Provider Trust

SEPTEMBER 29, 2022

A 49-year-old Brownsville, TX man named Fernando Mendez was taken into custody in early September after being charged with defrauding Medicaid. Mendez, who was a physician assistant at CCI Therapy Counseling Centers International, was working with a suspended medical license. How Often Should You Verify Employee Licenses?

Licensing 52

Licensing Fraud Medicaid Medicaid 52

The Health Law Firm Blog

MAY 12, 2023

Board Certified by The Florida Bar in Health Law On October 1, 2021, a former dental office manager was sentenced to 12 months in prison for her role in a Medicaid fraud scheme. The office manager for Universal Smiles, a D.C.-based based dental practice was sentenced for her [.]

Medicaid 52

Medicaid Medicaid Fraud Medicare 52

HIT Consultant

OCTOBER 6, 2022

What You Should Know: – Emcara Health and Aetna Better Health , which announced that the two companies will be partnering to deliver primary care in the home to more than 240,000 Medicaid patients in the Miami/Dade and Tampa, Florida regions. Partnership Details.

Medicaid 52

Medicaid Medicaid Nurses Licensing 52

Verisys

DECEMBER 8, 2022

A professional career can take a provider across state lines, and through an evolution of various license types. In order to see the full picture of an individual, the comprehensive whole of each state licensing board across all license types must be searched. Take the process back another step.

Licensing 52

Licensing Medicaid Medicaid Fraud 52

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. Update as necessary.

Nursing Homes 59

Nursing Homes Nurses Licensing Fraud 59

HIT Consultant

JUNE 17, 2022

What You Should Know: – One of California’s longest-serving and most-experienced Medi-Cal partners, Health Net (a Centene plan), and virtual care and in-home health services provider MedArrive is collaborating to bring the most vulnerable, at-risk Medicaid members in-home access to COVID-19 vaccinations.

COVID-19 Vaccine 52

COVID-19 Vaccine COVID-19 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

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.

Nurses 52

Nurses Medicaid Medicaid Licensing 52

Healthcare IT News - Telehealth

NOVEMBER 19, 2021

Report authors sorted what they saw as necessary policy changes into four categories: Ensuring universal, affordable and equitable health coverage , including by closing the Medicaid coverage gap, lowering immigration-related barriers to coverage and reducing out-of-pocket costs and deductibles for marketplace insurance.

Telemedicine 176

Telemedicine Licensing Doctors Medicaid 176

Healthcare It News

OCTOBER 31, 2022

" Since HL7 pledged to share the standards free of charge under licensing terms, many partnerships and collaborations with both public and private healthcare entities have bloomed.

Medicaid 295

Medicaid Medicaid Health Outcomes Medicare 295

The Health Law Firm Blog

FEBRUARY 15, 2022

Board Certified by The Florida Bar in Health Law On October 1, 2021, a former dental office manager was sentenced to 12 months in prison for her role in a Medicaid fraud scheme. The office manager for Universal Smiles, a D.C.-based based dental practice was sentenced for her.

Medicaid 52

Medicaid Medicaid Fraud Medicare 52

Provider Trust

JANUARY 18, 2023

In October 2022, the South Carolina Medicaid Fraud Control Unit (SCMFCU) arrested a 37-year-old South Carolina woman named Alyssa Beth Steele for working as a registered nurse despite not having a license. Pursuant to federal regulations, the SCMFCU is authorized to investigate and prosecute any acts of Medicaid provider fraud.

Nurses 52

Nurses Licensing Medicaid Medicaid 52

Provider Trust

SEPTEMBER 12, 2022

In 2006, New York’s Office of the Medicaid Inspector General (OMIG) was established as an independent office within New York State’s Department of Health to combat fraud and abuse in New York State’s Medicaid program. No payments will be for medical care, services and supplies furnished, prescribed, or ordered by an excluded party.

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

The Health Law Firm

DECEMBER 23, 2019

., Board Certified by The Florida Bar in Health Law Healthcare professionals: Have you ever had discipline on your professional license during your career? Have you ever been assessed a repayment or fine by Medicare or Medicaid Programs or had your participation in that program terminated or suspended?

Medicaid 40

Medicaid Medicaid Medicare Medicare 40

Med-Net Compliance

SEPTEMBER 7, 2022

A 49-year-old Texas physician assistant was arrested and charged for his role in a scheme to defraud Medicaid by working with a suspended medical license. On July 20, 2021, the Texas Medical Board allegedly ordered the immediate suspension of his physician assistant license, deeming him to be a “continuing threat to public welfare.”

Medicaid 59

Medicaid Medicaid Medical Personnel Fraud 59

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

Med-Net Compliance

SEPTEMBER 14, 2022

A Massachusetts home health aide, who was licensed as a Certified Nursing Assistant (CNA), has been indicted in connection with a home surveillance video showing her abusing an elderly patient, Attorney General Maura Healey announced. The aide was indicted by a grand jury on two charges of assault and battery on an elder by a caretaker.

US Department of Health and Human Services 59

US Department of Health and Human Services Medicaid Medicaid Fraud 59

Healthcare IT News - Telehealth

OCTOBER 2, 2020

Department of Health and Human Services to issue guidance to states about how to increase access to telehealth under Medicaid and the Children’s Health Insurance Program. Examples of states that have used waivers under the Medicaid program to test expanded access to telehealth. Blunt Rochester in a statement. WHY IT MATTERS.

US Department of Health and Human Services 160

US Department of Health and Human Services Medicaid Medicaid COVID-19 160

HIPAA Journal

MAY 30, 2023

MCNA), which also does business as MCNA Dental – a provider of dental benefits and services for state Medicaid and Children’s Health Insurance Programs – has recently reported a major data breach to the Maine Attorney General that has affected 8,923,662 individuals. Managed Care of North America, Inc.

Health Insurance 105

Health Insurance Medicaid Medicaid HIPAA 105

Healthcare Law Blog

JANUARY 25, 2023

Introduction: Defining Interprofessional Consultation In a January 5, 2023, letter to state health officials, the Centers for Medicare & Medicaid Services (“CMS”) clarified a Medicaid and Children’s Health Insurance Program (“CHIP”) policy on the coverage and payment of interprofessional consultations (the “Guidance”).

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

Verisys

MARCH 30, 2023

How to Better Protect your Organization Through Medical Credentialing Medical credentialing – the tedious but necessary process of verifying a provider’s credentials, including license(s) and exclusion status, education, and training. Medical credentialing , unfortunately, isn’t one-and-done at the time of hire.

Medicaid 52

Medicaid Medicaid Licensing Medicare 52

Healthcare IT Today

APRIL 29, 2023

Two key steps: Revisiting licensing agreements and ensuring new systems aren’t tethered to old processes. Read more… Leveraging Data to Maintain Access to Care Amid the Medicaid Redetermination Process. Up to 18 million Medicaid beneficiaries are due to lose coverage as the public health emergency ends.

Medicaid 119

Medicaid Medicaid Public Health Nurses 119

HIPAA Journal

OCTOBER 7, 2022

On August 5, 2022, Anthem discovered that an unauthorized individual had gained access to a database and downloaded files containing plan members’ protected health information, including names, addresses, dates of birth, phone numbers, email addresses, Medicare ID numbers, and Medicaid ID numbers.

HIPAA 116

HIPAA Health Insurance Medicaid Medicaid 116

Healthcare IT News - Telehealth

APRIL 10, 2020

The Centers for Medicare and Medicaid Services has temporarily suspended several regulations to enable hospitals, clinics and other providers to boost their front-line medical staff during the coronavirus pandemic.

Nurses 215

Nurses Medicare Medicare Medicaid 215

Healthcare IT News - Telehealth

JUNE 12, 2020

The Centers for Medicare and Medicaid Services relaxed requirements around reimbursements early in the pandemic, contributing to the upswing in countrywide telehealth visits. " WHY IT MATTERS. Since then, multiple groups have pushed the agency to make such changes permanent. ON THE RECORD.

Medicare 216

Medicare Medicare Medicaid Medicaid 216

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.

Medicaid 97

Medicaid Medicaid Hospitals Medicare 97

Healthcare IT News - Telehealth

JANUARY 23, 2023

In 2023, HIMSS will not only be working to prop up telehealth further with really strong data on how these services help patients to achieve broader reform, but will also work at the state level with licensing boards to discuss how telemedicine can reach more patients. Creating standards synergy for 'Interoperability 3.0'

Medicare 168

Medicare Medicare Medicaid Medicaid 168

Provider Trust

AUGUST 9, 2022

million in federal Medicaid money was transferred to the Centers for Medicare & Medicaid Services (CMS). In 2021, The Office of Inspector General for the Department of Health and Human Services (HHS-OIG) conducted numerous investigations into individuals and entities involved in Medicare and Medicaid crimes. Of this $1.9

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

Verisys

NOVEMBER 30, 2022

organizations that receive any funds from Medicare, Medicaid, TRICARE, or other federal programs cannot afford to employ individuals or entities excluded from even one program. License Verification & Monitoring. 38 Medicaid Sanctions. Medicare and Medicaid Opt-Outs. State Licensing Boards and Agencies.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Healthcare Law Blog

MARCH 20, 2023

For example, an overwhelming sixty percent (60%) of recently-surveyed licensed psychologists reported having no openings for new patients, with many having a volume of patient requests that outweighs their ability to even maintain a waitlist. [1] 6] Increase provider reimbursement strategies. Redefining the workforce.

Medicaid 52

Medicaid Medicaid Health Services Administration Health Care Access 52

Verisys

MARCH 17, 2023

This bill establishes license length, eligibility, qualifications, permitted duties and supervision requirements. ” These bridge year physicians can fill gaps in Idaho’s current healthcare provider workforce. The proposed amendments have been posted for public comment.

Nurses 52

Nurses COVID-19 Public Health Medicaid 52

Healthcare IT Today

MARCH 27, 2023

Companies can also tap into OpenLoop’s Regulatory & Legal and Licensing & Credentialing services to keep their practice and clinicians up-to-date with industry laws and compliance standards while they focus on their patients.

Health Outcomes 115

Health Outcomes Medicaid Medicaid HIPAA 115

Healthcare IT News - Telehealth

JANUARY 25, 2021

Authorize the Centers for Medicare and Medicaid Service to continue reimbursement for telehealth for 90 days beyond the end of the public health emergency. Make permanent the disaster waiver authority, enabling Health and Human Service to expand telehealth in Medicare during all future emergencies and disasters.

Medicare 214

Medicare Medicare COVID-19 Telemedicine 214

Healthcare IT News - Telehealth

OCTOBER 5, 2022

how streamlined licensing and credentialing can help with the psychiatrist shortage. How can telehealth, combined with streamlined licensing and credentialing, help solve the nation's current psychiatrist shortage? Telehealth, however, does so directly and immediately. More than three-quarters of U.S.

Telemedicine 178

Telemedicine Hospitals Licensing Nurses 178

HIT Consultant

MAY 26, 2023

has entered into a license agreement with Intuitive Surgical, Inc., Under the Agreement, Titan has granted Intuitive a non-exclusive license to all of Titan’s IP, with the exception of the IP that is exclusively licensed to another party under a June 2020 license agreement. Titan Medical Inc.

Licensing 52

Licensing Medicaid Medicaid Hospitals 52

HIPAA Journal

MARCH 6, 2023

The types of information exposed varied from individual to individual and may have included names, addresses, medical information, health insurance information, Medicaid identification numbers, driver’s licenses, account and routing numbers, and Social Security numbers.

HIPAA 93

HIPAA Electronic Medical Records Nurses Health Insurance 93

HIPAA Journal

FEBRUARY 16, 2022

The system contained patients’ names, birth dates, insurance card numbers, driver’s license numbers, and copies of patients’ insurance cards and driver’s licenses. 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 133

Ransomware Hospitals HIPAA Medicaid 133