Hall Render

APRIL 7, 2025

government for false or fraudulent claims submitted for federal reimbursement. Because FCA relators pursue the governments claims, several circuits have determined this precludes relators from proceeding pro se. The government declined to intervene and, in a filing with the U.S. Background The FCA, codified at 31 U.S.C.

Governance 52

Governance Licensing 52

Healthcare IT News - Telehealth

APRIL 10, 2019

The 24 defendants, among them CEOs associated with five telemedicine companies, the owners of dozens of DME companies and three licensed medical professionals, allegedly participated in healthcare fraud schemes involving more than $1.2 billion in losses. ON THE RECORD.

Fraud 167

Fraud Telemedicine Medicare Medicare 167

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 state license number linked to the taxonomy is also displayed.

HIPAA 52

HIPAA Fraud Health Insurance Medicare 52

Innovaare Compliance

FEBRUARY 9, 2021

Launched in 2007, star ratings enable the CMS as well as consumers to compare health plans on metrics other than cost. The higher the ratings, the larger the bonus payments health plans receive from the government. The CMS star ratings challenge. With billions of dollars at stake for payers with CMS star ratings above 3.5,

Medicare 40

Medicare Medicare Medicaid Medicaid 40

Bill of Health

APRIL 16, 2025

Inside one of the most-fined nursing homes in Mass But if the federal government wont require minimum staffing standards, states can. If the federal government returns to the toothless per instance fines for inadequate care adopted by the first Trump Administration, states can impose their own, meatier penalties. Some already do.

Nursing Homes 162

Nursing Homes Nurses Licensing COVID-19 162

Drug & Device Law

JULY 31, 2023

Since digital files were not “articles” under the statute, the government could not rely on this statute to prevent their importation. 2007 WL 2460776, at *6 (D. 2007 WL 218242, at *4 (N.D. 26, 2007) (bespoke software not a UCC good). at 1291-93 (construing 19 U.S.C. at 1291-92. at 1293-94. Similarly, in United States v.

Governance 52

Governance Payment Systems Hospitals Licensing 52

Drug & Device Law

MAY 26, 2023

Both talk a fair amount about “commerce” and the respective roles of the states and federal government. You never need an authorization from a licensed professional to buy pork or fireworks. One of those laws, FDAAA in 2007, established the REMS system, which reflects the importance of national uniformity in the delivery of healthcare.

FDA 59

FDA Licensing Doctors Governance 59