Healthcare It News

MARCH 4, 2022

Medicare spends nearly $60 billion on post-acute care annually. There is no way to succeed in value-based care without effectively coordinating with the tens of thousands of nursing homes, home health agencies and other post-acute providers. nursing home and assisted living community is facing a workforce crisis.

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Nursing Homes Nurses Hospitals Medicare 218

Provider Trust

AUGUST 9, 2023

This post will delve into the key highlights, focus areas, and accomplishments presented in the semiannual report, shedding light on the OIG’s crucial role in safeguarding the integrity of federal healthcare programs and addressing emerging challenges such as the COVID-19 pandemic.

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Nursing Homes COVID-19 Fraud Medicaid 52

MedTrainer

SEPTEMBER 20, 2023

Examples of covered entities include health plans, clearinghouses, and certain health care providers including but not limited to: doctors, clinics, psychologists, dentists, chiropractors, nursing homes, and pharmacies. There are a number of laws built to fight against Medicare/Medicaid noncompliance and fraud. Accreditation.

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Medicaid Medicaid Medicare Medicare 97

Hall Render

JANUARY 11, 2022

Facing further confusion from skilled nursing facilities and families amidst the current spike in COVID cases in the United States, the Centers for Medicare & Medicaid Services (“CMS”) released additional best practices and addressed more issues that skilled nursing providers should follow as they encounter certain visitation scenarios.

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Nurses Nursing Homes Medicaid Medicaid 73

Healthcare Law Blog

DECEMBER 19, 2022

In 2021, COVID-19 immunization rates among nursing home staff quickly rose due to federal vaccine mandates for healthcare workers and long-term care facilities participating in the Federal Pharmacy Partnership for Long-Term Care Program. viii] Who We Help – Nursing Homes | qioprogram.org. pdf (federalregister.gov).

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COVID-19 Vaccine COVID-19 Nursing Homes Nurses 52

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 Managed care now covers more than half of Medicare enrollees and over 80% of Medicaid enrollees.

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Fraud Medicaid Medicaid Medicare 52

Healthcare IT News - Telehealth

SEPTEMBER 15, 2021

For healthcare providers, telehealth presents an opportunity to address patient care needs, improve the customer experience and reduce costs. The Centers for Medicare and Medicaid Services (CMS) began to allow for reimbursement for videoconferencing between healthcare provider and patient.

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Telemedicine COVID-19 Medicare Medicare 185

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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Fraud Telemedicine Medicare Medicare 59

Med Law Blog

MAY 1, 2023

As you might expect from a federal investigation, conducted by politicians with media present, the tone of the meeting was more hostile rather than supportive. 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

Health Populi

APRIL 8, 2019

That retirement cost gap is the sticker-shock assumption that Medicare is going to cover all health care expenses in retirement. Fidelity presents the financial challenge, then offers a solution with a scenario for a 35-year old couple. And, it bears repeating, that no long-term care costs are added into this number. “Be Well.

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Medicare Medicare Health Care Reform Nursing Homes 108

Healthcare IT Today

JUNE 2, 2023

government introduced the meaningful use program as part of the Health Information Technology for Economic and Clinical Health (HITECH) Act in 2009, LTPAC organizations – notably nursing homes – and the vulnerable patients they serve have been left behind. Since the U.S.

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Governance Nursing Homes Medicaid Medicaid 110

Health Care Law Brief

OCTOBER 27, 2021

For instance, some temporary solutions to challenges presented by COVID-19 are being made permanent due to their proven efficiency or effectiveness. In part, this was due to the fact that hospitals were unable to discharge patients too sick to go home, but not sick enough to remain in the hospital.

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Healthcare IT News - Telehealth

APRIL 24, 2020

The Alliance for Integrated Care of New York (AICNY) oversees the healthcare needs of roughly 6,200 dually eligible Medicare and Medicaid beneficiaries with intellectual and developmental disabilities (IDD). Many AICNY beneficiaries reside in group homes and use Federally Qualified Community Health Centers. THE PROBLEM.

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Telemedicine COVID-19 Medicaid Medicaid 162

Hall Render

JUNE 10, 2022

An APR 40th anniversary encore presentation. Report: Mesa nursing home fined $500 after negligence leads to resident’s death. System on the brink of collapse’: CT nursing home workers join national campaign for better wages, conditions. Bloomington nursing home is fined $25,000 for COVID-19 violations.

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Bill of Health

SEPTEMBER 9, 2022

We know that incarcerated patients often present at younger ages with more advanced stages of disease when seen by external health care providers. patchwork ” system of incarceration, ultimately fall far short of the extensive regulatory framework governing Medicare/Medicaid, which shapes health care for over 83 million people in the U.S.

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COVID-19 COVID-19 Vaccine Medicaid Medicaid 349

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. But with the development of digital therapeutics, we are now delivering care at home. Patient care was still only delivered in the clinic.

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Telemedicine COVID-19 Nurses Nursing Homes 133

Healthcare IT Today

AUGUST 16, 2022

And simultaneously, technology supporting advanced scheduling practices and more effective care models is making value-based care in the home more feasible than ever before – helping agencies drive more impact while also shoring up costs. First, let’s understand the magnitude of the challenge. He keeps me here.

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Nursing Homes Nurses Licensing Medicaid 103

Healthcare Compliance Blog

JUNE 8, 2022

A Maine nursing home with a history of federal fines was listed as a special focus facility (SFF) after two residents wandered off in separate incidents last year. They were one mile from the nursing home, so police took her to the facility. In the second case, the resident was hit and killed by a motor vehicle.

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Nursing Homes Nurses Medicaid Medicaid 59

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.

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US Department of Health and Human Services Nurses Nursing Homes Hospitals 40

Hall Render

MAY 13, 2022

Nursing Home Operator Leaving 8 Locations. ‘So much is new’: ScionHealth launch presents wealth of opportunities, CFO says. 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.

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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

DECEMBER 1, 2023

1 Mass General Brigham to build AI products with Australian health tech company Mass General Brigham hospital workers to receive average 21% raises Mass General Brigham to integrate triage AI across system Mass General Brigham sued over infection control lapse Nurse practitioner pleads guilty to $7.8M

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Nursing Homes Nurses COVID-19 Ransomware 40

Hall Render

FEBRUARY 18, 2022

13-year Medicare payment dispute will return to HHS, court rules. Aspen University investigation: Students vent frustration amid nursing board probe into private college. ‘I feel extorted:’ Former FMC nurses told to pay $5K after being fired for refusing vaccine. Nursing home staffing changes backed.

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COVID-19 Nursing Homes Nurses COVID-19 Vaccine 40

Hall Render

FEBRUARY 25, 2022

40% of Nursing Home Residents Haven’t Received COVID-19 Boosters, Analysis Finds. AI in Healthcare Presents Need for Security, Privacy Standards. No COVID-19 boosters for 70% of nursing home staffs, AARP says. The 55 hospitals penalized by Medicare 8 years straight over patient complications. CALIFORNIA.

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Verisys

NOVEMBER 20, 2022

A Physician representing Avanir received over $300,000 in kickbacks for writing over 10K prescriptions for the drug Nuedexta and another $1,500 per each presentation. A psychiatrist caught improperly billing over $1.36M to Medicare over the course of seven years. Physician group improperly billed Medicare for fitness services.

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Fraud Medicaid Medicaid Nursing Homes 52

Hall Render

MARCH 3, 2023

on 7th medical office building acquisition in a year Baptist Health expanding in Nassau and St.

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Nursing Homes COVID-19 Nurses Hospitals 40

AIHC

FEBRUARY 16, 2024

The GCPG standardized the seven Elements of a Successful Compliance Program, which differs slightly from the individual compliance guidance documents (CPGs) directed at various segments of the health care industry, such as hospitals, nursing homes, third-party billers, and durable medical equipment suppliers. Now for that presentation.

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Compliance US Department of Health and Human Services COVID-19 Hospitals 52

AIHC

FEBRUARY 16, 2024

The GCPG standardized the seven Elements of a Successful Compliance Program, which differs slightly from the individual compliance guidance documents (CPGs) directed at various segments of the health care industry, such as hospitals, nursing homes, third-party billers, and durable medical equipment suppliers. Now for that presentation.

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Compliance US Department of Health and Human Services COVID-19 Hospitals 52

Hall Render

FEBRUARY 2, 2024

NATIONAL Amazon Pharmacy, One Medical pilot program integrates medication consultations Bad news for FTC’s noncompete ban Cigna to sell Medicare business to HCSC for $3.3B 5 highest paid anesthesiologists in Washington, DC D.C.’s

Nursing Homes 40

Nursing Homes US Department of Health and Human Services Nurses Hospitals 40

Hall Render

JUNE 9, 2023

NATIONAL As AI advances in healthcare, industry players wrestle with its risks AHA Comments on FY 2024 Proposed Rule for Skilled Nursing Facilities AHA rebukes ‘flawed’ study on hospital finances AHA urges CMS to consider inflation, staffing in light of proposed inpatient rehab rule AHCA prepared to sue over minimum staffing mandate AMA, (..)

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Nurses COVID-19 Nursing Homes Hospitals 40

Hall Render

OCTOBER 6, 2023

government grant for maternal health care Alabama slides to 50th on nursing home and long-term care report card Ascension sells Alabama hospital Ascension St.

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US Department of Health and Human Services Nursing Homes Nurses Hospitals 40

Hall Render

OCTOBER 6, 2023

government grant for maternal health care Alabama slides to 50th on nursing home and long-term care report card Ascension sells Alabama hospital Ascension St.

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US Department of Health and Human Services Nursing Homes Nurses Hospitals 40

Hall Render

MARCH 25, 2022

Hospital stays for nursing home residents down nearly 9%, federal data shows. Huntsville Hospital to launch new nurse training program. Alabama hospitals, nursing homes split $80 million in ARPA funds. New apprenticeship program to address nursing shortage in Alabama. vaccinated nursing home staff.

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

Hall Render

APRIL 1, 2022

Nursing Home Operating Expenses Could Balloon by $500K With Staffing Minimums in Place. Parkinson warns of new ‘enormous’ business problem for nursing homes; highlights staffing-minimum alternative. Apprentice program addressing the nursing shortage crisis in Alabama. UnityPoint Health names nursing chief.

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

Hall Render

APRIL 29, 2022

About 20K nursing home staff now have vaccine medical exemptions. Hospitals sue HHS over Medicare billing calculation. More than 400 nursing home closures projected for 2022: report. Permanent telehealth expansion could cost Medicare $25B over 1 decade. Family nurse practitioners. CMS Proposes $1.6B

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

Hall Render

DECEMBER 8, 2023

health care Skilled nursing providers embrace bill nixing staff mandate, despite uncertain fate US News to begin rating ASCs ALABAMA Birmingham business lands pharmacy contract with Louisiana hospital Madison Co. CT presents draft settlement in YNHH-Prospect hospitals sale Mandell-Braunstein family gifts $2.5M NATIONAL 8.5M NATIONAL 8.5M

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

Hall Render

NOVEMBER 11, 2022

Medical groups to Biden: ED boarding at a ‘crisis point’ Nursing home groups request public health emergency extension. Physician leaders balk at Medicare 4.48% physician fee cut. Supreme Court Weighs Whether Medicaid Residents Can Sue State-Owned Nursing Homes. Judge endorses $12.5

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