The Health Law Firm Blog

DECEMBER 16, 2022

Board Certified by The Florida Bar in Health Law The Florida Department of Health's Quarterly Performance Report (QPR) for the Third Quarter of Fiscal Year 2020-2021, was recently released. It provides information and statistics on actions involving licensed health professionals through March 2021. Indest III, J.D.,

Licensing 52

Licensing Nurses Fraud Medicaid 52

Provider Trust

MAY 9, 2023

What is a Medicaid Fraud Control Unit (MFCU)? But these programs cannot be controlled by Medicaid and Medicare alone. But these programs cannot be controlled by Medicaid and Medicare alone. With this legislation, Medicaid Fraud Control Units (MFCUs) were born.

Fraud 52

Fraud Medicaid Medicaid Nurses 52

The Health Law Firm Blog

MAY 12, 2023

Board Certified by The Florida Bar in Health Law On October 1, 2021, a former dental office manager was sentenced to 12 months in prison for her role in a Medicaid fraud scheme. By George F. Indest III, J.D., The office manager for Universal Smiles, a D.C.-based based dental practice was sentenced for her [.]

Medicaid 52

Medicaid Medicaid Fraud Licensing 52

New Jersey Healthcare Blog

AUGUST 11, 2021

Below are the most recent health care related regulatory developments as published in the New Jersey Register in June and July 2021: On June 7, 2021, at 53 N.J.R. On June 7, 2021, at 53 N.J.R. On June 7, 2021, at 53 N.J.R. On June 7, 2021, at 53 N.J.R. On June 7, 2021, at 53 N.J.R. See N.J.A.C. See N.J.A.C.

Public Health 40

Public Health COVID-19 Licensing Medicaid 40

New Jersey Healthcare Blog

SEPTEMBER 7, 2021

Below are the most recent health care related regulatory developments as published in the New Jersey Register in August 2021: On August 2, 2021, at 53 N.J.R. On August 2, 2021, at 53 N.J.R. On August 2, 2021, at 53 N.J.R. On August 2, 2021, at 53 N.J.R. On August 2, 2021, at 53 N.J.R. See adopted N.J.A.C.

Telemedicine 40

Telemedicine Licensing Medicaid Medicaid 40

The Health Law Firm Blog

FEBRUARY 15, 2022

Board Certified by The Florida Bar in Health Law On October 1, 2021, a former dental office manager was sentenced to 12 months in prison for her role in a Medicaid fraud scheme. By George F. Indest III, J.D., The office manager for Universal Smiles, a D.C.-based based dental practice was sentenced for her.

Medicaid 52

Medicaid Medicaid Fraud Licensing 52

HIPAA Journal

FEBRUARY 16, 2022

Family Christian Health Center (FCHC) in Illinois has announced it was the victim of a ransomware attack in November 2021 that compromised the protected health information of 31,000 patients. The attackers compromised FCHC’s old dental system which contained the PHI of patients who had received dental services prior to August 31, 2020.

Ransomware 130

Ransomware Hospitals Licensing HIPAA 130

HIPAA Journal

MARCH 25, 2022

The forensic investigation revealed the email accounts were accessed by unauthorized individuals between April 7, 2021, and June 2, 2021. AHA provided notice about the attack on January 6, 2021. UMC was a victim of a REvil ransomware attack in June 2021 that resulted in the theft of the protected health information of 1.3

Health Insurance 119

Health Insurance Licensing Ransomware Fraud 119

HIPAA Journal

MARCH 10, 2022

Bako Diagnostics (BakoDx), a Georgia-based provider of laboratory services to healthcare providers, has announced it was the victim of a cyberattack that was discovered on December 28, 2021. The Austin, TX-based cloud hosting and data storage company DataHEALTH has announced it was the victim of a ransomware attack on November 3, 2021.

Ransomware 133

Ransomware Licensing Health Insurance HIPAA 133

Bill of Health

FEBRUARY 23, 2023

Over 1,500 state anti-public health bills – introduced to thwart emergency powers, dismiss emergency declarations, prohibit masks, eliminate vaccine mandates, and restrict social distancing – were introduced between January 1, 2021 – May 20, 2022. Yet, only 185 of these bills actually passed. Local school districts were crafty, too.

COVID-19 183

COVID-19 Public Health COVID-19 Vaccine Governance 183

Provider Trust

JANUARY 18, 2023

In October 2022, the South Carolina Medicaid Fraud Control Unit (SCMFCU) arrested a 37-year-old South Carolina woman named Alyssa Beth Steele for working as a registered nurse despite not having a license. Pursuant to federal regulations, the SCMFCU is authorized to investigate and prosecute any acts of Medicaid provider fraud.

Nurses 52

Nurses Licensing Fraud Medicaid 52

HIPAA Journal

MARCH 14, 2022

Capital Region Medical Center (CRMC) in Jefferson City, MO has recently confirmed patient information was accessed by unauthorized individuals in a December 2021 cyberattack that took its network and phone systems offline for several days. The attack was detected on December 17, 2021, when network systems were disrupted.

Electronic Medical Records 138

Electronic Medical Records Health Insurance HIPAA Licensing 138

Healthcare IT News - Telehealth

SEPTEMBER 9, 2024

Meanwhile, the American Telemedicine Association is pleading with the Centers for Medicare and Medicaid Services for expanded flexibilities and further guidance on payment and coverage. Licenses that allowed physicians to practice across state lines and provided reimbursement parity due to the pandemic have now expired. with broadband.

Telemedicine 151

Telemedicine Licensing Health Outcomes Governance 151

Physician Credentialing Company

OCTOBER 25, 2024

For example, a psychotherapist who has a professional practicing license might embrace the cognitive-behavioral approach to urge the patient to overcome negative thinking methods. Only licensed mental health professionals are permitted to send the bill for the services offered defined by code 90834. 2021: $103.28 2022: $112.29

Licensing 52

Licensing Medical Billing Telemedicine Medicare 52

HIPAA Journal

MARCH 6, 2023

Cedar Park, TX-based Dental Health Management Solutions (DHMS), a provider of dental services to the government/military and private patients has recently announced – via its legal counsel – that the protected health information of certain patients was exposed in a 2021 hacking incident.

Electronic Medical Records 86

Electronic Medical Records HIPAA Licensing Nurses 86

Med-Net Compliance

SEPTEMBER 7, 2022

A 49-year-old Texas physician assistant was arrested and charged for his role in a scheme to defraud Medicaid by working with a suspended medical license. On July 20, 2021, the Texas Medical Board allegedly ordered the immediate suspension of his physician assistant license, deeming him to be a “continuing threat to public welfare.”

Medicaid 59

Medicaid Medicaid Licensing Medical Personnel 59

Med-Net Compliance

SEPTEMBER 14, 2022

A Massachusetts home health aide, who was licensed as a Certified Nursing Assistant (CNA), has been indicted in connection with a home surveillance video showing her abusing an elderly patient, Attorney General Maura Healey announced. The aide was indicted by a grand jury on two charges of assault and battery on an elder by a caretaker.

US Department of Health and Human Services 59

US Department of Health and Human Services Fraud Medicaid Medicaid 59

Innovaare Compliance

FEBRUARY 9, 2021

Annually, the Centers for Medicare & Medicaid Services (CMS) releases star ratings, which measure the quality of care health plans deliver for its members. New CMS star ratings criteria 2021. Read More – Medicare Star Ratings Changes 2021 . Centers for Medicare & Medicaid. The CMS star ratings challenge.

Medicare 40

Medicare Medicare Medicaid Medicaid 40

HIPAA Journal

OCTOBER 17, 2022

RAA said suspicious activity was detected within its environment in August 2021. The forensic investigation confirmed that unauthorized individuals had access to certain systems between July 22, 2021, and August 3, 2021, and copied files from its network that contained patient data.

Licensing 58

Licensing HIPAA Health Insurance Medicaid 58

The Health Law Firm

FEBRUARY 14, 2022

Board Certified by The Florida Bar in Health Law On November 2, 2021, a doctor and his wife who had been indicted for their roles in a $1.3 Additionally, the doctor indicated that he was sought to directly address CMS and the Medical Practice's ability to bill Medicare and Medicaid. By George F. Indest III, J.D.,

Medicare 52

Medicare Medicare Fraud Doctors 52

HIT Consultant

FEBRUARY 5, 2024

All certifications and licenses must be verified for every provider who administers services to patients. This includes each practitioner’s education, medical training, residency, licenses, as well as any certifications issued by a board in the physician’s area of specialty. Mistake No. 4: Not updating and verifying information.

Malpractice 96

Malpractice Licensing Due Diligence Hospitals 96

Healthcare IT News - Telehealth

JANUARY 25, 2021

The Protecting Access to Post-COVID-19 Telehealth Act of 2021 legislation was introduced this past week by Rep. Authorize the Centers for Medicare and Medicaid Service to continue reimbursement for telehealth for 90 days beyond the end of the public health emergency. A bipartisan group of U.S. Mike Thompson, D-Calif.,

COVID-19 212

COVID-19 Medicare Medicare Telemedicine 212

Verisys

JUNE 13, 2023

Centers for Medicare & Medicaid Services : The US Department of Health and Human Services has issued a final rule update concerning guidelines for COVID-19 vaccination requirements for Long-Term Care Facilities (LTC) and Intermediate Care for Individuals with Intellectual Disabilities (ICFs-IID).

COVID-19 Vaccine 52

COVID-19 Vaccine US Department of Health and Human Services COVID-19 Licensing 52

HIPAA Journal

JUNE 8, 2023

According to the May 22, 2023, breach notice, the incidents occurred in 2021. PVOC discovered on March 3, 2022, that malware had been installed on the servers of the vendors between November 13, 2021, and November 15, 2021.

Ransomware 106

Ransomware HIPAA Licensing Health Insurance 106

HIPAA Journal

OCTOBER 11, 2022

The investigation confirmed that several employee email accounts had been accessed by an unknown actor between November 4, 2021, and February 14, 2022. It was not possible to determine if any emails or file attachments were opened or acquired by the attacker.

Licensing 79

Licensing HIPAA Health Insurance Medicaid 79

HIPAA Journal

APRIL 8, 2022

Advanced Medical Practice Management Sends Notification Letters About July 2021 Cyberattack and Data Theft Incident. AMPM identified suspicious activity related to files within its IT environment on August 5, 2021, and immediately secured its network.

Medical Billing 124

Medical Billing Licensing Health Insurance Medicaid 124

NY Health Law

FEBRUARY 13, 2024

On January 9, 2024, the federal Centers for Medicare and Medicaid Services (CMS) finally approved New York State’s 1115 waiver amendment to establish the New York Health Equity Reform (NYHER) Program. Workforce: Workforce investments with a goal of equitable and sustainable access to care in Medicaid.

Medicaid 52

Medicaid Medicaid Nurses Medicare 52

Healthcare IT News - Telehealth

NOVEMBER 10, 2020

The Centers for Medicare and Medicaid Services (CMS) is expected to issue new rules for telehealth in the release 2021 Physician Fee Schedule later this year. It is also recommended to review individual payer websites for any changes in telehealth policies for 2021. Anticipated New CMS Rules for Telehealth.

Public Health 150

Public Health Medicare Medicare COVID-19 150

MedTrainer

NOVEMBER 28, 2023

The State of New Jersey Department of Human Services, Division of Medical Assistance and Health Services oversees the state’s Medicaid enrollments and programming. The New Jersey Division of Consumer Affairs comprises an array of boards for all licenses , ranging from medical and behavioral/mental health to pharmacy and veterinary.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

HIPAA Journal

MAY 23, 2023

Apria was alerted about unauthorized access to some of its systems on September 1, 2021. The investigation confirmed its systems were accessed by an unauthorized individual between April 5, 2019, and May 7, 2019, and again from August 27, 2021, to October 10, 2021.

Licensing 117

Licensing Health Insurance Medicaid Medicaid 117

YouCompli

APRIL 27, 2022

The Nurse Licensure Compact (NLC) is an interstate agreement allowing nurses to practice in multiple states with one multistate license issued from their home state. The compact enables nurses to provide nursing services to patients located in other NLC states via telehealth without obtaining additional licenses.

Compliance Officers 52

Compliance Officers Licensing Compliance Nurses 52

Med-Net Compliance

NOVEMBER 8, 2022

The inspection objective was to determine whether the direct care licensed nursing hours recorded at the nursing home supported the hours submitted to the US Centers for Medicare & Medicaid Services (CMS) in compliance with federal requirements. Train appropriate staff to accurately document and report direct care hours worked.

Nursing Homes 59

Nursing Homes Nurses US Department of Health and Human Services Licensing 59

HIPAA Journal

APRIL 13, 2022

The email accounts were discovered to have been compromised between December 6, 2021, and January 3, 2022. Wellstar Health learned about the security breach on February 7, 2022, with the forensic investigation confirming that the breach was limited to two email accounts. No other systems were compromised.

Ransomware 123

Ransomware HIPAA Licensing Health Insurance 123

HIPAA Journal

OCTOBER 10, 2022

According to the breach notice, a presentation was emailed to the DHS Children’s Long-Term Support Council in April 2021 that contained protected health information. DHS said the breach affected 12,358 Wisconsin Medicaid members, who have now been notified and offered complimentary 12-month memberships to a credit monitoring service.

Medicaid 58

Medicaid Medicaid Governance Fraud 58

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

MAY 29, 2024

No Medicaid Identification Numbers As of September 1, 2021 , Texas stopped assigning Medicaid identification numbers, formerly known as a “TPI number.” If the provider will be enrolling with Medicare and the Texas Medicaid program , you’ll also want to set up the Provider Enrollment and Management System (PEMS) profile.

Medicaid 52

Medicaid Medicaid Malpractice Licensing 52

HIPAA Journal

MAY 25, 2022

According to the notification letters, the attack was detected on November 24, 2021, when files on its systems were encrypted. The Bryan County Ambulance Authority in Oklahoma has recently started notifying 14,273 patients about the exposure and potential theft of some of their protected health information.

Ransomware 134

Ransomware Fraud HIPAA Licensing 134