Healthcare IT News - Telehealth

JANUARY 26, 2022

Please describe some of the emerging technology models in telemedicine and remote patient monitoring, and how they can help improve access to care for underserved populations. How do things look at the national and state levels for supporting expansion of telemedicine and remote patient monitoring during and following the pandemic?

Fraud 148

Fraud Telemedicine COVID-19 Licensing 148

YouCompli

AUGUST 29, 2023

Fraud, waste, and abuse (FWA) associated with telehealth services existed before COVID-19, but it significantly increased during the pandemic. Situation One: Before the Pandemic   In April 2019, government officials announced Operation Brace Yourself: a fraud takedown related to telemedicine and durable medical equipment (DME).

Fraud 52

Fraud Medicare Medicare COVID-19 52

HIPAA Journal

JANUARY 10, 2024

As well as its payment processing activities, Stripe provides billing, identity verification, and fraud management services. However, Stripe is not HIPAA compliant because of the way it records personal data within transaction data and uses the combined data to help detect fraud. Coinbase ) or dubious privacy practices (i.e.,

HIPAA 68

HIPAA US Department of Health and Human Services Fraud Telemedicine 68

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

YouCompli

JULY 26, 2023

Fraud, waste, and abuse (FWA) associated with telehealth services existed before COVID-19, but it significantly increased during the pandemic. Situation One: Before the Pandemic   In April 2019, government officials announced Operation Brace Yourself: a fraud takedown related to telemedicine and durable medical equipment (DME).

Fraud 52

Fraud Compliance Medicare Medicare 52

YouCompli

JULY 12, 2022

Allegedly, the medical practice instructed providers to begin seeing patients by telemedicine twice a month and to subsequently bill for evaluation and management (E/M) services. The increased number of E/M telemedicine visits was designed to make up for lost revenue from the cancellation of elective interventional pain procedures.

COVID-19 52

COVID-19 Medicare Medicare Telemedicine 52

Healthcare IT News - Telehealth

APRIL 6, 2021

Licensing is based on a per-visit model, according to the company, allowing for easier data capture and reporting for reimbursement. Security features on the HIPAA-ready platform include access controls, encryption, privacy checks, locked meetings and fraud detection. THE LARGER TREND. " ON THE RECORD.

Fraud 104

Fraud Telemedicine Licensing HIPAA 104

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

Health Law Advisor

MARCH 1, 2023

On February 14, 2023, the Utah Senate passed a bill that would repeal the State’s “Online Prescribing, Dispensing, and Facilitation Licensing Act” (“Online Prescribing Act”). Additional, but narrower and less common scenarios also qualify as the “practice of telemedicine” as defined in 21 U.S.C. § 18 U.S.C. § Under 21 U.S.C. §

Telemedicine 52

Telemedicine COVID-19 Fraud Licensing 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

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

Verisys

JANUARY 25, 2023

Verisys Plug: Verisys FACIS (Fraud Abuse Control Information System) delivers 360-degree transparency on providers, staff, and entities for the organizations who hire, credential, refer and reimburse for healthcare delivery, such as retail pharmacies, telemedicine, staffing companies, health systems, payers, and pharmaceutical companies.

Compliance 52

Compliance Fraud Telemedicine Licensing 52

Verisys

FEBRUARY 23, 2022

The False Claims Act prevents fraud and abuse by making it illegal to file false medical claims. The Department of Health and Human Services and the Office of the Inspector General maintain lists of healthcare providers who have had actions taken against their licenses for fraud or abuse.

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

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 172

Fraud COVID-19 Medicare Medicare 172

Health Law Blog

MAY 25, 2018

Generally, Michigan requires a controlled substance license to prescribe controlled substances in the state. A holder of a controlled substance license may administer or dispense a schedule 2 to 5 controlled substance without a separate controlled substance license covering those substances.

Licensing 40

Licensing Fraud Telemedicine Compliance 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

Hall Render

SEPTEMBER 16, 2022

Full 4th Circuit to tackle Medicaid fraud standard under False Claims Act. Massachusetts nurse pleads guilty in $100M fraud scheme. Health care industry in Nebraska ‘thankful’ after licensing backlog averted. NewYork-Presbyterian/Queens Hospital settles federal healthcare fraud allegations for $2.5M. SOUTH DAKOTA.

US Department of Health and Human Services 40

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

Provider Trust

FEBRUARY 3, 2023

What about license verification and screening? In July 2022, the OIG issued a Special Fraud Alert urging providers to exercise caution before entering into arrangements with telemedicine companies. What questions would you ask the current organization you are acquiring as it relates to its existing compliance program?

Compliance 52

Compliance Fraud Nurses Telemedicine 52

Hall Render

NOVEMBER 4, 2022

California physician charged with $53M mail fraud and money laundering scheme. Company accused of selling health insurance without license in Mississippi. Former Tenet executive asks judge to toss $400M fraud case. Telemedicine in Wyoming is growing, and is likely here to stay. CALIFORNIA. Cody Regional Health and St.

US Department of Health and Human Services 40

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

Healthcare IT News - Telehealth

JULY 19, 2021

It has nine licensed mental health professionals on staff, all committed to providing thorough delivery of psychiatric care based on the latest research. Unsecure telehealth connections can open the door for fraud, phishing and ransomware attacks, with serious reputational and financial consequences. THE PROBLEM. MARKETPLACE.

COVID-19 155

COVID-19 HIPAA Ransomware Governance 155

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

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 122

US Department of Health and Human Services COVID-19 Public Health Hospitals 122

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

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. 2 companies granted licenses to produce medical cannabis in Georgia. million to resolve Medicare fraud claims. million telemedicine visits since start of pandemic.

COVID-19 40

COVID-19 Nurses Nursing Homes Hospitals 40

Hall Render

DECEMBER 22, 2023

fraud scheme UConn Health is in financial trouble. 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

MAY 19, 2023

ProMedica taps Ascension St. SOUTH CAROLINA Grand Strand hospitals hope to see positive impact from Certificate of Need repeal McMaster signs South Carolina’s certificate of need repeal Newly-passed bill allows MUSC to move forward with delayed Nexton Hospital build Prisma Health records $31.7M

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

Hall Render

JULY 22, 2022

Telemedicine exec among 36 charged in $1.2B cancer, cardio lab fraud. Advocates concerned about Alabama’s telemedicine law. Board suspends nurse’s license 17 months after arrest in stabbing incident. HHS orders additional 2.5 million doses of monkeypox vaccine. detected in at least 7 states. Iowa physicians sell $16.4M

COVID-19 40

COVID-19 Nursing Homes Nurses 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

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. Telemental Health Becomes More Accessible Across States.

Compliance 98

Compliance Medicaid Medicaid COVID-19 98

Hall Render

APRIL 29, 2022

State suspends Destin nursing home license, orders it to discharge 100-plus residents. Doctor overseeing coronavirus testing at BWI accused of health-care fraud. Owners Of Behavioral Health Companies Sentenced For Medicaid Fraud. Health professionals answer the call of telemedicine in Oklahoma. MASSACHUSETTS.

COVID-19 40

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

Hall Render

NOVEMBER 17, 2023

’ ARKANSAS Arkansas system reduces workforce ahead of Baptist deal Funding recommended for four rural Arkansas hospitals Griffin’s $50M Grant Will Create Pediatric Opioid Center at Arkansas Children’s Helena Regional Medical Center Being Sold Panel approves another $12.5M Many more are waiting.

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. Rural Michigan embraces telemedicine. Grant Memorial Hospital preparing to launch telemedicine cancer care. National Guard.

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

Healthcare IT News - Telehealth

MARCH 18, 2021

During his confirmation hearings in February, Becerra signaled his support for telemedicine and other digital health tools. The American Telemedicine Association cheered the confirmation, reiterating its support for a wide range of policies aimed at expanding access to digital health under the Biden administration. WHY IT MATTERS.

COVID-19 159

COVID-19 Telemedicine Fraud Public Health 159