Med-Net Compliance

NOVEMBER 1, 2022

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.

Nursing Homes 59

Nursing Homes Nurses Licensing Fraud 59

Med-Net Compliance

JULY 8, 2022

A nursing home health system has agreed to pay the United States $1.75 A nursing home health system has agreed to pay the United States $1.75 The company is a not-for-profit corporation located in Florida that oversees healthcare facilities on its campus, including a nursing home and an assisted living facility.

Nursing Homes 59

Nursing Homes COVID-19 Vaccine Nurses COVID-19 59

Healthcare Compliance Blog

JANUARY 24, 2022

On January 19, 2022, the Massachusetts Medicaid Fraud Division announced that in calendar year 2021, more than $55 million was recovered from individuals and entities who defrauded the state. The Attorney General’s Medicaid Fraud Division investigates and prosecutes providers who defraud the state Medicaid program, MassHealth.

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Medicaid Medicaid Fraud Nursing Homes 59

Healthcare Compliance Blog

FEBRUARY 4, 2022

The woman is charged with 259 counts of access device fraud, 16 counts of identity theft, and four counts of contributing to the delinquency of a juvenile. The post Louisiana Woman Arrested for Stealing from Nursing Home Resident appeared first on.

Nursing Homes 59

Nursing Homes Nurses Fraud 59

Healthcare Compliance Blog

FEBRUARY 8, 2022

The United States has filed a lawsuit against an Alabama psychiatrist for improper prescribing of Nuedexta to nursing home residents. In return, the psychiatrist prescribed Nuedexta to nursing home residents who did not have pseudobulbar affect.

Nursing Homes 52

Nursing Homes Nurses Medicare Medicare 52

Healthcare Compliance Blog

JANUARY 10, 2022

A South Carolina man has been arrested for financial transaction card fraud and exploitation of a vulnerable adult who was a resident of a nursing home. Due to his past criminal record, he also faces enhancement to the financial transaction card fraud charge.

Fraud 52

Fraud Nursing Homes Medicaid Medicaid 52

Med-Net Compliance

JULY 26, 2022

In connection with the enforcement action, the department seized over $8 million in cash, luxury vehicles, and other fraud proceeds. Issue: Nursing staff should monitor telemedicine appointments held with their residents, review related medical record documentation, and report any concerns with observed practices immediately.

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Fraud Telemedicine Medicare Medicare 59

HIPAA Journal

AUGUST 30, 2022

The Wilsonville, OR-based home health care service provider and nursing home operator, Avamere Holdings, is facing a class action lawsuit over a major data breach that affected 96 senior living and healthcare facilities and resulted in the exposure of the protected health information of more than 380,000 individuals.

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Nursing Homes Fraud HIPAA Ransomware 128

Verisys

NOVEMBER 20, 2022

If you are looking for something to read prior to turkey or afterwards, here is a round up of bad actors: Pharma Fraud: . Pharma Fraud. Pharma Fraud . Pharma Fraud. Fraud Scheme. Fraud Scheme. Fraud Scheme . Fraud Scheme. Telemedicine Fraud: . Telemedicine fraud. . Fraud Scheme.

Medicaid 52

Medicaid Medicaid Fraud Telemedicine 52

MedTrainer

AUGUST 1, 2022

Here’s a look at one of the OIG’s current medicare investigations to curb fraud, waste, and abuse. Established in 1976, the Office of Inspector General (OIG) was created to fight fraud and abuse in Medicare and Medicaid. OIG Medicare Fraud at Skilled Nursing Facilities. OIG Plans for Ending Medicare Fraud.

Medicare 52

Medicare Medicare Nurses Nursing Homes 52

Healthcare Compliance Blog

FEBRUARY 3, 2022

A mother and her two daughters have been charged for providing fraudulent COVID-19 vaccination cards to maintain and obtain employment at a New York nursing home. Vaccination is mandatory for nursing home employment in New York. Bassett stated, “Vaccination fraud is a serious crime.

COVID-19 Vaccine 59

COVID-19 Vaccine COVID-19 Nursing Homes Nurses 59

American Medical Compliance

AUGUST 1, 2022

By analyzing fraud, waste, and abuse occurring in the medical system, the HHS is able to put regulations in place to minimize risks for patients and providers. HHS Concerned About Quality of Nursing Homes. Then, they are able to offer recommendations to improve the infrastructure of the healthcare industry.

US Department of Health and Human Services 52

US Department of Health and Human Services Medicare Medicare Nursing Homes 52

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

Med-Net Compliance

OCTOBER 18, 2022

The defendant began working at a nursing home 11 days later. The nursing home subsequently discovered diversions of hydrocodone, and that the defendant had worked shifts at the facility within the days of the diversions. A subsequent diversion occurred in November 2021 at yet another nursing home.

Nurses 59

Nurses Nursing Homes Hospitals Fraud 59

YouCompli

AUGUST 2, 2022

MorseLife Nursing Home Health System was alleged to have provided vaccines to individuals who were not eligible under this program. It was also alleged the nursing home did not promptly test a symptomatic resident for COVID-19 and did not implement facility-wide infection control and prevention measures.

COVID-19 Vaccine 52

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

Health Care Performance

AUGUST 25, 2022

This month’s issue includes: A summary of the 48 OIG health care fraud enforcement cases announced last month. The OIG's audit report of nursing home life safety and emergency preparedness noncompliance. Examples of False Claims, Kickback, opioid, and state enforcement from last month. Items added to the OIG Work Plan.

Compliance 52

Compliance HIPAA Nursing Homes Medicare 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. Health Care Fraud Actions Medicaid. DOJ filed claims against multiple nursing homes and their management corporation for providing services that the DOJ alleged were grossly below the standard of care.

Nursing Homes 40

Nursing Homes Medicaid Medicaid Fraud 40

Healthcare Compliance Blog

MAY 11, 2022

The South Carolina Attorney General announced that his office’s Medicaid Fraud Control Unit (SCMFCU) had arrested a 57-year-old woman on two counts of Exploitation of a Vulnerable Adult and two counts of Breach of Trust with Fraudulent Intent, value of $10,000 or more.

Medicaid 59

Medicaid Medicaid Nursing Homes Fraud 59

American Medical Compliance

AUGUST 1, 2022

By analyzing fraud, waste, and abuse occurring in the medical system, the HHS is able to put regulations in place to minimize risks for patients and providers. HHS Concerned About Quality of Nursing Homes. Then, they are able to offer recommendations to improve the infrastructure of the healthcare industry.

US Department of Health and Human Services 52

US Department of Health and Human Services Medicare Medicare COVID-19 52

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. The woman, 45, pleaded guilty to an amended charge of Reckless Conduct (Class A Misdemeanor).

Nurses 59

Nurses Nursing Homes Licensing Medicaid 59

Med Law Blog

MAY 1, 2023

Howell, Constantine Yannelis and Abhinav Gupta positing that their research shows that “PE ownership increases short term mortality of Medicare patients by 10%, in nursing homes”.

Nursing Homes 52

Nursing Homes Hospitals Malpractice Nurses 52

Hall Render

JANUARY 28, 2022

Hospital discharge pressures build as nursing homes clamor for help. The nursing home staffing crisis right now is like nothing we’ve seen before. The nursing home staffing crisis right now is like nothing we’ve seen before. With a vaccine mandate looming, nursing homes face more staffing problems.

Nursing Homes 40

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

Nursing Homes 40

Nursing Homes COVID-19 Nurses Hospitals 40

Pharmacy Law Blog

FEBRUARY 13, 2018

On November 22, 2017, a Florida woman who was accused of a $45 million Medicare fraud, received a six-and-a-half-year prison sentence, following a 2016 U.S. This came after a 2016 guilty plea to a charge of conspiracy to commit health care fraud. By George F. Indest III, J.D., Board Certified by The Florida Bar in Health Law.

Medicare 40

Medicare Medicare Fraud Medicaid 40

Hall Render

MARCH 3, 2023

on 7th medical office building acquisition in a year Baptist Health expanding in Nassau and St.

Nursing Homes 40

Nursing Homes Nurses COVID-19 Hospitals 40

Hall Render

APRIL 14, 2023

But hospitals say they can’t afford to pay California hospital nurses to receive raises of up to 30% California pharmacist pleads guilty to multi-year Medicare fraud scheme Carmichael-based Eskaton pays $5.5 and Delaware Delaware struggles to investigate nursing homes, assisted living facilities.

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes Nurses Hospitals 40

Hall Render

JUNE 2, 2023

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 (..)

US Department of Health and Human Services 40

US Department of Health and Human Services Nurses Nursing Homes Hospitals 40

Healthcare Compliance Blog

APRIL 6, 2022

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. Issue: Nursing staff should be knowledgeable of standards of care, and the facility’s policies and procedures for implementing them.

Nurses 59

Nurses Nursing Homes Fraud Licensing 59

Hall Render

MARCH 11, 2022

Providers happy nursing homes 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 Nursing Homes. CALIFORNIA.

US Department of Health and Human Services 40

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

Hall Render

MAY 26, 2023

Children’s National Hospital hosts prom for patients battling illnesses Unfair labor complaints filed against George Washington University Hospital as nurses try to unionize DELAWARE ChristianaCare spin-out named ‘Most Promising New Company’ at Delaware Bio pitch event Delaware among states that struggle to provide nursing home oversight.

US Department of Health and Human Services 40

US Department of Health and Human Services Nurses Nursing Homes Hospitals 40

Hall Render

JANUARY 7, 2022

CDC gives nursing home workers a big break – if they’re boosted. CMS Issues Additional Vaccine Mandate Guidance for Nursing Homes. Nursing home staff shortages overwhelming hospitals nationwide. AARP study reveals Arizona last in nation ensuring nursing home residents get booster shots.

COVID-19 40

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

Hall Render

MARCH 17, 2023

NATIONAL AMA pressures federal government to fix prior authorization problem plaguing radiology AHA pushes back on new 340B alliance Biden’s $6.8T Lawmakers are now mulling limits. Francis Hospital-Interquest Progresses In Colorado Colorado’s wealthiest hospitals favored in $1.2 and Del.

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes Nurses Hospitals 40

Hall Render

APRIL 7, 2023

NATIONAL AHA, AHCA warn CMS against unfunded nursing home staffing mandates AHA to Congress: Funding rural hospitals is critical for access AHA-supported bill to aid small rural hospitals reintroduced in Senate Biden won’t veto Republican-led bill ending COVID emergency CVS-branded hospitals?

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes Nurses Hospitals 40

Hall Render

FEBRUARY 24, 2023

judgment against nursing home 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

Nursing Homes 40

Nursing Homes Nurses Hospitals COVID-19 40

The Health Law Firm

AUGUST 8, 2017

It is reported that Blanco oversaw inspections by the Florida Agency for Health Care Administration or "AHCA" of Florida nursing homes owned by Phillip Esformes. Bertha Blanco faces a wide range of charges including accepting bribes to tip off individuals when state wide investigations were to begin. The Ring Alleged Ring Leader.

Medicare 40

Medicare Medicare Nursing Homes Fraud 40

Hall Render

MARCH 18, 2022

Former CMS Chief Seema Verma Blasts Nursing Home Reform Proposals. How the PE Nursing Home Crackdown Could Affect the Home Health Industry. New Bill Aims to Extend Acute Hospital Care at Home Waiver. Nursing home lobbyists request sit-down with Biden about reforms.

US Department of Health and Human Services 40

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

Hall Render

FEBRUARY 10, 2023

billion since pandemic U.S. leading cause of death is heart disease, Alabama’s matches that Alabama lawmakers put temporary hold on $1 billion contract for prison healthcare New rolling NICU a ‘game changer’ for critical babies in Alabama More than a dozen Alabama hospitals at immediate risk of closing; officials say hospitals suffer $1.5

US Department of Health and Human Services 40

US Department of Health and Human Services Nurses Nursing Homes Hospitals 40