Healthcare Compliance Blog

JUNE 9, 2022

His exclusion means that no federal healthcare program payment may be made, either directly or indirectly, for any items or services furnished by him or at his direction or prescription. Between 2017 and 2019, the man, through a group of pain clinics he controlled, caused the submission of false claims for payment to Medicare.

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US Department of Health and Human Services Overpayments Overpayment Medicare 59

Healthcare Law Blog

MARCH 25, 2022

Various smaller health insurance issuers have challenged the risk-adjustment program under the Patient Protection and Affordable Care Act (ACA), alleging, among other things, that its underlying methodology favors larger insurers. See Vista Health Plan, Inc. United States Dep’t of Health & Hum. The Risk-Adjustment Program.

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ACA US Department of Health and Human Services Health Insurance Medicaid 52

Healthcare Compliance Blog

MAY 10, 2022

The provider had created a business to provide home and community-based services to Medicaid recipients. The provider had created a business to provide home and community-based services to Medicaid recipients. An ineligible Medicaid provider was arrested in Florida for defrauding Medicaid of more than $68,000.

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Medicaid Medicaid US Department of Health and Human Services Fraud 59

Compliancy Group

JUNE 28, 2023

Department of Health and Human Services’ Office for Civil Rights (OCR) has made an announcement that will send shockwaves through the healthcare industry. Department of Health and Human Services’ Office for Civil Rights (OCR) has made an announcement that will send shockwaves through the healthcare industry.

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HIPAA US Department of Health and Human Services Compliance 52

Provider Trust

MARCH 13, 2023

Three schools across Broward County and Palm Beach County, Florida, were involved in this multimillion-dollar fake diploma scheme: Siena College of Health, Palm Beach School of Nursing, and Sacred Heart International Institute. In addition, an estimated 37 percent of student nurses with fake diplomas passed the NCLEX.

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Fraud US Department of Health and Human Services Licensing Nurses 52

C&M Health Law

JANUARY 20, 2023

This builds on the HIPAA Transactions Rule standards for financial and administrative transactions among health care providers and health plans and aligns with Department of Health and Human Services (HHS) interoperability regulations.

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HIPAA US Department of Health and Human Services Compliance Health Insurance 52

Compliancy Group

DECEMBER 16, 2022

At first glance, the Department of Health and Human Services’ Office for Civil Rights HIPAA enforcement for the year 2022 appears to be lax. In 2022, OCR entered into 20 resolution agreements with HIPAA-covered entities, and imposed civil monetary penalties on two more. 22 cases total. . One Security Rule violation case.

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HIPAA US Department of Health and Human Services Compliance Medicaid 52

AIHC

FEBRUARY 16, 2024

Lessons Learned about Consequences & Incentives Submitted by the AIHC Education Department Introduction The Office of Inspector General has released the new General Compliance Program Guidance or “GCPG” in late 2023. One of the seven items, #5 is “Enforcing Standards: Consequences and Incentives.”

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

AIHC

FEBRUARY 16, 2024

Lessons Learned about Consequences & Incentives Submitted by the AIHC Education Department Introduction The Office of Inspector General has released the new General Compliance Program Guidance or “GCPG” in late 2023. One of the seven items, #5 is “Enforcing Standards: Consequences and Incentives.”

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

Health Populi

AUGUST 19, 2019

Data security breaches, access challenges, and privacy leakages plague the current state of Americans’ personal health information (PHI). The Scorecard was developed to gauge the progress (and lack thereof) of patient information access afforded by peoples’ health care providers. What did Ciitizen learn from this process?

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US Department of Health and Human Services HIPAA Hospitals Electronic Medical Records 82

SQA

FEBRUARY 15, 2023

Relevant matters are hereby announced as follows: As of 01 December 2022, the Electronic Certificates of Documentation for Export of APIs to the EU and Certificate of a Pharmaceutical Product will be put into use. Efforts should be made to promote and guide the use of electronic certificates.

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

HIT Consultant

JANUARY 16, 2024

David Ting, founder/CTO at Tausight In November, President Biden signed a new Executive Order – titled “Safe, Secure, and Trustworthy Artificial Intelligence” – that promises to introduce new national AI regulations that focus on safety and responsibility in the use of this revolutionary new technology. Department of Commerce.

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US Department of Health and Human Services Compliance Governance 124

Exeed Regulatory Compliance

MARCH 5, 2020

Secretary of the Department of Health and Human Services (HHS) has declared a public health emergency. The World Health Organization (WHO) has stopped short of classifying the outbreak as a pandemic, but consistently encouraged affected countries to activate their national emergency response plans.

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US Department of Health and Human Services FDA Public Health COVID-19 52

Hall Render

JANUARY 28, 2022

FDA halts use of antibody drugs that don’t work vs. omicron. Where Hospital Price Transparency Compliance Is Lagging. Safety-net hospitals face the worst of the US’ nursing shortage. State health officer discusses Alabama’s COVID-19 peak. Alaska Mental Health Trust Authority names new CEO.

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

Drug & Device Law

DECEMBER 29, 2023

Executive Health Resources, Inc. , Executive Health Resources, Inc. , United States Department of Health and Human Services , 58 F.4th In 2023, these include United States ex rel. Polansky v. UnitedHealthcare, Inc. , 3d 239 (Cal. Croda Inc. , 3d 191 (Del. C-8 Personal Injury Litigation , 87 F.4th

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FDA US Department of Health and Human Services COVID-19 COVID-19 Vaccine 105