Provider Trust

SEPTEMBER 29, 2022

A 49-year-old Brownsville, TX man named Fernando Mendez was taken into custody in early September after being charged with defrauding Medicaid. Mendez, who was a physician assistant at CCI Therapy Counseling Centers International, was working with a suspended medical license. How Often Should You Verify Employee Licenses?

Licensing 52

Licensing Fraud Medicaid Medicaid 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 157

Public Health Medicare Medicare COVID-19 157

The Health Law Firm Blog

MARCH 26, 2024

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

The Health Law Firm Blog

MARCH 11, 2024

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

AUGUST 9, 2022

During the fiscal year 2021, the report states that the federal government won or negotiated over $5 billion in healthcare fraud judgments and settlements. million in federal Medicaid money was transferred to the Centers for Medicare & Medicaid Services (CMS). Monetary Penalties. Of this $1.9

Fraud 52

Fraud Medicaid Medicaid Medicare 52

Provider Trust

APRIL 30, 2024

This year, as always, the Medicaid Fraud Control Units (MFCUs) released an annual report dissecting the exclusions, enforcements, and overall takeaways from their work throughout the previous fiscal year (FY). for every $1 spent How ProviderTrust Can Help With nearly 80 million individuals covered by Medicaid, every data point counts.

Fraud 52

Fraud Medicaid Medicaid Licensing 52

The Health Law Firm Blog

DECEMBER 31, 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

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

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 160

Telemedicine Licensing Health Outcomes Governance 160

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 122

Medical Billing Licensing Health Insurance Medicaid 122

Health Populi

MAY 21, 2020

Another 8% had Medicaid or a state health insurance program. One in 5 of people with health insurance were concerned about losing their health plan in the next six months as the coronavirus heats up, recedes, and may re-emerge in the fourth quarter of 2020 into 2021.

COVID-19 161

COVID-19 Doctors Health Insurance Medicare 161

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 122

Ransomware HIPAA Licensing Health Insurance 122

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 133

Ransomware Fraud HIPAA Licensing 133

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

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

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 85

Electronic Medical Records HIPAA Licensing Nurses 85

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

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

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

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 105

Ransomware HIPAA Licensing Health Insurance 105

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 116

Licensing Health Insurance Medicaid Medicaid 116

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

Healthcare IT News - Telehealth

MARCH 29, 2022

With a shortage of physicians to address the growing need for care, a lack of providers who accept Medicaid, and access issues due to transportation or office hour challenges, healthcare organizations are looking to technology to help bridge the gap. Addressing the increasing need for behavioral health services is a nationwide challenge.

COVID-19 125

COVID-19 Nursing Homes Nurses Licensing 125

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

Healthcare IT Today

FEBRUARY 27, 2024

Drawing on decades of experience as a trusted resource in the home, in 2021 we created the Hamilton Beach Health brand. The product is patent protected, FDA cleared, and FSA, HSA, Medicare, and Medicaid eligible. Postal Service’s approved mail-back program. The revenue for all HealthBeacon offerings is from subscription services.

FDA 121

FDA Licensing Medicaid Medicaid 121

Healthcare IT News - Telehealth

FEBRUARY 5, 2024

Patients with mental health issues frequently must wait many months before getting seen by a licensed clinician who can prescribe psychotropic medication. You contend telepsychiatry will continue to grow because it enables access to mental healthcare – which is a big challenge today.

COVID-19 161

COVID-19 Public Health Licensing Telemedicine 161

Healthcare IT News - Telehealth

OCTOBER 20, 2021

Early on in the pandemic, the Centers for Medicare & Medicaid Services (CMS) extended telehealth waivers that helped bring virtual care services into the mainstream. Then you can practice at the top of your license again without being in a documentation nightmare and so focused on CPT codes that you can't see straight.

COVID-19 171

COVID-19 Hospitals Telemedicine Licensing 171

Health Care Law Brief

MAY 11, 2022

The vesting periods shall be up to two (per covered employer) six-month periods between October 1, 2021 and March 31, 2024 for which workers that are continuously employed by an employer during such six-month periods may become eligible for a bonus. Covered Employers. Covered Employer Tracking and Recordkeeping.

Medicaid 97

Medicaid Medicaid Overpayments Overpayment 97

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

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

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

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

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

Healthcare Law Blog

JANUARY 10, 2022

On January 6, 2022 , the Centers for Medicare and Medicaid Services (“CMS”) issued the proposed rule on Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs (the “Proposed Rule”). Additional Opportunities for Integration through State Medicaid Agency Contracts.

Medicare 98

Medicare Medicare COVID-19 Medicaid 98

HIPAA Journal

AUGUST 12, 2022

WNJ identified suspicious network activity on October 22, 2021. A review of the affected email accounts revealed they contained patient data such as names, client health insurance information, Medicaid information, Social Security numbers, and limited information related to services received at Living Innovations.

Licensing 68

Licensing Health Insurance HIPAA Medicaid 68

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