Healthcare Compliance Blog

MARCH 7, 2022

After an investigation into Colorado’s care for people with disabilities who reside in nursing homes, the Department of Justice (DOJ) concluded that the state unnecessarily segregates people with physical disabilities in nursing facilities. These available services should be regardless of the person’s age or physical disability.

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Bill of Health

MARCH 16, 2022

spread between nursing homes. These facilities, like most nursing homes, are for-profit businesses that pad their margins by cutting labor costs. As in nursing homes, homecare understaffing pre-dated , but was intensified by , the pandemic. Recall that the first COVID-19 outbreak in the U.S.

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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’m a Privacy Consultant employed by GDH Government Consulting Services. I’m currently on contract to a State Medicaid Agency’s Privacy Office.

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Governance HIPAA Compliance Nursing Homes 86

The Health Law Firm

AUGUST 22, 2016

Board Certified by The Florida Bar in Health Law On July 11, 2016, a federal appeals court stated that a bankruptcy judge did not have the authority to block government health officials from cutting off Medicare and Medicaid payments to a Florida nursing home that was alleged to have violated patient-care regulations.

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Nursing Homes US Department of Health and Human Services Medicaid Medicaid 40

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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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Nursing Homes Medicaid Medicaid Nurses 112

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.

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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.

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Governance Nursing Homes Medicaid Medicaid 85

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”.

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Nursing Homes Malpractice Hospitals Nurses 52

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?

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Compliance Fraud Nursing Homes Governance 52

Med-Net Compliance

JULY 26, 2022

Additionally, the Centers for Medicare & Medicaid Services (CMS), Center for Program Integrity (CPI), announced that it took administrative actions against 52 providers involved in similar schemes. In connection with the enforcement action, the department seized over $8 million in cash, luxury vehicles, and other fraud proceeds.

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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.

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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.

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Healthcare IT Today

APRIL 19, 2024

Laura Ferrara, Chief Strategy Officer at Intus Care The focus on healthcare delivered in the comfort of one’s home has surged in recent times, particularly in light of the pandemic. Telehealth advancements, both in technology and government policy, have created greater access to care for people who might otherwise struggle to get it.

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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

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.

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Nursing Homes Nurses Medicaid Medicaid 52

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. Sema Sgaier, founder of Surgo Health, points out that different factors are important for different conditions.

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Department of Veterans Affairs Nursing Homes Health Outcomes Hospitals 93

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.

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Fraud Medicare Medicare Governance 40

C&M Health Law

MAY 11, 2022

Last week, the Centers for Medicare & Medicaid Services (CMS) released data —for the first time—reporting on mergers, acquisitions, consolidations, and changes of ownership of Medicare enrolled hospitals and nursing homes over the past six years.

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Nursing Homes Nurses Medicaid Medicaid 52

Hall Render

MAY 13, 2022

Nursing Home Operator Leaving 8 Locations. COVID outbreaks strike 8 nursing homes as cases rise across Maine. Massachusetts to receive $250,000 from 5 nursing homes over patient neglect, inadequate care claims. MHA discusses the significance of Medicaid’s 12-month extension for postpartum women in Michigan.

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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.

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Nursing Homes Licensing Nurses Fraud 59

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 (..)

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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.

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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]

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Nurses Medicaid Medicaid Medicare 52

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.

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

Hall Render

JULY 22, 2022

Director says multiple Arizona nursing homes had around 300 complaints. ESI Closes on 280-Bed SNF Sale; Blueprint Secures Deal for Connecticut Nursing Home. The Journey from Nursing to COO of John Dempsey Hospital. Delaware Adds Centene Plan to Medicaid Managed Care Offerings. Iowa physicians sell $16.4M

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Hall Render

FEBRUARY 25, 2022

40% of Nursing Home Residents Haven’t Received COVID-19 Boosters, Analysis Finds. 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. Contract Nurse Agencies Are Making Big Money in the Age of COVID-19. CALIFORNIA.

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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

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Nursing Homes Nurses Hospitals COVID-19 40

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.

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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.

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