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.

Licensing 52

Licensing Fraud Compliance Nurses 52

YouCompli

AUGUST 2, 2022

The Federal government spent unprecedented trillions of dollars throughout the COVID public health emergency (PHE). MorseLife Nursing Home Health System was alleged to have provided vaccines to individuals who were not eligible under this program. In April 2022, officials at the U.S. Let’s look at a few.

COVID-19 Vaccine 52

COVID-19 Vaccine COVID-19 Nursing Homes Compliance Officers 52

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. It’s no wonder nurse strikes have been on the rise. This can spell trouble for everyone involved.

Licensing 52

Licensing Nurses Compliance COVID-19 52

Hall Render

FEBRUARY 27, 2023

This has been a growing trend in health care enforcement, and health care fraud remained the leading source of all FCA cases in 2022. Over 77% of the funds recovered were related to the health care industry, which shows the federal government’s commitment to enforcing the FCA. Health Care Fraud Actions Medicaid.

Nursing Homes 40

Nursing Homes Fraud Medicaid Medicaid 40

Provider Trust

JUNE 1, 2022

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. To ensure patients receive care from qualified nurses, verifying credentials is imperative.

Licensing 52

Licensing Nurses COVID-19 Compliance 52

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

MedTrainer

SEPTEMBER 20, 2023

Examples of covered entities include health plans, clearinghouses, and certain health care providers including but not limited to: doctors, clinics, psychologists, dentists, chiropractors, nursing homes, and pharmacies. There are a number of laws built to fight against Medicare/Medicaid noncompliance and fraud.

Medicaid 97

Medicaid Medicaid Medicare Medicare 97

Hall Render

APRIL 22, 2022

GAO investigating private equity ownership of nursing homes. HHS Secretary Outlines FY 2023 Mental Health Investments at Senate Hearing. This nursing home chain reported the highest COVID death rate. SuperCare Health sued after data breach of 318,000 patient files. North Hawaii hospital nurses hold informational picket.

COVID-19 40

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

Hall Render

SEPTEMBER 1, 2023

ALABAMA American Family Care opens new health care center in Northeast Birmingham doctors secure $13.9M Newsom announces distressed hospital loan program Kaiser Permanente frontline workers strike could begin Oct.

COVID-19 40

COVID-19 Nurses Nursing Homes Hospitals 40

Hall Render

FEBRUARY 4, 2022

Of that, $5 billion relates to health care fraud involving drug and medical device manufacturers, managed care providers, hospitals, pharmacies, hospice organizations, laboratories and physicians. Health Care Fraud Actions. That figure does not include even more funds recovered for state Medicaid programs.

Fraud 40

Fraud Governance Medicare Medicare 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

4 Health Systems Join Provider-Created Data Collective to Improve Care. 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. Gift to Expand UAFS Nursing, Arts Programs. Hartford HealthCare nurses give strike notice.

US Department of Health and Human Services 40

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

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. CALIFORNIA.

COVID-19 40

COVID-19 Nursing Homes Nurses Hospitals 40

Hall Render

NOVEMBER 4, 2022

CMS gives nursing homes a longer leash on staff COVID-19 vaccination requirements. Alaska health officials say they’re tracking a modest rise in RSV, but it’s nothing like the Lower 48. In Bethel, a homegrown solution to the state’s nursing shortage. Blunt Rochester hosts roundtable on nurse shortage.

US Department of Health and Human Services 40

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

AIHC

SEPTEMBER 21, 2023

On September 14, 2023, the Office of Inspector General (OIG) posted the Final Rule “ Fraud & Abuse; Information Blocking; OIG’s Civil Money Penalty Rules ” describing enforcement of the Information Blocking rule. The full definition of “health care provider” is available in the Public Health Service Act (42 U.S.C.

HIPAA 59

HIPAA Compliance Nurses Fraud 59

YouCompli

AUGUST 9, 2023

An opportunity to reframe, regroup, and refocus  Now that the COVID-19 Public Health Emergency (PHE) is well behind us, we have an opportunity to reframe patient expectations – and regroup and refocus on compliance-related patient care needs.

Compliance 52

Compliance COVID-19 ACA Fraud 52

Health Populi

APRIL 24, 2018

” The brief answer is that the country experienced a huge fraud incident discovered in 2017 , involving 18 networks of corruption leading to at least 42 criminal cases. The resulting monetary loss was calculated to be at least $160 mm of fraud in 2017 alone. health ecosystem stakeholders.

Health Insurance 74

Health Insurance Fraud Hospitals Doctors 74

Hall Render

MAY 13, 2022

Nurses make exit plans after RaDonda Vaught’s conviction. Travel nurses raced to help during Covid. US faces deficit of 450,000 nurses by 2025. Alaska needs to train more nurses, but it doesn’t have enough nursing faculty to meet demand. Banner invests in Atlas Health Partners, plans to double ASC footprint.

COVID-19 40

COVID-19 Nurses Nursing Homes Hospitals 40

Provider Trust

MAY 9, 2023

What is a Medicaid Fraud Control Unit (MFCU)? Fraud and abuse are unfortunate realities of the healthcare industry. Hundreds of claims and investigations are carried out yearly to combat the growing number of providers, organizations, and entities contributing to fraud and abuse within state and federal healthcare programs.

Fraud 52

Fraud Medicaid Medicaid Nurses 52

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 Compliance Informed Consent 59

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.

Telemedicine 52

Telemedicine COVID-19 Fraud Licensing 52

Hall Render

JANUARY 5, 2024

Wade; expected to remain big issue in 2024 races Most nursing home residents in Arizona still haven’t gotten their COVID-19 booster COVID-19 hospitalizations are up in Arizona and around the U.S.

COVID-19 40

COVID-19 Nursing Homes Nurses Hospitals 40

Hall Render

MAY 19, 2023

Supplemental Grant for Rural Health Programs UAMS to Study Affordable Care Act’s Impact on Breast Cancer Treatment Arkansas Children’s Hospital Auxiliary Donates $1.4 Supplemental Grant for Rural Health Programs UAMS to Study Affordable Care Act’s Impact on Breast Cancer Treatment Arkansas Children’s Hospital Auxiliary Donates $1.4

Nurses 40

Nurses COVID-19 Hospitals Nursing Homes 40

Hall Render

DECEMBER 1, 2023

with more than 5 Magnet designations Four more years: Anthem Blue Cross and Blue Shield, Wellstar re-up contract Hospital fails to dodge $10M malpractice verdict after attempting to pin payment on radiologist New survey reveals insight into Georgia’s maternal health crisis New chief medical officer hired for St.

Nursing Homes 40

Nursing Homes Nurses Ransomware COVID-19 40

Hall Render

MAY 17, 2024

in Federal Funds to 19 Nursing Schools Steward Health Plans to Sell Its Hospitals in Hope, Texarkana UAMS Researcher Awarded $1.6M 1 for health care by U.S. to Study Liver Repair Arkansas Children’s Research Institute Awarded $2.3M in PE funds: WSJ Kaiser posts $935M operating profit in Q1 S.F. California to make $3.3

Nurses 40

Nurses Nursing Homes Hospitals Ransomware 40

Hall Render

APRIL 15, 2022

CMS: End to pandemic waivers helps nursing homes ‘redirect efforts’ to meet residents’ needs. CMS pushes for mandatory flu vax monitoring among nursing home staff. CMS Releases Skilled Nursing Facility PPS Proposed Rule for FY23. CMS Releases Skilled Nursing Facility PPS Proposed Rule for FY23. CMS finalizes 8.5%

COVID-19 40

COVID-19 Nursing Homes Nurses Hospitals 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. County-owned buildings facing potential earthquake risk Gilead drops option to buy cancer therapeutics company Health and Life Organization Inc.

US Department of Health and Human Services 40

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

Hall Render

MARCH 3, 2023

NATIONAL 14 rural senators push CMS to extend low-wage hospitals’ payment bump in FY2024 American Hospital Association voices support for telehealth expansion bill Behavioral health market to hit $262B by 2029 Biden administration moves to establish ‘guardrails’ for telehealth prescriptions CMS Officials Confirm End of PHE Nursing (..)

Nursing Homes 40

Nursing Homes COVID-19 Nurses Hospitals 40

Hall Render

FEBRUARY 18, 2022

Lawmakers call on Biden to end public health emergency. Staffing shortages still hinder Alaska hospitals; nurses among the highest in demand. ‘A Barlett Regional Hospital confident it will be able to replace departing emergency nurses. Nursing homes say they’re being price gouged by direct care staffing agencies.

COVID-19 40

COVID-19 Nursing Homes Nurses COVID-19 Vaccine 40

Hall Render

AUGUST 19, 2022

CDC, amid criticism for COVID-19 response, plans reorganization as public health threats grow. Joint Commission’s New Accreditation Standards Tackle Health Disparities. Nursing homes and long-term care facilities face increased turnover, look to new solution to attract workers. UC San Diego Health names new CIO.

COVID-19 40

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

Hall Render

JULY 22, 2022

Amazon to buy primary health-care provider One Medical for roughly $3.9 Covid-19 public health emergency extended in the US. cancer, cardio lab fraud. Legal confusion post-Roe is threatening maternal health, physicians say. 96-bed skilled nursing facility opens in Phoenix. CMS proposes 2.7%

COVID-19 40

COVID-19 Nursing Homes Nurses Hospitals 40

Hall Render

FEBRUARY 25, 2022

40% of Nursing Home Residents Haven’t Received COVID-19 Boosters, Analysis Finds. How 5 health systems are spending their innovation investment dollars. No COVID-19 boosters for 70% of nursing home staffs, AARP says. Contract Nurse Agencies Are Making Big Money in the Age of COVID-19. CEO named for 2 Arkansas hospitals.

COVID-19 40

COVID-19 Nursing Homes Nurses Hospitals 40

Hall Render

AUGUST 12, 2022

67% of nurses plan to leave position within 3 years, survey of 9,000 nurses finds. Major nursing home association urges COVID emergency extension, revised guidance. California lawmakers probe mental health care crisis, looming Kaiser strike. Fired Huntington Memorial nurse settles lawsuit with Pasadena hospital.

COVID-19 40

COVID-19 Nurses Nursing Homes Hospitals 40

Hall Render

MARCH 25, 2022

Lorna Breen Health Care Provider Protection Act becomes law. Here are the top health systems by patient reviews. Hospital stays for nursing home residents down nearly 9%, federal data shows. 12 million dollar drug lab, mental health center coming to Dothan. Huntsville Hospital to launch new nurse training program.

COVID-19 40

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

Healthcare Law Blog

MARCH 3, 2023

This surge was facilitated, in part, by certain flexibilities authorized by the Centers for Medicare & Medicaid Services in its response to the public health emergency (“PHE”) declared in March of 2020 and which was repeatedly renewed until now. including the home of an individual. [2] including the home of an individual. [2]

Fraud 52

Fraud Nurses Telemedicine COVID-19 52

Hall Render

FEBRUARY 23, 2024

billion is attributed to cases involving the health care industry, including managed care providers, hospitals, pharmacies, laboratories, long-term acute care facilities and physicians. Health Care Fraud Actions Medicare Advantage. One skilled nursing care and rehabilitation facility paid $7.1

Compliance 71

Compliance Governance Medicare Medicare 71