MedTrainer

MARCH 30, 2024

Step-By-Step Provider Enrollment Process There are many reasons provider enrollments are delayed: incorrect information, missing documents, busy credentialers, and slow-moving payers. CAQH Profile Management Streamline your enrollment processes with the most up-to-date provider information at your fingertips.

Malpractice 98

Malpractice Licensing Medicaid Medicaid 98

Verisys

MARCH 12, 2024

License renewals are due February 29, 2024. Licenses can still be renewed after that date, however, they will be subject to late fees. IL PA License Renewal (page 6) Maryland : The Maryland Board of Pharmacy has adopted new regulations establishing the requirements and responsibilities of Validated Pharmacy Technicians.

Regulatory Compliance 52

Regulatory Compliance Compliance Medicaid Medicaid 52

Verisys

FEBRUARY 8, 2024

Upon moving to another compact state, a nurse holding a compact license must apply for a new license in their new primary state of residence within 60 days of relocating. NLC Relocation Rule Explanation NLC Relocation FAQ Arizona: The Arizona Board of Nursing has issued a reminder for nursing licenses expiring in 2024.

Regulatory Compliance 52

Regulatory Compliance Compliance Licensing Nurses 52

HIPAA Journal

MARCH 16, 2023

Florida Medical Clinic, NorthStar Emergency Medical Services, Denver Public Schools, Wichita Urology Group, and The Bone & Joint Clinic have recently reported hacking incidents and the exposure and potential theft of protected health information. No financial information was compromised, and only 115 Social Security numbers were exposed.

Electronic Medical Records 67

Electronic Medical Records Health Insurance Ransomware HIPAA 67

The Health Law Firm Blog

JULY 11, 2022

Board Certified by The Florida Bar in Health Law Do you have a medical, pharmacist, counselor, or nursing license in more than one state? Do you have a license in more than one profession? By George F. Indest III, J.D., Have you been notified that an investigation has been opened against your professional [.].

Licensing 52

Licensing Nurses Medicaid Medicaid 52

Provider Trust

MARCH 16, 2022

Exclusions are administrative actions that are placed upon an individual or entity by HHS OIG, a state agency or Medicaid Fraud Control Unit (MFCU), or by one of the many agencies associated with SAM.gov. Additionally, there are varying, disparate State Medicaid exclusions sources that require periodic screening.

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

Healthcare It News

OCTOBER 31, 2022

The pilot, funded under a cooperative agreement by the Office of the National Coordinator for Health IT (ONC) and Health Level Seven International (HL7), focuses on applying FHIR Gravity social risk terminology – to exchange information.

Licensing 277

Licensing Health Outcomes Medicaid Medicaid 277

MedTrainer

APRIL 11, 2024

Although each process is slightly different, both involve thoroughly verifying provider information, including provider background, education, and qualifications. Data Integrity Problems: Paperwork errors are significant issues, such as spelling or missing information in required fields.

Licensing 52

Licensing Medicaid Medicaid Medicare 52

Provider Trust

APRIL 18, 2024

Since that time, the organization has uniquely led the way in providing innovative solutions that uphold data integrity for ongoing exclusion monitoring, timely license and credential verification, and healthcare vendor data collection. To learn more, visit providertrust.com. Magazine, and the Nashville Business Journal.

Compliance 52

Compliance Licensing Fraud Medicaid 52

Verisys

MAY 11, 2023

Publication of Notice – Operation Nightingale Oregon : The Oregon Medical Board has proposed a new rule to add “license denials” as a class of cases exempt from the 90-day timeline requirements. This new rule would allow a longer timeline due to board meeting schedules and the complexity of license denial cases.

Licensing 52

Licensing Nurses Medicaid Medicaid 52

HIPAA Journal

JULY 4, 2023

Murfreesboro Medical Clinic & SurgiCenter (MMC) in Tennessee has recently confirmed that the protected health information of more than half a million patients was compromised in what it describes as “a series of attacks on our network and IT systems,” which were discovered on or around April 24, 2023.

Medicaid 74

Medicaid Medicaid Health Insurance Licensing 74

MedTrainer

DECEMBER 4, 2023

The Kentucky Cabinet for Health and Family Services (CHFS), Department for Medicaid Services administers the state’s Medicaid program, ensuring access to essential health care services for eligible low-income individuals and families in Kentucky.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

MedTrainer

NOVEMBER 27, 2023

The Department of Community Health (DCH) serves as the lead agency for Medicaid and PeachCare for Kids® , and also oversees the State Health Benefit Plan , Healthcare Facility Regulation Division and State Office of Rural Health. The Medical Assistance Plans Division oversees Georgia’s Medicaid and PeachCare for Kids® programs.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

Verisys

OCTOBER 23, 2023

Alabama : License renewals for pharmacy technicians, pharmacy interns, and facilities are open as of 9/15/2023. The board urges that nurses who were practicing under an EMSA license should apply for licensure by endorsement to continue to practice in California. Here is our monthly regulatory update.

Licensing 52

Licensing Nurses Compliance Medicaid 52

The Health Law Firm Blog

MARCH 26, 2024

It provides information and statistics on actions involving licensed health professionals through March 2021. Indest III, J.D., Board Certified by The Florida Bar in Health Law The Florida Department of Health's Quarterly Performance Report (QPR) for the Third Quarter of Fiscal Year 2020-2021, was recently released.

Licensing 52

Licensing Nurses Fraud Medicaid 52

Verisys

NOVEMBER 8, 2023

Providers must use their NPI when transmitting any electronic health information in connection with a transaction. The Centers for Medicare and Medicaid Services ( CMS ) began developing a healthcare provider identification system in July 1993, culminating in the establishment of the NPI as the standard in the NPI Final Rule published on Jan.

Fraud 97

Fraud HIPAA Medicare Medicare 97

Health Care Law Brief

FEBRUARY 8, 2024

billion to fund Medicaid, $4.8 In addition to the 1115 Waiver, which funds the Medicaid Hospital Global Budget for financially distressed safety net hospitals transitioning from volume-based reimbursement models to value-based models, the HMH Bill would also establish the Healthcare Safety Net Transformation Program (“HSNT Program”).

Medicaid 52

Medicaid Medicaid Nurses Licensing 52

MedTrainer

NOVEMBER 27, 2023

The Ohio Department of Medicaid is responsible for administering the state’s Medicaid, a comprehensive healthcare program that provides medical coverage to low-income individuals and families in Ohio. This department focuses on ensuring access to quality healthcare services while managing the state’s Medicaid budget and policies.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

HIPAA Journal

JUNE 16, 2023

EpiSource Confirms Breach of its AWS Environment The Gardena, CA-based medical coding vendor, EpiSource, has confirmed that the protected health information of patients of its healthcare clients has been exposed and potentially compromised in a February 2023 cyberattack on its Amazon Web Services (AWS) environment.

Medicaid 84

Medicaid Medicaid HIPAA Health Insurance 84

The Health Law Firm Blog

MARCH 11, 2024

It provides information and statistics on actions involving licensed health professionals through March 2021. Indest III, J.D., Board Certified by The Florida Bar in Health Law The Florida Department of Health's Quarterly Performance Report (QPR) for the Third Quarter of Fiscal Year 2020-2021, was recently released.

Licensing 52

Licensing Nurses Fraud Medicaid 52

MedTrainer

NOVEMBER 27, 2023

Established in 1918, NCHA plays a pivotal role in enhancing healthcare by offering information, support, educational resources, policy guidance, and advocacy to its members. The Division of Health Benefits administers the state’s Medicaid program, which provides essential healthcare coverage to eligible individuals and families.

Compliance 52

Compliance Licensing Telemedicine Medicaid 52

HIPAA Journal

FEBRUARY 16, 2022

Family Christian Health Center (FCHC) in Illinois has announced it was the victim of a ransomware attack in November 2021 that compromised the protected health information of 31,000 patients. The attackers compromised FCHC’s old dental system which contained the PHI of patients who had received dental services prior to August 31, 2020.

Ransomware 124

Ransomware Hospitals Licensing HIPAA 124

HIPAA Journal

SEPTEMBER 9, 2022

Birmingham, AL-based Henderson & Walton Women’s Center (HWWC) has recently notified 34,306 patients that some of their protected health information may have been compromised as a result of a hacker gaining access to the email account of one of its employees. The information exposed varied from patient to patient.

Licensing 104

Licensing Health Insurance Fraud HIPAA 104

Verisys

JULY 12, 2023

related to the Temporary Licenses for Military Spouses/Domestic Partners. related to the Temporary Licenses for Military Spouses/Domestic Partners. CA Military Temporary Licenses Amendment Colorado: Legislation has been passed to allow for the licensure of certified midwives under the Colorado Board of Nursing.

Licensing 52

Licensing COVID-19 Medicaid Medicaid 52

HIPAA Journal

OCTOBER 17, 2022

Phoenix, AZ-based Valle del Sol Community Health has notified 70,268 patients that some of their protected health information has been exposed. Valle de Sol said the investigation indicated unauthorized individuals had access to files containing sensitive patient data and that patient information may have been acquired.

Health Insurance 117

Health Insurance Licensing Fraud HIPAA 117

MedTrainer

NOVEMBER 29, 2023

Each organization needs a system in place for keeping their standards up to date and efficiently relaying the information to staff. Read on for vital information about maintaining healthcare compliance in South Carolina. The state has been proactive in expanding telehealth services , especially in rural and underserved areas.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

Healthcare Law Blog

OCTOBER 21, 2022

For informational purposes only, a link to the federal Centers for Medicare and Medicaid Services (CMS) Open Payments web page is provided here. It can be found here.

Licensing 97

Licensing Medicaid Medicaid Hospitals 97

Healthcare IT Today

NOVEMBER 2, 2023

Since January 2022 , the Centers for Medicare & Medicaid Services (CMS) and other federal agencies have had their eyes on California with the launch of the nation’s largest-ever program to transform the healthcare system for vulnerable communities.

Medicaid 97

Medicaid Medicaid Licensing Medicare 97

Pharmacy Law Blog

MAY 14, 2018

Our attorneys include those who are board certified in health law by The Florida Bar, those who are nurses, and those who are themselves licensed health professionals. The Following is a list of little known facts about state investigations (including DOH investigations) that could save your license: 1.

Licensing 40

Licensing Nurses Medicaid Medicaid 40

MedTrainer

NOVEMBER 29, 2023

The Louisiana Department of Health (LDH) Medicaid Program administers the state’s Medicaid services, providing essential health coverage to qualifying residents, including low-income individuals, families, and seniors. These two options help to ensure uniformity in the submission of applicants’ information across various payers.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

Pharmacy Law Blog

MAY 7, 2018

Our attorneys include those who are board certified in health law by The Florida Bar, those who are nurses, and those who are themselves licensed health professionals. The Following is a list of little known facts about state investigations (including DOH investigations) that could save your license: 1.

Licensing 40

Licensing Nurses Medicaid Medicaid 40

Compliancy Group

APRIL 25, 2024

Components of Medicare Fraud, Waste, and Abuse Training One of the most important elements of CMS Medicare fraud, waste, and abuse training is defining and differentiating these three terms : Fraud is the deliberate attempt to obtain financial gain through deceptive means, such as providing false information.

Fraud 59

Fraud Medicare Medicare Compliance 59

MedTrainer

DECEMBER 7, 2023

The Medicaid and Health program of Idaho provides health coverage to eligible low-income adults, children, pregnant women, elderly adults, and people with disabilities in the state, offering a range of medical and health-related services. It also allows licensure exceptions for out-of-state providers under specific circumstances.

Compliance 52

Compliance Licensing Compliance Officers Informed Consent 52

MedTrainer

FEBRUARY 5, 2024

Provider enrollment is when a healthcare provider is registered with insurance networks or government payers , like Medicaid or Medicare. This process typically involves submitting an application with detailed information regarding the provider’s qualifications and licenses.

Licensing 52

Licensing Governance Compliance Fraud 52

MedTrainer

DECEMBER 20, 2023

Both licensing and credentialing processes are pivotal in upholding the integrity and safety of healthcare delivery in the state of New Jersey. The New Jersey State Board of Medical Examiners oversees medical credentialing and licensing within the state. Primary Source Verification. Payers in New Jersey have specific requirements.

Licensing 52

Licensing Medicaid Medicaid Malpractice 52

HIPAA Journal

OCTOBER 7, 2022

Anthem has confirmed that the protected health information of certain plan members has been compromised in a data breach at its vendor, Choice Health. No financial information, Social Security numbers, or driver’s license numbers were taken.

HIPAA 102

HIPAA Health Insurance Medicaid Medicaid 102

HIPAA Journal

MARCH 25, 2022

Ultimate Care said no reports have been received that indicate there has been any misuse of patient information; however, as a precaution against identity theft and fraud, individuals whose Social Security numbers were impacted have been offered complimentary one-year memberships with a credit monitoring service.

Health Insurance 111

Health Insurance Licensing Ransomware Fraud 111