The Health Law Firm Blog

JUNE 27, 2023

Board Certified by The Florida Bar in Health Law Many healthcare professionals are unaware of the adverse long-term collateral effects of Medicare revocation or exclusion on their careers and future employment. However, if you are a physician, dentist, nurse, mental health counselor, psychologist, pharmacist, physician assistant, nurse [.]

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Medicare Medicare Nurses Overpayments 52

The Health Law Firm Blog

JUNE 9, 2023

Board Certified by The Florida Bar in Health Law Many healthcare professionals are unaware of the adverse long-term collateral effects of Medicare revocation or exclusion on their careers and future employment. However, if you are a physician, dentist, nurse, mental health counselor, psychologist, pharmacist, physician assistant, nurse [.]

Medicare 52

Medicare Medicare Nurses Overpayments 52

The Health Law Firm Blog

MAY 17, 2023

Board Certified by The Florida Bar in Health Law Many healthcare professionals are unaware of the adverse long-term collateral effects of Medicare revocation or exclusion on their careers and future employment. However, if you are a physician, dentist, nurse, mental health counselor, psychologist, pharmacist, physician assistant, nurse [.]

Medicare 52

Medicare Medicare Nurses Overpayments 52

Med-Net Compliance

NOVEMBER 8, 2022

On November 3, 2022, the OIG released the results of a recent inspection of a nursing home by the Texas Health and Human Services (HHS) Office of Inspector General Audit and Inspections Division (OIG Inspections). OIG inspectors recommended the facility develop a process to collect this data and post the information as required.

Nursing Homes 59

Nursing Homes Nurses US Department of Health and Human Services Licensing 59

Med-Net Compliance

OCTOBER 27, 2022

A federal jury convicted a licensed Illinois psychologist of defrauding Medicare over the course of several years by causing the submission of fraudulent claims for psychotherapy services he never provided. Issue: It is illegal to submit claims for payment to Medicare or Medicaid that you know or should know are false or fraudulent.

Nursing Homes 59

Nursing Homes Fraud US Department of Health and Human Services Nurses 59

Med-Net Compliance

AUGUST 1, 2022

The Centers for Medicare & Medicaid Services launched its enhanced Nursing Home Five-Star Quality Rating System which integrates data nursing homes report on their weekend staffing rates for nurses and information on annual turnover among nurses and administrators. Ratings are updated quarterly.

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Nursing Homes Nurses Licensing Medicaid 59

The Health Law Firm Blog

JULY 13, 2023

Board Certified by The Florida Bar in Health Law On March 13, 2022, a licensed professional counselor (LPC) was sentenced to nearly five years in prison for defrauding the Connecticut Medicaid Program of more than $1.3 By George F. Indest III, J.D., million, announced the U.S. Attorney for the U.S. District of Connecticut. [.]

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Licensing Medicaid Medicaid Fraud 52

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. "It’s all hands on deck during this crisis," said CMS Administrator Seema Verma in a statement.

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Nurses Medicare Medicare Licensing 211

The Health Law Firm Blog

APRIL 1, 2024

Board Certified by The Florida Bar in Health Law We are constantly being contacted by physicians, nurse practitioners and other licensed health professionals seeking to appeal adverse National Practitioner Data Bank (NPDB) reports. By George F. Indest III, J.D.,

Licensing 52

Licensing Nurses Medicare Medicare 52

Medisys Compliance

FEBRUARY 7, 2022

Medicare pays a physician for an Annual Wellness Visit (AWV) service. This visit is planned to develop or update a Personalized Prevention Plan (PPP) and perform a Health Risk Assessment (HRA) which is covered once every 12 months by Medicare. Medicare also waives the AWV coinsurance or co-payment and the Medicare Part B deductible.

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Medicare Medicare Medical Billing Outsourcing Medical Billing 52

The Health Law Firm

DECEMBER 2, 2021

Board Certified by The Florida Bar in Health Law Often a physician, dentist, nurse, or other health professional will be placed on the Medicare List of Excluded Individuals and Entities, or the LEIE. Being placed on this list in itself can have severe consequences beyond just a prohibition against billing the Medicare Program.

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Medicare Medicare Licensing Nurses 40

Healthcare Compliance Blog

MAY 25, 2022

The Department of Health and Human Services (HHS) Office of Inspector General (OIG) has excluded a Louisiana man from participation in federal healthcare programs due to his ownership interest in seven Louisiana nursing homes that OIG previously excluded. As a result, OIG has excluded the nursing homes and their owner.

Nursing Homes 59

Nursing Homes Nurses Licensing Medicaid 59

The Health Law Firm Blog

MARCH 4, 2024

Board Certified by The Florida Bar in Health Law We are constantly being contacted by physicians, nurse practitioners and other licensed health professionals seeking to appeal adverse National Practitioner Data Bank (NPDB) reports. By George F. Indest III, J.D.,

Licensing 52

Licensing Nurses Medicare Medicare 52

Medisys Compliance

JUNE 20, 2022

Under Fee-for-service (FFS) Medicare, home infusion therapy (HIT) involves the intravenous or subcutaneous administration of drugs or biologicals to an individual at home. Likewise, nursing services are necessary to train and educate the patient and caregivers on the safe administration of infusion drugs in the home. Medicare Coverage.

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Medicare Medicare Medical Billing Medical Billing Outsourcing 52

The Health Law Firm Blog

OCTOBER 5, 2023

Department of Justice (DOJ) announced it has sued three nursing homes in Ohio and Pennsylvania, citing their “grossly substandard skilled nursing services.” Indest III, J.D., Board Certified by The Florida Bar in Health Law On June 15, 2022, the U.S. The False Claims Act (FCA) complaint against the American Health [.]

Nursing Homes 52

Nursing Homes Nurses Licensing Medicare 52

Medisys Compliance

APRIL 11, 2024

Marriage and Family Therapists (MFTs) and Mental Health Counselors (MHCs) can now directly bill Medicare for services they furnish and diagnose. This milestone represents a major victory for the mental health professions, expanding access to much-needed care for Medicare beneficiaries and offering exciting new possibilities for MFTs and MHCs.

Medicare 59

Medicare Medicare Medical Billing Outsourcing Medical Billing 59

The Health Law Firm Blog

MARCH 12, 2024

Board Certified by The Florida Bar in Health Law We are constantly being contacted by physicians, nurse practitioners, and other licensed health professionals seeking to appeal adverse National Practitioner Data Bank (NPDB) reports. By George F. Indest III, J.D.,

Licensing 52

Licensing Nurses Medicare Medicare 52

Healthcare Law Blog

MAY 5, 2022

Department of Health and Human Services Office of Inspector (“OIG”) released a report that studied prior authorization denials and payment denials by Medicare Advantage Organizations (“MAOs”) (the “Report”). Thirteen percent of denied prior authorization requests met Medicare coverage rules. The OIG Report. additional test results).

Medicare 52

Medicare Medicare Licensing Health Insurance 52

Hall Render

DECEMBER 30, 2022

Medicare payment policy changes established under the CMS CY 2023 Medicare Physician Fee Schedule (“MPFS”) Final Rule , issued on November 1, 2022, become effective January 1, 2023. These services will be reported with three separate Medicare-specific G codes. Evaluation and Management (E/M) Visits. Split/Shared E/M Visits.

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Medicare Medicare Licensing Health Services Administration 40

The Health Law Firm Blog

JANUARY 9, 2024

By George F. Indest III, J.D., Board Certified by The Florida Bar in Health Law Someone arrested for a criminal offense knows that it can lead to a criminal record that may or may not be on your record for the rest of your life. However, once you pay your fine and carry [.]

Licensing 52

Licensing Doctors Nurses Medicare 52

Healthcare IT News - Telehealth

MARCH 18, 2020

On Tuesday, Centers for Medicare and Medicaid Services expanded its Medicare telehealth coverage during the COVID-19 pandemic to enable more patients to get virtual care services from their providers. ON THE RECORD.

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The Health Law Firm Blog

APRIL 18, 2022

Board Certified by The Florida Bar in Health Law On March 13, 2022, a licensed professional counselor (LPC) was sentenced to nearly five years in prison for defrauding the Connecticut Medicaid Program of more than $1.3 By George F. Indest III, J.D., million, announced the U.S. Attorney for the U.S. District of Connecticut. [.].

Licensing 40

Licensing Medicaid Medicaid Fraud 40

Hall Render

JANUARY 18, 2022

Amidst a nationwide nursing and skilled nursing facility staffing crisis, the Centers for Medicare & Medicaid Services (“CMS”) announced that additional information regarding nursing home staff numbers will be added to the January 2022 CMS Care Compare website. Weekend Staff.

Nurses 40

Nurses Nursing Homes Compliance Licensing 40

The Health Law Firm Blog

JULY 11, 2022

Department of Justice (DOJ) announced it has sued three nursing homes in Ohio and Pennsylvania, citing their “grossly substandard skilled nursing services.” Indest III, J.D., Board Certified by The Florida Bar in Health Law On June 15, 2022, the U.S. The False Claims Act (FCA) complaint against the American Health [.].

Nursing Homes 52

Nursing Homes Nurses Licensing Medicare 52

Hall Render

JUNE 30, 2022

The Centers for Medicare & Medicaid Services (“CMS”) has given surveyors new rules and updates to allow surveyors to add extra attention and increase oversight in nursing homes regarding the quality of care and quality of life for residents. CMS also added guidance on §483.70(q)

Nursing Homes 40

Nursing Homes Nurses Compliance Licensing 40

Verisys

NOVEMBER 13, 2022

Waiver of State Licensure Requirements: Any health care professional listed below that holds a valid, unrestricted, unencumbered license in any state may provide services authorized under their existing license. No statements concerning the Department of Health or licensed medical professionals were included in the emergency order. .

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Compliance Licensing Nurses COVID-19 52

The Health Law Firm Blog

JANUARY 8, 2024

Previously published on October 14, 2022By George F. Indest III, J.D., Board Certified by The Florida Bar in Health Law Someone arrested for a criminal offense knows that it can lead to a criminal record that may or may not be on your record for the rest of your life. However, once you [.]

Licensing 52

Licensing Doctors Nurses Medicare 52

Verisys

MARCH 17, 2023

Licensure Compacts: Several states have introduced legislation to join the Nurse Licensure Compact, Advanced Practice Registered Nurse Licensure Compact and Interstate Medical Licensure Compact. This bill establishes license length, eligibility, qualifications, permitted duties and supervision requirements.

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COVID-19 Nurses Licensing Public Health 52

Verisys

JUNE 13, 2023

Centers for Medicare & Medicaid Services : The US Department of Health and Human Services has issued a final rule update concerning guidelines for COVID-19 vaccination requirements for Long-Term Care Facilities (LTC) and Intermediate Care for Individuals with Intellectual Disabilities (ICFs-IID).

COVID-19 Vaccine 52

COVID-19 Vaccine US Department of Health and Human Services COVID-19 Licensing 52

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.

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Licensing Nurses Medicaid Medicaid 40

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.

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Licensing Nurses Medicaid Medicaid 40

YouCompli

APRIL 27, 2022

The National Council of State Boards of Nursing (NCSBN) recently published its annual report on interstate licensure. The Nurse Licensure Compact (NLC) is an interstate agreement allowing nurses to practice in multiple states with one multistate license issued from their home state. Compliance considerations.

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Compliance Officers Licensing Compliance Nurses 52

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.

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Licensing Telemedicine Hospitals Nursing Homes 156

Hall Render

JANUARY 31, 2022

The Centers for Medicare & Medicaid Services (“CMS”) has armed surveyors with detailed instructions on how to survey skilled nursing facilities for compliance with the CMS staff vaccine requirements. Policies and procedures related to the skilled nursing facility’s COVID-19 staff vaccination policies and procedures.

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COVID-19 Vaccine Nurses COVID-19 Nursing Homes 40

Healthcare Law Blog

FEBRUARY 28, 2023

On February 13, 2023, the Centers for Medicare and Medicaid Services (CMS) published the revised List of Telehealth Services for Calendar Year (CY) 2023 (List). The List includes the services that are payable under the Medicare Physician Fee Schedule when furnished via telehealth.

Medicare 52

Medicare Medicare Nurses Licensing 52

Healthcare IT Today

NOVEMBER 22, 2022

The number of Medicare TPEs and commercial payer take-back audits alone is skyrocketing. They also look to flag “items and services that have high national error rates and are a financial risk to Medicare.” Meanwhile, Medicare also has a Fee for Service Recovery Audit Program. Tricare and Medicare).

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Medicare Medicare Overpayments Overpayment 96

Healthcare IT News - Telehealth

JULY 28, 2020

More than 100 physician groups, led by the American Medical Association, told the Centers for Medicare and Medicaid Services in no uncertain terms this past week that, while they supported temporary regulatory relaxations in response to COVID-19, they were strongly opposed to certain rules changes being made permanent. WHY IT MATTERS.

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