C&M Health Law

SEPTEMBER 11, 2023

In anticipation of some form a final staffing standard, providers may want to submit comments to CMS explaining how federal staffing standards may impact their operations and interact with any state staffing requirements, the impact of anticipated changes to facility assessments, and how to document the various exemption criteria. 2] Id.

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HIPAA Journal

AUGUST 28, 2023

The Corrective Action Plan also requires UHIC to submit quarterly reports to OCR listing the dates when access requests are received, the dates they are responded to and the fees charged to individuals. OCR will continue to ensure that covered entities with a record of delaying or denying access requests will be subject to enforcement.

HIPAA 88

HIPAA Health Insurance Compliance 88

Healthcare IT News - Telehealth

APRIL 18, 2022

PPOA is also accused of allegedly submitting or causing the submission of false claims to Medicare by billing for qualitative and quantitative urine drug testing in violation of the physician self-referral law. million to resolve False Claims Act allegations.

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COVID-19 Telemedicine Fraud Public Health 133

Healthcare Law Blog

SEPTEMBER 6, 2023

Facilities that fail to submit required data to CMS’s Payroll-Based Journal System will also be ineligible for a hardship exemption. Public Comment Period Stakeholders may submit comments on the proposed rules during the 60-day comment period that ends on November 6, 2023. 2] See CMS Press Release at: [link]. [3]

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Healthcare Law Today

JANUARY 25, 2023

Furthermore, facility registrations must be renewed biennially, and FDA must be notified within 60 days of any changes to information that is required to be submitted as part of registration. For products marketed after the enactment of MoCRA, a responsible person must submit the product listing within 120 days of marketing.

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Compliancy Group

DECEMBER 18, 2023

In a press release announcing the most recent right of access settlement, OCR Director Melanie Fontes Rainer stated, “Health care providers must make responding to parents’ or patients’ request for access to their medical records in a timely manner a priority.

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HIPAA Compliance 52

Jane Sarashon

NOVEMBER 1, 2022

. “With visitor restrictions relaxing and more elective procedures going forward, hospitals are slowly coming out of a COVID-induced satisfaction slump,” the study press released quoted Forrest Morgeson, Assistant Professor of Marketing at Michigan State University.

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Health Insurance Hospitals Doctors 97

Health Law Advisor

FEBRUARY 10, 2023

Department of Justice (DOJ) released its annual False Claims Act (FCA) enforcement statistics for fiscal year (FY) 2022, which ended on September 30, 2022. [1] DOJ also emphasized its continued commitment to pursuing and holding individuals accountable for submitting allegedly false claims. 1] While total recoveries exceeded $2.2

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Fraud COVID-19 Governance Medicaid 52

C&M Health Law

OCTOBER 18, 2023

Comments may be submitted until November 13, 2023. If you have any questions about the proposed rule, or if you need assistance in submitting comments to HHS, please reach out to any of the authors of this post.

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YouCompli

OCTOBER 17, 2023

When physicians or other clinicians submit claims for professional medical services, they select a medical code to represent the services. The whistleblowers who initially reported the concerns claimed the E&M services were being submitted for encounters which occurred at the same time as patients’ COVID testing.

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COVID-19 Compliance Fraud Doctors 52

Healthcare IT News - Telehealth

OCTOBER 13, 2020

The tool, which has been submitted to the FDA for clearance, will initially detect abnormalities in lung exams. "We are excited to be pushing forward the evolution from telehealth to tele-diagnosis," said Tyto Care Co-Founder and CEO Dedi Gilad in a press release.

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Healthcare IT News - Telehealth

JANUARY 27, 2021

The group was charged with a conspiracy to defraud pharmacy benefit managers out of $174,202,105 by submitting $931,356,936 for fraudulent prescriptions purchased from a telemarketing company. "Telemarketing fraud is a major threat to the integrity of government and commercial insurance programs," said Derrick L.

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AIHC

SEPTEMBER 1, 2022

A dedicated government webpage lists HIPAA News Releases & Bulletins listing OCR cases after investigating organizations which includes Right of Access settlements. In this press release the OCR Director Lisa J. Click Here to access this page. The covered entity negotiates with the individual on the format of the response.

HIPAA 52

HIPAA Compliance Governance 52

McGuire Wood

OCTOBER 2, 2023

According to the DOJ press release, from January 2013 to July 2018, Oliver Street, doing business as U.S. The disclosure noted that claims for certain referred services were submitted for payment to Medicare, thus invoking the reach of the implicated federal laws.

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Fraud Governance Compliance Medicare 52

Compliancy Group

MAY 16, 2023

In July 2018, MedEvolve submitted a breach report to OCR indicating that they experienced a network server incident that affected 230,572 patients. MedEvolve Network Server Breach MedEvolve, Inc. is a practice and revenue cycle management, and practice analytics software that provides services to covered entities.

HIPAA 52

HIPAA Compliance 52

Verisys

AUGUST 14, 2023

Persons wishing to attend the listening sessions in person, space permitting, must complete and submit the attendance form available at DEA’s Diversion Control Division website, [link] , no later than August 21, 2023. The listening sessions will be held on Tuesday, September 12, 2023, and Wednesday, September 13, 2023, from 9 a.m.

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US Department of Health and Human Services Licensing Telemedicine Medicare 52

Healthcare IT Today

JULY 16, 2023

Noyo released APIs to connect insurance carriers to its benefits software platforms. Virtual specialty care vendor Summus released Summus Peer-to-Peer to support specialty consults. Medicare ACO Vytalize Health added two board members : Dave Wichmann at Jory Capital and Dr. Amy Compton-Phillips at Press Ganey.

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HIPAA Hospitals Public Health Medicare 90

The Health Law Firm

AUGUST 26, 2013

A press release from the AG stated that the pharmacist was charged with one count of first-degree Medicaid fraud. Click here to read the press release from the AG. Pharmacist Allegedly Submitted False Claims to Agency for Health Care Administration.

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Health Law Advisor

JULY 21, 2023

2] Stakeholders must submit comments on the TCET pathway by August 28, 2023. Manufacturers must submit an evidence development plan (EDP) to sufficiently address any gaps CMS and the Agency for Healthcare Research and Quality identify during the Evidence Preview.

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FDA Medicare Medicare Patient Advocacy 52

Healthcare Law Today

FEBRUARY 1, 2022

Several other biomedical innovation and pandemic preparedness bills have been released, including, the “ Tracking Pathogens Act ,” introduced by Sens. Sources: Senate Press Release and PDF Senators Murray and Burr expect the legislation to progress this year. Bill Cassidy (R-LA) and Tammy Baldwin (D-WI); Cures 2.0 (H.R.

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COVID-19 FDA Public Health Health Services Administration 98

AIHC

NOVEMBER 15, 2022

On January 1, 2021, CMS began proactive audits of hospitals for compliance with the final rule and a review of complaints submitted via the hospital price transparency website. The government is concerned with continued press releases and studies revealing high rates of hospital noncompliance with the final rule.

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Hospitals US Department of Health and Human Services Compliance Governance 52

Healthcare Law Today

DECEMBER 15, 2022

In a press release , Senator Booker stated the law “could help facilitate a phased roll-out of these potentially lifesaving therapies via FDA-approved Expanded Access pilot programs” and it “would remove burdensome federal regulations that impede research and development of drugs that may be inappropriately listed in Schedule I.

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The Health Law Firm

NOVEMBER 2, 2012

A Los Angeles medical equipment supplier will spend 30 months in prison for submitting nearly $1 million in false claims to Medicare. To see the press release from the Department of Justice (DOJ), click here. Indest III, J.D., Board Certified by The Florida Bar in Health Law. The man was sentenced on October 5, 2012.

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The Health Law Firm

JULY 8, 2013

The AG stated that for three years the health clinic owner supposedly submitted more than 2,500 fraudulent claims to the Medicaid program. To read the press release from the AG, click here.

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Fraud Medicaid Medicaid 40

Med Com Blog

DECEMBER 14, 2021

FOR IMMEDIATE RELEASE. RemitOne works at the point of care as a front-end clean claims processing technology through voice-enabled AI and ML technologies that not only capture the patient encounter but generate a structured medical record of the encounter and translate it into an electronic claim form that is submitted to the payor.

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The Health Law Firm

AUGUST 31, 2012

Click here to read the entire press release from the DOJ. Chiropractor Submitted Inflated Bills to Medicare. The Department of Justice (DOJ) announced that a Daytona Beach chiropractor pleaded guilty to health care fraud, conspiracy to illegally distribute prescription drugs and money laundering on August 28, 2012.

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Fraud Medicare Medicare 40

Compliancy Group

JANUARY 8, 2024

Not wishing to be given the negative finding of a civil monetary penalty, Life Hope Labs agreed to settle with OCR for $16,500 and submit to a two-year corrective action plan (CAP). The Associated Press published this PHI in an article discussing St. Joseph’s Medical Center During the height of the COVID-19 pandemic, St.

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HIPAA Ransomware COVID-19 Doctors 52

Compliancy Group

JANUARY 31, 2022

We value your privacy, by submitting this form you are indicating that you have read and agree to the Terms of Use on [link] Please Wait. The FTC press release and an official statement regarding these changes are available on the Federal Trade Commission website. Let’s Simplify Compliance Do you need help with HIPAA?

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HIPAA Compliance 52

Florida Health Care Law Firm

DECEMBER 7, 2021

Under the scheme, from June 2015 through April 2018, deceived tens of thousands of patients and more than 100 doctors in order to defraud health care benefit programs out of approximately $174 million and submit nearly a billion in fraudulent claims for payment. Unusually high volume of expensive drugs (often compounded prescriptions ).

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Fraud Telemedicine Governance Compliance 40

SQA

SEPTEMBER 2, 2022

Manufacturing units performing final releases of final products and that are involved in at least one stage of production other than design, distribution, sterilization, packaging or labeling stages. For more information, read the press release “ Outcome of the 173rd session of the European Pharmacopoeia Commission, June 2022 ”.

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FDA COVID-19 Nursing Homes Compliance 91

Provider Trust

JULY 26, 2022

Attorney’s Office press release , during her time at the practice, Pickering allegedly posed as a licensed physician’s assistant and issued prescriptions for controlled substances, “in the name of Doctor 1, a physician contracted by the practice, without Doctor 1’s permission.” According to the U.S.

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Licensing Fraud Compliance Nurses 52

Healthcare Law Blog

DECEMBER 15, 2022

CMS believes that providing an understandable reason for a denial could allow a provider to take appropriate actions such as re-submitting the request with updated information, identifying alternatives for the patient, appealing the decision, or communicating the decision to the patient.

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Medicaid Medicaid Medicare Medicare 52

Health Populi

NOVEMBER 5, 2019

.” Nearly all consumers look to insurance companies to provide easy-to-understand explanations of benefits, provide details cost and copayment information, easy access to health records, follow up to ensure issues were resolved, make it easy to submit claims, and know my details. said in the study’s press release.

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Health Care Reform Medical Billing Hospitals Health Insurance 62

SQA

JULY 19, 2023

Please submit ideas that you’d like to see featured during one of the months of next year. To read more on the current success of our mobile tablet application, visit our press release here: On The Road to Zero Defects Our team is out and about!

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Health Law Advisor

MARCH 7, 2023

2] Note that Section 1262 of the Consolidated Appropriations Act of 2023 removes the federal requirement for practitioners to submit a Notice of Intent (i.e., Department of Justice, Press Release, U.S. have an X-waiver) to prescribe medications, like buprenorphine, for the treatment of OUD, as currently required under 21 C.F.R.

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Telemedicine COVID-19 FDA Compliance 52

SQA

MARCH 7, 2023

As you likely read in our press release in late ’22, I’ve transitioned to the role of Chairman and have hired a new CEO, Mr. Michael Guymon. Please submit ideas that you’d like to see featured during one of the months of next year.

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Hospitals 52

SQA

OCTOBER 18, 2022

A press release issued by the MHRA provides additional information. The TGA conducted a scientific, epidemiological, and clinical assessment of the risk model submitted by Lifeblood. The UKCA mark will then show that safety, health, and environmental aspects have been met in the manufacture of medical devices.

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US Department of Health and Human Services FDA COVID-19 Compliance 40