Bill of Health

JUNE 15, 2023

Merck alleges that the price negotiation program operates as a price control because it effectively requires manufacturers to accept the maximum fair price as a condition of participation in Medicare and Medicaid. Merck can avoid price regulation by opting out of Medicare and Medicaid altogether.

Medicare 195

Medicare Medicare Medicaid Medicaid 195

Verisys

APRIL 3, 2025

Licensure actions Disciplinary actions from state medical boards, like suspensions or revoked licenses. Exclusions from Medicare and Medicaid Instances where a provider has been banned from participating in government-funded healthcare programs. Civil judgments Lawsuits that reveal unethical behavior or misconduct.

Malpractice 52

Malpractice Licensing Compliance Hospitals 52

Healthcare IT News - Telehealth

FEBRUARY 5, 2024

Despite the end of the public health emergency, individuals and informed political leaders will continue to work with pharmacies to continue access to vital care for individuals in need of medication for mental health because mental health is part of overall health. Your third prediction concerns medication.

COVID-19 187

COVID-19 Public Health Licensing Telemedicine 187

Provider Trust

MAY 9, 2023

What is a Medicaid Fraud Control Unit (MFCU)? But these programs cannot be controlled by Medicaid and Medicare alone. But these programs cannot be controlled by Medicaid and Medicare alone. With this legislation, Medicaid Fraud Control Units (MFCUs) were born.

Fraud 52

Fraud Medicaid Medicaid Nurses 52

Healthcare IT News - Telehealth

DECEMBER 28, 2020

"Our legacy telemedicine program also was limited to a certain degree because of restrictions on reimbursement for services, particularly reduced rates for off-site telemedicine paid by New York State Medicaid funding," he explained. licenses to medical and behavioral health providers.

COVID-19 217

COVID-19 Telemedicine Public Health Patient Satisfaction 217

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 Today

MARCH 27, 2023

A Surge in Virtual Health Overnight, the pandemic exposed shortcomings in the healthcare system, leading to widespread adoption of virtual care services by patients and clinicians. The company currently supports some major players in the space including big name pharmacies, retailers and hospitals and health systems.

Licensing 111

Licensing Health Outcomes Medicaid Medicaid 111

MedTrainer

JULY 28, 2023

Earlier this year, an in-depth OIG investigation resulted in a six-day trial of a former Louisiana health clinic CEO , who was ultimately convicted of Medicaid fraud and sentenced to 82 months in federal prison. Medicare/Medicaid Compliance Reviews. The OIG performs regular compliance reviews of Medicare and Medicaid providers.

Fraud 98

Fraud Compliance Medicaid Medicaid 98

Health Care Law Brief

JUNE 2, 2022

The onset of the COVID-19 public health emergency (“PHE”) led to a surge in the use of telehealth by health care providers. Provider Licenses. Are all providers licensed or otherwise authorized to render care via telehealth to patients located in a given state? Prescriptions & Controlled Substances.

Public Health 52

Public Health Compliance COVID-19 Licensing 52

HIPAA Journal

APRIL 25, 2023

Data breaches have recently been announced by Santa Clara Family Health Plan, United Steelworkers Local 286, Robeson Health Care Corporation, Two Rivers Public Health Department, and NewBridge Services.

Health Insurance 106

Health Insurance Public Health Ransomware Fraud 106

Health Care Law Brief

MAY 11, 2022

No bonus amount may be paid to any worker who has been suspended or excluded under the Medicaid program during the vesting period and at the time an employer submits a claim. Bonus amounts will be commensurate with the number of hours worked by covered workers during designated vesting periods up to a total of $3,000 per covered worker.

Medicaid 97

Medicaid Medicaid Overpayment Overpayments 97

Healthcare IT Today

APRIL 29, 2023

Three leaders of ROI Healthcare sat down with John Lynn and talked about helping health systems get the payoff they want from investments in RCM, ERP, and EHR software. Two key steps: Revisiting licensing agreements and ensuring new systems aren’t tethered to old processes.

Medicaid 88

Medicaid Medicaid Public Health Licensing 88

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.

US Department of Health and Human Services 59

US Department of Health and Human Services Fraud Medicaid Medicaid 59

Verisys

MARCH 17, 2023

This bill establishes license length, eligibility, qualifications, permitted duties and supervision requirements. This bill establishes license length, eligibility, qualifications, permitted duties and supervision requirements. The proposed amendments have been posted for public comment.

COVID-19 52

COVID-19 Nurses Licensing Public Health 52

MedTrainer

DECEMBER 4, 2023

Kentucky Healthcare Compliance Resources Let’s start with the important state government agencies you’ll need to work with: The Kentucky Department for Public Health (DPH) plays a vital role in promoting and protecting the health and wellness of the citizens of Kentucky through various programs, initiatives, and health services.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

HIT Consultant

OCTOBER 27, 2022

Color’s behavioral health solution creates timely access to behavioral health screening and counseling, embeds care access points and resources directly into neighborhoods and community spaces, is in-network with leading Medicaid and Medicare plans in all 50 states and delivers multilingual, culturally appropriate care.

Medicaid 52

Medicaid Medicaid Public Health Medicare 52

Healthcare IT News - Telehealth

JANUARY 26, 2022

Other outstanding issues related to post-pandemic telehealth services include originating site questions, regulations on what types of devices and modalities can be used, which specialty encounters such as physical therapy can be conducted via telehealth, as well as state licensing requirements.

Fraud 148

Fraud Telemedicine COVID-19 Licensing 148

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

MedTrainer

NOVEMBER 27, 2023

Georgia Healthcare Compliance Resources Let’s start with the important state government agencies you’ll need to work with: The Georgia Department of Public Health (DPH) plays a crucial role in safeguarding the health and well-being of Georgians. Operating a pain management clinic without a license is a felony.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

Healthcare Compliance Blog

MARCH 31, 2022

The agencies received millions of dollars in funding from Medicaid, which is funded in part by the federal government, and much of that money was meant to pay the wages and benefits of their aides. Under the Wage Parity Law, which is funded by Medicaid, aides are to be paid a minimum amount in total compensation.

Medicaid 59

Medicaid Medicaid Governance Fraud 59

MedTrainer

NOVEMBER 29, 2023

Louisiana Healthcare Compliance Resources Let’s start with the important state government agencies you’ll need to work with: The Louisiana Department of Health (LDH) is the state agency responsible for public health initiatives, healthcare policy, and overseeing medical services and facilities throughout Louisiana.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

MedTrainer

NOVEMBER 27, 2023

The Division of Health Benefits administers the state’s Medicaid program, which provides essential healthcare coverage to eligible individuals and families. These agencies help maintain the integrity and quality of healthcare services in North Carolina , protecting the public and promoting patient safety.

Compliance 52

Compliance Licensing Telemedicine Medicaid 52

MedTrainer

NOVEMBER 28, 2023

Michigan Healthcare Compliance Resources Let’s start with the important state government agencies you’ll need to work with: The Michigan Department of Health and Human Services (MDHHS) focuses on safeguarding public health, implementing health programs, and ensuring the overall health and safety of the population.

Compliance 52

Compliance Licensing Public Health Compliance Officers 52

MedTrainer

NOVEMBER 29, 2023

The South Carolina Hospital Association (SCHA) is a private, non-profit organization dedicated to supporting and advocating for hospitals and health systems in South Carolina, aiming to improve healthcare quality and access across the state.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

MedTrainer

NOVEMBER 30, 2023

The Wisconsin Hospital Association (WHA) is an influential organization representing hospitals and health systems in Wisconsin, committed to advocating for effective healthcare policies and fostering quality healthcare delivery across the state. It also includes interactive, store-and-forward, and remote patient monitoring methods.

Compliance 52

Compliance Medicaid Medicaid Licensing 52

Medisys Compliance

MAY 19, 2022

During the COVID-19 Public Health Emergency (PHE), reimbursements for telehealth continue to evolve. The federal government, state Medicaid programs, and private insurers have expanded coverage for virtual health care services. See this list of telehealth services from the Centers for Medicare & Medicaid Services.

COVID-19 52

COVID-19 Medicare Medicare Medical Billing 52

MedTrainer

DECEMBER 7, 2023

The Maine Hospital Association (MHA) is a pivotal organization that advocates for and supports hospitals and health care systems across Maine, striving to improve healthcare quality and accessibility for all Mainers. Regulations Unique to Maine To meet the standards of healthcare compliance in Maine , there are a few additional regulations.

Compliance 52

Compliance Licensing Compliance Officers Medicaid 52

MedTrainer

DECEMBER 7, 2023

The New Hampshire Hospital Association (NHHA) is an organization dedicated to supporting and advocating for hospitals and health systems in New Hampshire, focusing on improving healthcare quality and accessibility for the state’s communities.

Compliance 52

Compliance Licensing Public Health Medicaid 52

MedTrainer

NOVEMBER 17, 2023

Regulations unique to Illinois include those around the state’s Medicaid program and also encompass telehealth licensure, reimbursement, and practice standards for healthcare providers delivering care remotely. Medical licensing is provided by the Illinois Department of Financial and Professional Regulation.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

MedTrainer

NOVEMBER 20, 2023

The Florida Hospital Association (FHA) supports hospitals in their mission to deliver quality care by working with state lawmakers to find solutions that increase access and quality of care, while reducing costs to the state’s health care system. While many states have rules that prohibit the storage of Medicaid data outside the U.S.,

Compliance 52

Compliance Licensing Regulatory Compliance Medicaid 52

MedTrainer

DECEMBER 7, 2023

The Medical Assistance Division (MAD) within the New Mexico Human Services Department (HSD) administers the state’s Medicaid program, providing essential healthcare services and financial assistance to eligible low-income residents and families in New Mexico.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

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

MedTrainer

NOVEMBER 28, 2023

The Arizona Health Care Cost Containment System (AHCCCS) is Arizona’s Medicaid agency, providing health care programs to serve Arizona residents through managed care, cost containment, and services aimed at improving the health of those it covers.

Compliance 52

Compliance Licensing Public Health Medicaid 52

MedTrainer

DECEMBER 7, 2023

Hawaii Healthcare Compliance Resources Let’s start with the important state government agencies you’ll need to work with: The Hawaii Department of Health (DOH) is a state agency responsible for overseeing public health and environmental protection initiatives across the Hawaiian Islands.

Compliance 52

Compliance Compliance Officers Licensing Medicaid 52

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.

Compliance 52

Compliance Licensing Compliance Officers Informed Consent 52

MedTrainer

DECEMBER 4, 2023

Mississippi Healthcare Compliance Resources Let’s start with the important state government agencies you’ll need to work with: The Mississippi State Department of Health (MSDH) is dedicated to protecting and improving the health of its residents through various public health services, health education programs, and regulatory initiatives.

Compliance 52

Compliance Telemedicine Licensing Public Health 52

Healthcare Law Today

NOVEMBER 28, 2022

Significant labor/network adequacy challenges facing mental healthcare platforms were noted, but so were possible solutions including the new Centers for Medicare & Medicaid Services (CMS) coordinated care model and the use of coaches to supplement licensed clinicians. The Power of Data. Value-Based Care (VBC): Success or Failure?

Medicaid 59

Medicaid Medicaid Licensing Public Health 59