HIPAA Journal

JUNE 9, 2023

The Supreme Court unanimously ruled that it could not support “such a boundless interpretation” of the Identity Theft Penalty Enhancement Act of 2004. Under the letter of the law, small-scale fraud and large-scale fraud carry the same sentence for aggravated identity theft.

Fraud 107

Fraud Medicaid Medicaid Doctors 107

NY Health Law

JUNE 25, 2019

The unlicensed are not bound by the ethical rules that govern the quality of care delivered by a physician to a patient. By statute, regulation, and the common law, the corporate form cannot be used as a device to allow nonphysicians to control the practice of medicine.”. v Mallela , 372 F3d 500, 503 (2d Cir.

Fraud 52

Fraud Licensing Governance Health Insurance 52

Verisys

DECEMBER 29, 2024

NPIs are critical for maintaining accountability across healthcare transactions, ensuring accurate reporting, and streamlining electronic communication across private and government health insurance programs. The NPI Final Rule, published on January 23, 2004, mandated the use of NPIs as the standard provider identifier.

HIPAA 52

HIPAA Fraud Health Insurance Medicare 52

AIHC

NOVEMBER 29, 2023

As more and more potential and real fraud, waste, and abuse was uncovered in the FFS arena, it was also discovered that patient outcomes were less than stellar. The Centers for Medicare & Medicaid Services (CMS) HCC model was initiated in 2004 and is becoming increasingly prevalent as the environment shifts to value-based payment models.

Medicare 59

Medicare Medicare Medicaid Medicaid 59

AIHC

NOVEMBER 29, 2023

As more and more potential and real fraud, waste, and abuse was uncovered in the FFS arena, it was also discovered that patient outcomes were less than stellar. The Centers for Medicare & Medicaid Services (CMS) HCC model was initiated in 2004 and is becoming increasingly prevalent as the environment shifts to value-based payment models.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Healthcare Law Blog

FEBRUARY 13, 2023

Inside and outside healthcare counsel should know that the way they guide clients through legal and business issues may need to change based on a recent Ninth Circuit case governing the protections afforded to attorney-client communications, In re Grand Jury. [1] C-02-1786 JSW (EMC), 245, 248, 2004 U.S. 23, 2004). [4]

Compliance 52

Compliance Fraud Governance 52

Hall Render

FEBRUARY 2, 2024

continues crackdown on nursing homes, 2 more cited for poor care and ‘massive fraud’ Wow! Mary’s welcome new board members Northeast Georgia Health System named one of nation’s top workplaces for diversity HAWAII How Adventist Health Castle achieved becoming a verified Level III Trauma Center Queen’s debuts $4.5M

Nursing Homes 40

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