MedTrainer

NOVEMBER 20, 2023

Ensuring adherence to licensing requirements, the Florida Agency for Health Care Administration oversees Medicaid, coordinating essential healthcare access to vulnerable populations. The Florida Board of Medicine is responsible for regulating practitioner licenses and provides the guidelines providers must adhere to.

Compliance 52

Compliance Licensing Regulatory Compliance Medicaid 52

Healthcare Law Blog

MARCH 20, 2023

For example, an overwhelming sixty percent (60%) of recently-surveyed licensed psychologists reported having no openings for new patients, with many having a volume of patient requests that outweighs their ability to even maintain a waitlist. [1] 6] Increase provider reimbursement strategies. Redefining the workforce.

Medicaid 52

Medicaid Medicaid Licensing ACA 52

MedTrainer

SEPTEMBER 8, 2023

Advocate Health Care HIPAA Breach (2016) In August 2016, Advocate Health Care Network —one of the largest healthcare systems in Illinois—agreed to settle potential violations of Privacy and Security Rules for $5.55 Details of the settlement indicate the submission of false claims to Medicare, Medicaid, TRICARE, and FECA programs.

Compliance 52

Compliance HIPAA Medicaid Medicaid 52

Provider Trust

JULY 26, 2023

These directories allow patients to connect with healthcare providers and licensed practitioners to make appointments, find and exchange information, and pay for services. The Centers for Medicare and Medicaid Services (CMS) conducted multiple reviews of Medicaid Advantage provider directories between February 2016 and July 2018.

Medicaid 52

Medicaid Medicaid Compliance Medicare 52

MedTrainer

NOVEMBER 29, 2023

TennCare is Tennessee’s managed Medicaid agency. It administers and oversees the state’s Medicaid programs, providing essential healthcare services to low-income individuals and families in Tennessee. Significant changes were made to the program as of July 1, 2016.

Compliance 52

Compliance Licensing HIPAA Medicaid 52

MedTrainer

NOVEMBER 17, 2023

The Pennsylvania State Board of Medicine is responsible for regulating medical provider licensing requirements. This licensing body ensures healthcare professionals meet the necessary qualifications and standards to practice safely and effectively. The Pennsylvania Department of Human Services (DHS) is the state’s Medicaid agency.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

Provider Trust

MAY 18, 2022

Additionally, check out this HHS-OIG 2016 report, Medicare: Vulnerabilities Related to Provider Enrollment and Ownership Disclosure , which revealed “vulnerabilities that could allow potentially fraudulent providers to enroll in the Medicare program.”. OIG may exclude the provider if certain circumstances regarding the ownership are present.

Compliance 52

Compliance Due Diligence Medicaid Medicaid 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. Background. CMS also added guidance on §483.70(q)

Nursing Homes 40

Nursing Homes Nurses Compliance Licensing 40

Health Law Advisor

AUGUST 10, 2023

2] Implementing the 21st Century Cures Act from 2016, regulated CDS software includes that intended to “analyze” “medical information about a patient or other medical information” “for the purpose of supporting or providing recommendations to a healthcare professional about prevention, diagnosis, or treatment of a disease or condition.”

FDA 98

FDA Licensing Hospitals Medicaid 98

HIT Consultant

MAY 31, 2022

All the signs point to a bright and expansive future for hospital-at-home programs, which have been growing steadily since the Centers for Medicare and Medicaid (CMS) created the Acute Hospital at Home waiver program in November 2020. Karen Conway, VP of Healthcare Value, Global Healthcare Exchange (GHX).

Hospitals 98

Hospitals Medicaid Medicaid Public Health 98

HIT Consultant

APRIL 17, 2024

Ophelia’s Virtual-First Model Increases Access to Treatment In response to this crisis, Pennsylvania established the COE program in 2016. All Ophelia clinicians are addiction medicine specialists, employed by the company, and licensed in the patient’s state.

US Department of Health and Human Services 97

US Department of Health and Human Services COVID-19 Licensing Medicaid 97

Health Law Advisor

SEPTEMBER 1, 2023

On August 29, 2023, the Centers for Medicare & Medicaid Services (CMS) announced the ten (10) Medicare Part D drugs selected for the first round of negotiations of the Medicare Drug Price Negotiation Program (Program)—a few days before the September 1, 2023, statutory deadline imposed by the Inflation Reduction Act (IRA).

Medicare 69

Medicare Medicare Licensing Medicaid 69

The Health Law Firm

MARCH 2, 2016

Board Certified by The Florida Bar in Health Law The owner of a diagnostic imaging company in Maryland is facing life in prison after a federal jury found him guilty on February 17, 2016, of health care fraud. Rafael Chikvashvili, was found guilty of billing Medicare and Medicaid for more than $7.5 Indest III, J.D.,

Fraud 40

Fraud Licensing Medicaid Medicaid 40

MedTrainer

NOVEMBER 29, 2023

The Executive Office of Health and Human Services administers MassHealth , the state’s Medicaid and Children’s Health Insurance Program (CHIP), providing essential health coverage to low- and moderate-income residents, including families, children, seniors, and individuals with disabilities.

Compliance 52

Compliance Public Health Health Insurance Hospitals 52

Healthcare Law Blog

JANUARY 5, 2023

Just in time for the holidays, the Centers for Medicare and Medicaid Services (“CMS”) issued the Contract Year 2024 Proposed Rule for Medicare Advantage organizations (“MAOs”) and Part D sponsors (the “Proposed Rule”). Health Equity in Medicare Advantage.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Hall Render

FEBRUARY 10, 2023

Dunleavy proposes extending Medicaid coverage for new mothers ARIZONA Banner Health pays $1.25M penalty over HIPAA failures from 2016 breach Arizona nursing school at risk of losing accreditation St. billion since pandemic U.S. billion since pandemic U.S. Luke’s Health System says it will lay off workers in Idaho.

US Department of Health and Human Services 40

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

Hall Render

NOVEMBER 17, 2023

Million Individuals Affected by MOVEit Hack MARYLAND Adventist HealthCare, Montgomery College form partnership to address need for qualified nursing workforce Harford Memorial Hospital closing set for Feb. million patients stolen during ransomware attack MINNESOTA CFO of the Year 2023: Penny Cermak, HealthPartners Inc. Many more are waiting.

Nursing Homes 40

Nursing Homes Nurses Hospitals Doctors 40

Hall Render

MARCH 29, 2024

James Hospital president NEBRASKA Hospital Medicaid funding bill passes on final reading How Nebraska Medicine used AI to reduce first-year nurse turnover by nearly 50% State auditor exposes questionable handling by DHHS of tens of millions of federal dollars Bill passed to bring in more than $1.4 Here’s how S.C. Here’s how S.C.

Nursing Homes 40

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

Bill of Health

APRIL 16, 2025

All states require nursing homes to obtain a license to operate. Most state licensing agencies can consider the performance of other homes operated or owned by entities applying for a license when deciding whether to grant it. Between 2016 and 2020, the operator acquired more than 100 nursing homes.

Nursing Homes 242

Nursing Homes Nurses Licensing COVID-19 242

Hall Render

NOVEMBER 3, 2023

Then Prospect Medical took over. institute focused on health equity Medical providers at D.C.’s Luke’s themed rooms a hit with young patients Mercy reverses auction results; declares University of Iowa winner KANSAS As rural Kansas emergency department announces closure, Gov.

US Department of Health and Human Services 40

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

Bill of Health

MARCH 28, 2023

government has a “paid-up license to practice or have practiced for or on behalf of the United States” the invention “throughout the world” ( 35 U.S.C. 202(c)(4) ), and separately, the right to force the licensing of the invention to one or more third parties, for any use, if the funding agency finds the action necessary.

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Licensing Governance Medicare Medicare 265