12

US Department of Health and Human Services 40

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