Healthcare Compliance Blog

MAY 19, 2022

million to settle allegations that it violated the False Claims Act by submitting false claims to Medicare. Following an internal review and audit, the hospital discovered irregularities regarding its billing of certain services, and proactively contacted the United States to self-disclose the issues.?The to resolve the claims.

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Healthcare Law Blog

DECEMBER 7, 2022

On December 5, 2022, the Department of Health and Human Services (“ HHS ”), Office of Inspector General (“ OIG ”), released their Semiannual Report to Congress for the period beginning on April 1, 2022, and ending on September 30, 2022 (the “ Semiannual Report ”). [1]. million $1.19 billion Questioned Costs $1.17

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Healthcare Law Blog

MARCH 7, 2023

The Centers for Medicare & Medicaid Services (“CMS”), on behalf of the U.S. Department of Health and Human Services (“HHS”), recently issued a proposed rule to adopt standards under the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) for “health care attachment” transactions (the “Proposed Rule”).

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Healthcare Law Today

FEBRUARY 6, 2023

According to the Administration for Community Living (ACL), 1 as of 2019, people 65 and older represented 16% of the population of the United States; that is approximately 54 million people. As of 2019 almost 95% of such persons had Medicare coverage and about half of those also had some sort of supplemental health insurance coverage.

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Innovaare Compliance

JUNE 21, 2023

The Inflation Reduction Act of 2022 has wide-ranging impact on payments for drugs used by Medicare beneficiaries, whether they are administered in the provider’s office (Part B) or used in the ambulatory setting (Part D). Part B drugs have had the fastest spending growth for drugs for Medicare. percent annually.

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Healthcare IT Today

JANUARY 4, 2023

The following is a guest article by Nate Maslak, Founder & CEO at Ribbon Health. The ability to seek treatment from a doctor specializing in your specific medical need is beneficial and improves health outcomes. And consumers have come to expect and demand this personalization. Personalized Healthcare in Action . million in 2020.

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Provider Trust

JANUARY 26, 2022

Luckily for all us, there’s a spectrum–and it was created with visibility and safety in mind. Department of Justice (DOJ), the U.S. Task forces, such as the Medicare Fraud Strike Force , work together to help uphold the FCA. For context, the DOJ in conjunction with the OIG recovered over $3 billion in FCA penalties in 2019–$2.6

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AIHC

NOVEMBER 15, 2022

Written by Joanne Byron , BS, LPN, CCA, CHA, CHCO, CHBS, CHCM, CIFHA, CMDP, COCAS, CORCM, OHCC, ICDCT-CM/PCS The Federal Hospital Price Transparency Rule helps Americans know the cost of a hospital item or service before receiving it. In the US, hospital prices vary widely but are not visible to patients or the public.

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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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Healthcare Law Blog

JANUARY 14, 2022

And since the conference was virtual, what better topic to start us off today than a consideration of the new Virtual-First trend that surfaced in 2021. We’ll follow that with a dive onto the couch to consider the conference’s mental health offerings and where the behavioral health sector is heading. During Day 4 of the J.P.

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Kaiser Health News

JUNE 16, 2022

Ariane Buck, a young father in Arizona who sells health insurance, couldn’t make an appointment with his doctor for a dangerous intestinal infection because the office said he had outstanding bills. beset by a health care system that is systematically pushing patients into debt on a mass scale, an investigation by KHN and NPR shows.

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Health Populi

JANUARY 18, 2021

But for those of us working with and innovating solutions for health and health care, #CES2021 was baked with health goodness , in and beyond “digital health” categories. In my consumer-facing health care work, I’ve adopted the mantra that our homes are our health hubs.

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Hall Render

JUNE 21, 2024

NATIONAL 50% of U.S. to buy property. NATIONAL 50% of U.S. to buy property. NATIONAL 50% of U.S. to buy property. The deal fell through, but that won’t solve Bartlett’s budget issues. Kenai Peninsula Borough Assembly considers $38.5M Kenai Peninsula Borough Assembly considers $38.5M

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Hall Render

MARCH 31, 2023

in 2022, survey finds Senate votes to end COVID-19 national emergency Why are 600+ rural hospitals at risk of closing? in 2022, survey finds Senate votes to end COVID-19 national emergency Why are 600+ rural hospitals at risk of closing? What happens if it disappears?

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Hall Render

AUGUST 19, 2022

Amazon to offer behavioral health services through Ginger partnership. CDC, amid criticism for COVID-19 response, plans reorganization as public health threats grow. House approves sweeping climate, tax, health care package. Joint Commission’s New Accreditation Standards Tackle Health Disparities. CALIFORNIA.

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Health Populi

DECEMBER 30, 2019

the health/care ecosystem warmly embraced social determinants of health as a concept in 2019. A few of the mainstreaming-of-SDoH signposts in 2019 were: Cigna studying and focusing in on loneliness as a health and wellness risk factor. Humana’s Bold Goal initiative targeting Medicare Advantage enrollees.

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Hall Render

JANUARY 28, 2022

FDA halts use of antibody drugs that don’t work vs. omicron. Medicare posts key nursing home staffing info for consumers. 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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Hall Render

JULY 14, 2023

How did we get here?

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Hall Render

FEBRUARY 4, 2022

11% of US hospitals critically understaffed, 21% anticipate shortages: Numbers by state. Federal vaccine mandate countdown for unvaccinated health care workers begins. For Health Care Providers, Five Trends To Watch In 2022. HHS falling short in handling public health crises, GAO says. Arizona Sen.

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Hall Render

MAY 12, 2023

NATIONAL 4 Healthcare Design And Construction Trends To Watch AHA urges court to preserve ACA preventive services requirement pending appeal AI may pose ‘existential threat,’ physicians warn in BMJ Biden’s nursing home staff mandates expected soon CareFirst, Noom program aims to ‘retrain’ the brain of members with obesity, (..)

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Hall Render

DECEMBER 6, 2024

health center receives funding to help people leaving prison CARTIs Festival of Trees Breaks Fundraising Record, Raises Nearly $870K Pediatrics Plus Draws $8.7M health center receives funding to help people leaving prison CARTIs Festival of Trees Breaks Fundraising Record, Raises Nearly $870K Pediatrics Plus Draws $8.7M

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Hall Render

SEPTEMBER 6, 2024

Luke’s psychiatric hospital in Phoenix remains closed and its future is unclear What Texas can learn from crisis mental health care in Arizona Zoning change will allow Tucson mental health facility to expand Arizona’s nursing shortage hits another roadblock ARKANSAS CHRISTUS Health Announces $4.5M

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