MedTrainer

NOVEMBER 27, 2023

Ohio Healthcare Compliance Resources Let’s start with the important state government agencies you’ll need to work with: The Ohio Department of Health (ODH) is key to safeguarding and enhancing the health of Ohio residents. For over a century, OHA has been dedicated to assisting member hospitals in addressing community health needs.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

HIT Consultant

AUGUST 5, 2022

RVUs are applied to each service for work, medical practice expenses, and malpractice expenses. In California, Medicaid has become an attractive and lucrative business for providers who know how to effectively operate in the segment. The proposed changes would reduce the conversion factor by 4.4% from $34.61 in CY 2022 to $33.08

Telemedicine 98

Telemedicine Medicaid Medicaid Malpractice 98

Verisys

MARCH 1, 2022

An Office of Inspector General (OIG) search of the List of Excluded Individuals/Entities (LEIE) indicates if the licensee is excluded from participating in government-funded programs. The Centers for Medicare & Medicaid Services (CMS) Medicare and state Medicaid lists show practitioners who have opted out of those programs.

Governance 52

Governance Licensing Malpractice Medicaid 52

MedTrainer

MARCH 14, 2024

Additionally, the credentialing specialist may request a record of any pending and past medical malpractice cases and disciplinary actions from the appropriate authority. Whether it’s government regulation or healthcare facility requirements is a matter. Upon completion and approval, the provider can begin billing for medical services.

Malpractice 52

Malpractice Licensing Hospitals Compliance 52

MedTrainer

MAY 6, 2024

Department of Commerce National Technical Information Service (when applicable) Disciplinary history or adverse actions related to licensure and DEA registration, which we query through state licensing boards and the National Practitioner Databank (NPDB) Malpractice insurance claim history to examine any possible trends and to look for evidence that (..)

Licensing 52

Licensing Malpractice Health Insurance Medicaid 52

AIHC

SEPTEMBER 5, 2023

Most private insurers and Medicaid cover telebehavioral health care, but check for reimbursement restrictions and obtain professional coding and billing guidance to avoid overpayment situations. Store-and-forward is less commonly reimbursed by Medicare and Medicaid programs. This is also called “store-and-forward telemedicine.”

COVID-19 59

COVID-19 Telemedicine Compliance Informed Consent 59

Verisys

DECEMBER 23, 2021

Provider enrollment is the application process by which a practitioner is approved to seek reimbursement from government and/or third-party payers or seek admitting privileges at a hospital. It includes: The provider enrollment process for various government health plans. High number of malpractice cases. Vague references.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Med Law Blog

MAY 1, 2023

Please note that the potential for ulterior financial motives does not automatically presume that the intent is somehow suspect, in the same way that potential medical malpractice concerns does not legitimately question the clinical motives of all other providers.

Nursing Homes 52

Nursing Homes Malpractice Hospitals Nurses 52

NY Health Law

APRIL 15, 2021

While the laws governing telehealth were becoming gradually more permissive, progress was slow. Pending legislation addresses the amount of reimbursement available for telehealth (both by Medicaid and commercial insurers) and permissible modalities (including asynchronous telemedicine).

Informed Consent 52

Informed Consent Malpractice Telemedicine Medicaid 52

Hall Render

MAY 10, 2024

Million CALIFORNIA California hospital dismisses CEO California physician pleads guilty to $2.5M million expansion ‘Very, very unusual.’ Million CALIFORNIA California hospital dismisses CEO California physician pleads guilty to $2.5M million expansion ‘Very, very unusual.’ biotech mulling sweetened acquisition offer D.C.

Nursing Homes 40

Nursing Homes Nurses Hospitals Medicaid 40

AIHC

APRIL 25, 2022

As AIHC advises, another resource is legal advice through your malpractice insurance company. Medicaid programs often restrict the type of providers that can be reimbursed when delivering services via telehealth. During the COVID-19 public health emergency (PHE), many states waived this requirement or provided specific exceptions.

HIPAA 52

HIPAA Compliance COVID-19 Compliance Officers 52

HIT Consultant

FEBRUARY 5, 2024

Credentialing lapses can expose a healthcare organization to malpractice suits and accreditation problems. This creates the potential for negative patient outcomes, which can lead to expensive malpractice lawsuits. Thorough and ongoing physician screening is critical to avoid costly negligent credentialing and malpractice claims.

Malpractice 96

Malpractice Licensing Due Diligence Hospitals 96

Hall Render

MAY 13, 2022

Judge awards $5 million to NH woman in medical malpractice case. Troubled NC nursing home set to lose nearly all its government funding — and patients. Government watchdog: Health care giants improperly denied Medicare benefits. Hospital association sues DHS over pro-union language in Medicaid contracts. NEW HAMPSHIRE.

COVID-19 40

COVID-19 Nurses Nursing Homes Hospitals 40

MedTrainer

AUGUST 2, 2023

It involves collecting and reviewing information such as education, training, licensure, certifications, work history, malpractice history, and references — all in pursuit of verifying that providers are who they say they are and qualified to deliver legitimate, safe, and ethical care.

Malpractice 52

Malpractice Due Diligence Compliance Licensing 52

Health Law Advisor

NOVEMBER 2, 2022

In the 2023 Outpatient Prospective Payment System Final Rule (OPPS Final Rule), released in pre-publication form on November 1, 2022, the Centers for Medicare and Medicaid Services (CMS) adopts final regulations governing REHs. This monthly facility payment will increase after CY 2023 at the hospital market basket percentage increase.

Medicare 52

Medicare Medicare Hospitals Malpractice 52

Hall Render

MARCH 3, 2023

Businesses set to profit from medical marijuana in Mississippi Missouri, Mississippi Advance Bills To Expand Postpartum Medicaid Benefits MISSOURI Missouri, Mississippi Advance Bills To Expand Postpartum Medicaid Benefits Missouri congressman seeks a lifeline for rural hospitals New St.

Nursing Homes 40

Nursing Homes COVID-19 Nurses Hospitals 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

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

Nursing Homes 40

Nursing Homes Nurses Hospitals COVID-19 40

Hall Render

JULY 22, 2022

Delaware Adds Centene Plan to Medicaid Managed Care Offerings. Key advocates reflect on Hawaii postpartum Medicaid coverage extension. State settles University of Iowa medical malpractice lawsuit for $7.5 Hospital System Says It’s Hurt by Lack of Medicaid Expansion. Ground broken for Milton medical pavilion.

COVID-19 40

COVID-19 Nursing Homes Nurses Hospitals 40

Hall Render

OCTOBER 6, 2023

government grant for maternal health care Alabama slides to 50th on nursing home and long-term care report card Ascension sells Alabama hospital Ascension St. medical school to revamp philanthropic efforts Sage Health opening 3 central Md.

US Department of Health and Human Services 40

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

Hall Render

OCTOBER 6, 2023

government grant for maternal health care Alabama slides to 50th on nursing home and long-term care report card Ascension sells Alabama hospital Ascension St. medical school to revamp philanthropic efforts Sage Health opening 3 central Md.

US Department of Health and Human Services 40

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

Hall Render

JANUARY 19, 2024

Francis emergency room KENTUCKY Apollo’s 220-hospital ‘stranglehold’ harms patients and workers, report alleges Humana cuts ‘small’ number of jobs in multiple locations LMU School of Nursing will open Lexington site at CHI Saint Joseph Health Mercy Health announces acquisition of orthopedic center in Paducah, Ky.

Nursing Homes 40

Nursing Homes Nurses Hospitals COVID-19 40

Verisys

MARCH 30, 2023

Healthcare organizations must regularly check practitioners’ qualifications and license status to comply with regulations and to ensure payment from private and government agencies like Medicare and Medicaid. What are the requirements for medical credentialing?

Licensing 52

Licensing Malpractice Medicaid Medicaid 52

Hall Render

APRIL 14, 2023

Where does it leave medication abortion in Pa., and Delaware Delaware struggles to investigate nursing homes, assisted living facilities. operating gain Mercer County medical office portfolio sells for $11M Mifepristone is at the center of growing legal battles.

Nursing Homes 40

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

Hall Render

APRIL 29, 2022

Alabama Medicaid enrollment increases as pandemic requirement continues. California to increase awards in medical malpractice cases. in malpractice case. Hawaii begins COVID-19 ‘Transition Plan’ Maui hospital system still reliant on funds from government. Pandemic uncertainty complicates Medicaid budget.

COVID-19 40

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

Hall Render

SEPTEMBER 22, 2023

in repairs Sutter Health faces possible $519M payout in alleged double billing case COLORADO Denver Health sued by sons after father’s jail death How a Kaiser Permanente worker strike could affect Colorado patients Kaiser names regional president Medical Office Building in Littleton Sells for $6.1M

Nursing Homes 40

Nursing Homes COVID-19 Nurses COVID-19 Vaccine 40

Hall Render

NOVEMBER 17, 2023

Jill Biden will lead new initiative to boost federal government research into women’s health Joint Commission says acute, critical access hospitals must join safety network Lawsuit claims UnitedHealth AI wrongfully denies elderly extended care Most Rural U.S. Compensation is key Is spine surgery expansion next for ASCs?

Nursing Homes 40

Nursing Homes Nurses Hospitals Doctors 40

Hall Render

JANUARY 27, 2023

California’s healthcare worker retention payments to start in February Julie Miller-Phipps to retire after 45-year career with Kaiser Permanente COLORADO By the numbers: How pandemic-induced staffing issues are leaving Colorado seniors out in the cold Colorado’s rural hospitals could get $3 million a year to end inpatient care.

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes COVID-19 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 Francis Hospital-Interquest Progresses In Colorado Colorado’s wealthiest hospitals favored in $1.2 in Indiana aging-in-place work. in Indiana aging-in-place work.

US Department of Health and Human Services 40

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

Hall Render

MARCH 9, 2023

Mental health hospital slated for Wichita could solve some problems but faces staffing questions Missouri and Kansas limit payouts in medical malpractice lawsuits. in federal funds will allow CT colleges to hire more nursing instructors, provide student tuition support Connecticut hospital expenses $3.5B But who really benefits?

COVID-19 40

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

Hall Render

FEBRUARY 10, 2023

Dunleavy proposes extending Medicaid coverage for new mothers ARIZONA Banner Health pays $1.25M penalty over HIPAA failures from 2016 breach Arizona nursing school at risk of losing accreditation St. billion since pandemic U.S. billion since pandemic U.S. Luke’s Health System says it will lay off workers in Idaho.

US Department of Health and Human Services 40

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

Hall Render

FEBRUARY 3, 2023

Naoto Ueno, UH Cancer Center’s new director Maui Health’s Mike Rembis to retire Addressing the shortage of licensed practical nurses IDAHO Idaho hospital investigates employee after ‘inappropriate hand gesture’ in social media post St. Luke’s launches investigation after social media post stirs controversy St.

US Department of Health and Human Services 40

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

Hall Render

MAY 12, 2023

Connecticut is weighing several changes to Medicaid. Here’s what it means. Cloud Hospital names Chief Quality Officer Tampa’s Lions Eye Institute adopts new name Troubled Cano Health records $60.6M Cloud Hospital names Chief Quality Officer Tampa’s Lions Eye Institute adopts new name Troubled Cano Health records $60.6M

COVID-19 40

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

Hall Render

JULY 21, 2023

Luke’s hospital doubles its square footage in McCall Teton Valley Health recruits new CEO from neighboring hospital New national 988 suicide and crisis lifeline helps more Idahoans In Idaho, Half of People Removed From Medicaid Didn’t Send State Their Info ILLINOIS HSHS St. Luke’s named to Becker’s Great Heart Programs list Univ.

US Department of Health and Human Services 40

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

Hall Render

MARCH 1, 2024

Reeves doesn’t mention Medicaid expansion or health care crisis in State of the State address U.S. KXAN investigates Does UT Tyler Health Science Center’s deal with private equity shield doctors from malpractice suits? R1 RCM posts $3.3M R1 RCM posts $3.3M Monopolizes Care Physician charged in $20.7M

Nursing Homes 40

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