HIPAA Journal

NOVEMBER 17, 2022

Caroline Cook, Privacy Consultant, GDH Government Consulting Services, has shared her thoughts. As a teenager, I volunteered in hospitals and nursing homes. I then left acute care and began a career as a Privacy Consultant, obtaining three different certifications as an information privacy professional.

Governance 83

Governance HIPAA Compliance Nursing Homes 83

Provider Trust

AUGUST 9, 2023

Through collaborative efforts with partners such as the Department of Justice (DOJ), Medicaid Fraud Control Units (MFCUs), and various federal, state, and local law enforcement agencies, the OIG employs a comprehensive and data-driven approach to detect, investigate, and prosecute instances of fraud.

Nursing Homes 52

Nursing Homes COVID-19 Fraud Medicaid 52

Provider Trust

JANUARY 25, 2024

Ensuring the Financial Integrity of HHS Programs In fiscal year (FY) 2022, improper payments within healthcare programs like Medicare, Medicaid, and Children’s Health Insurance Program (CHIP) were estimated at a staggering $131.6 With Medicaid, the challenges are equally formidable.

Fraud 52

Fraud Medicaid Medicaid Medicare 52

Compliancy Group

APRIL 17, 2024

Focus Areas for 2024 The OIG’s General Compliance Program Guidance (GCPG) establishes industry-specific compliance program guidance (ICPG) for 2024 that focuses on forms of fraud, waste, and abuse specific to certain types of suppliers, providers, and entities like nursing homes, clinical laboratories, and hospitals.

Compliance Officers 52

Compliance Officers Compliance Medicare Medicare 52

MedTrainer

DECEMBER 4, 2023

The Division of Medicaid and Long-Term Care within DHHS is responsible for administering Medicaid services and overseeing long-term care programs, ensuring accessible and quality healthcare for vulnerable populations in Nebraska. This centralized repository ensures all employees have easy access to essential information.

Compliance 52

Compliance Licensing Nursing Homes Nurses 52

Hall Render

FEBRUARY 27, 2023

Whistleblowers continue to be one of the federal government’s greatest assets in FCA cases, as whistleblowers filed 652 qui tam suits in 2022 with recovery totaling $1.9 The government initiated 296 FCA cases on its own last year without input of a relator, which is the highest volume of DOJ initiated cases since the 1986 FCA amendments.

Nursing Homes 40

Nursing Homes Fraud Medicaid Medicaid 40

Healthcare IT News - Telehealth

APRIL 13, 2023

They are asking providers to identify cancer patients and families who may qualify as ACP program enrollees, which includes households with Medicaid recipients and other federal subsidy programs, to provide them with the information they need to connect their patients with the Gilda's Club team supporting ACP enrollment.

Nursing Homes 115

Nursing Homes Medicaid Medicaid Public Health 115

MedTrainer

NOVEMBER 28, 2023

New Jersey Healthcare Compliance Resources Let’s start with the important state government agencies you’ll need to work with: The New Jersey Department of Health (NJDOH) oversees various departments and initiatives aimed at ensuring public health, such as disease control, environmental health, emergency preparedness, and health equity.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

Healthcare IT Today

JUNE 2, 2023

Bill Charnetski, EVP, Health System Solutions & Government Affairs at PointClickCare Traditionally, long-term and post-acute care (LTPAC) facilities have not benefited from the same health IT investments or funding as other care sectors. Since the U.S. Since the U.S.

Governance 93

Governance Nursing Homes Medicaid Medicaid 93

Kaiser Health News

MARCH 3, 2022

President Joe Biden’s top Medicare official suggested Wednesday that forthcoming rules to bolster nursing home staffing won’t be issued under a mechanism, known as interim final rules, that would allow regulations to take effect more or less immediately. 30, amounting to at least 23% of all U.S.

Nursing Homes 82

Nursing Homes Nurses Medicare Medicare 82

Hall Render

FEBRUARY 23, 2024

CT’s Medicaid reimbursement rates lower than peer states: report Better safety training, reporting, escorts for CT home health care workers focus of new legislation D.C. Mary’s unveils new name, but mission remains unchanged UCHealth sues thousands of patients every year. What they say sets them apart.

Nursing Homes 40

Nursing Homes Nurses Hospitals Medicaid 40

Bill of Health

SEPTEMBER 9, 2022

There are no national mandatory standards governing health care access or delivery behind bars. Some states have adopted minimum standards for prisons, jails, or both, but in Louisiana , the standards governing health care in jails have not been updated since 1980. Compare, for example, federal treatment of nursing homes with prisons.

COVID-19 349

COVID-19 COVID-19 Vaccine Medicaid Medicaid 349

Hall Render

NOVEMBER 18, 2022

On November 2, 2022, CMS announced revisions to the Calendar Year 2023 Payment Policies that impact Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare and Medicaid Provider Enrollment Policies (“CY 2023 PFS Final Rule”). Managing Organization.

Nurses 40

Nurses Nursing Homes Medicare Medicare 40

Healthcare IT Today

OCTOBER 19, 2023

According to Karl Ulfers, co-founder and vice president of growth at DUOS , governments offer excellent listings of resources with which care managers and clinicians can address housing, food, transportation, and other SDoH. Dr. Sema Sgaier, founder of Surgo Health, points out that different factors are important for different conditions.

Department of Veterans Affairs 101

Department of Veterans Affairs Nursing Homes Health Outcomes Hospitals 101

MedTrainer

NOVEMBER 6, 2023

While specific compliance requirements vary depending on the type of facility — from large hospitals and surgery centers to clinics and nursing homes — having a well-structured compliance plan is essential for all medical settings. But what exactly is a compliance plan in healthcare, and why is it so crucial?

Compliance 52

Compliance Fraud Nursing Homes Governance 52

Compliancy Group

AUGUST 31, 2023

Let’s delve into the importance of healthcare compliance laws and regulations, their impact on providers and organizations, and the guidelines governing their implementation. Healthcare compliance laws play a vital role in safeguarding patients’ rights, preventing fraud and abuse, and maintaining the integrity of healthcare systems.

Compliance 52

Compliance Compliance Officers Fraud Compliance Framework 52

Healthcare IT Today

APRIL 19, 2024

Devices for medication adherence, blood pressure, blood sugar, and others help patients track metrics from their homes and enable providers access to the information in real-time to manage care remotely.

Telemedicine 130

Telemedicine COVID-19 Nurses Nursing Homes 130

Healthcare Law Blog

FEBRUARY 27, 2023

On February 15, 2023, the Centers for Medicare and Medicaid Services (CMS) published a proposed rule that would require nursing homes enrolled in Medicare and Medicaid to disclose new information about their ownership and management structures.

Nursing Homes 52

Nursing Homes Nurses Medicaid Medicaid 52

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

Pharmacy Law Blog

FEBRUARY 13, 2018

Supreme Court decision in her case holding that the government could not freeze untainted assets. Her case continued in 2017 following a 5-3 ruling by the Supreme Court holding that the government could not freeze assets belonging to her that were not tied to the alleged fraud scheme. To read more on the U.S. Let’s see.

Fraud 40

Fraud Medicare Medicare Governance 40

Healthcare Law Blog

NOVEMBER 16, 2023

Department of Health and Human Services’ Centers for Medicare and Medicaid Services (“CMS”) will publish a final rule requiring Medicare skilled nursing facilities (“SNFs”) and Medicaid nursing facilities (“Facilities”) to provide more detailed ownership, managerial and other information on Form CMS-855A (the “Final Rule”). [1]

Nurses 52

Nurses Medicaid Medicaid Medicare 52

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 21, 2023

These proposed regulations follow through on the Biden Administration’s commitment made in the 2022 State of the Union to implement the ACA’s requirements regarding transparency in corporate ownership of nursing homes, including by collecting and publicly reporting more robust corporate ownership and operating data.

Nurses 40

Nurses Medicaid Medicaid Medicare 40

Healthcare IT News - Telehealth

DECEMBER 16, 2020

As the pandemic experience varies at different times across different regions of the country, local partnerships between healthcare providers, payers, community groups and government agencies can help power a more informed response, it added. For example, nursing homes were hit hard by the virus.

COVID-19 207

COVID-19 Hospitals Doctors Health Insurance 207

Hall Render

AUGUST 19, 2022

Nursing homes and long-term care facilities face increased turnover, look to new solution to attract workers. Rat infestation closes Veteran Affairs nursing home in Arizona. Deadline to Close Nursing Home Extended by 2 Months. Valley nursing home workers calling for increased pay and staffing.

COVID-19 40

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

Hall Render

DECEMBER 22, 2023

governor pushes new Medicaid expansion proposal with work requirement Missouri state senator wants voters to have say in KU Health System, Liberty Hospital merger Kansas ACLU request to halt excessive wait times at Larned turned down by judge ‘Who cares about us? health care spending hits $4.5 health care spending hits $4.5

Nursing Homes 40

Nursing Homes Nurses Hospitals COVID-19 40

Hall Render

MARCH 31, 2023

s Socially Determined aims to address potential gaps in Medicaid enrollment Lawsuits Mount Against DC Health Link Over Breach of Congress Members’ Data DC COVID-19 centers closing Friday Mayor Bowser Canceling $90 Million in Medical Debt for up to 90,000 DC Residents DELAWARE ChristianaCare CEO Dr.

US Department of Health and Human Services 40

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

AIHC

FEBRUARY 16, 2024

The GCPG is a reference guide for the health care compliance community and other health care stakeholders and provides information about relevant Federal laws, compliance program infrastructure, OIG resources, and other information useful to understanding health care compliance. The result? a day for orphans, but $2.75

Compliance 52

Compliance US Department of Health and Human Services COVID-19 Hospitals 52

AIHC

FEBRUARY 16, 2024

The GCPG is a reference guide for the health care compliance community and other health care stakeholders and provides information about relevant Federal laws, compliance program infrastructure, OIG resources, and other information useful to understanding health care compliance. The result? a day for orphans, but $2.75

Compliance 52

Compliance US Department of Health and Human Services COVID-19 Hospitals 52

Hall Render

APRIL 12, 2024

New president tapped to lead major hospital system in Denver area New president to lead opening of $650M hospital in Wheat Ridge Telehealth program offers support to forensic nurses Colorado Medicaid program settles lawsuit over lack of mental health care for children Colorado is trying to cut prescription drug prices.

Nursing Homes 40

Nursing Homes Nurses Hospitals Medicaid 40

Hall Render

FEBRUARY 2, 2024

of Health provides $250 thousand grant to tackle high Hispanic infant mortality rate Indiana lawmakers consider legislation to reduce prior authorization Lawrence company takes medical care on the road Indiana does not have enough nurses – will unionization or legislation help? 5 highest paid anesthesiologists in Washington, DC D.C.’s

Nursing Homes 40

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

Hall Render

SEPTEMBER 15, 2023

NATIONAL 988 suicide hotline adds support for American Sign Language 3 Takeaways from Physician Compensation Trends Adventist Health completes merger with Montebello’s ailing Beverly Hospital AHA-supported bill to protect health care workers introduced in Senate AHA weighs in on CMS’ proposed ASC payment system AHA submits comments on CY 2024 (..)

US Department of Health and Human Services 40

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

Hall Render

MARCH 25, 2022

Hospital stays for nursing home residents down nearly 9%, federal data shows. Alabama lawmaker’s push to extend postpartum Medicaid coverage. $12 Huntsville Hospital to launch new nurse training program. Alabama hospitals, nursing homes split $80 million in ARPA funds. increase for 2023 Medicaid budget.

COVID-19 40

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

Hall Render

NOVEMBER 27, 2023

11 Plan To Slash $1.5B face growing challenges to stay open KENTUCKY BehaVR merges with New York City-based Fern Health For years, a powerful Louisville hospital sued people for unpaid bills.

US Department of Health and Human Services 40

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

Hall Render

AUGUST 4, 2023

News Ranking DC DC-area hospitals ranked among best in the nation DC Health releases results of investigation into nursing home after 7News story about medication errors Inova Fairfax tops new U.S. Will Nemours’ Medicaid move leave 10,000 special-needs kids behind?

COVID-19 40

COVID-19 Hospitals Nursing Homes Nurses 40

Hall Render

OCTOBER 27, 2023

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 for scholarships Yale New Haven investment leader departs DC D.C.’s

US Department of Health and Human Services 40

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

Hall Render

OCTOBER 13, 2023

Vincent Partners With Park Plaza Mall on Community Health Programs Former Arkansas Medical Board Chair Brian Hyatt Arrested for Medicaid Fraud New Provider in Arkansas Focuses on No-Rush Health Care Walker Foundation Pledges $1M to UAMS Radiation Oncology Center Five nonprofits to split $5.9 Luke’s receives $1.5

Nurses 40

Nurses Hospitals Nursing Homes Doctors 40