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OCR released guidance on April 12, 2023 to help covered health care providers and health plans understand how they can use remote communication technologies for audio-only telehealth. This information was published due to the end of the COVID-19 Public Health Emergency (PHE) which began May 12, 2023.
In March 2023, the House Ways and Means Committee hosted an investigative hearing on “private equity’s expanded role in the US healthcare system”. However, although the volume has leveled off or in some cases subsided, enforcement and investigation activity appears to be ramping up.
It involves collecting and reviewing information such as education, training, licensure, certifications, work history, malpractice history, and references — all in pursuit of verifying that providers are who they say they are and qualified to deliver legitimate, safe, and ethical care.
Written by: Nancie Lee Cummins, CFE, CHA, CIFHA, OHCC, CHCM, CHCO, CORCM Due to the high volume of fraud schemes involving telemarketing revealed by the Department of Justice (DOJ) over recent years, it is important that providers heed “buyer beware” when engaging with a telemarketing firm. “If If it is too good to be true it probably isn't.”
Regional Health named one of the best places to work in Kentucky UK HealthCare taps chief revenue officer LOUISIANA Louisiana opens $33M mental health hospital Louisiana physician, wife to pay $450K for neurostimulator fraud scheme Louisiana physician charged for $6.6M Vincent hospital names chief medical officer UAMS Awarded $1.9M
CMS’ Brooks-LaSure defends 2023 pay bump for hospitals that groups charge is too small. California to increase awards in medical malpractice cases. in malpractice case. Doctor overseeing coronavirus testing at BWI accused of health-care fraud. Owners Of Behavioral Health Companies Sentenced For Medicaid Fraud.
Luke Hospital And Living Center Welcome to the organ donation waiting game. Plenty of hard truths and high hopes await. medical school to revamp philanthropic efforts Sage Health opening 3 central Md. medical school to revamp philanthropic efforts Sage Health opening 3 central Md.
Luke Hospital And Living Center Welcome to the organ donation waiting game. Plenty of hard truths and high hopes await. medical school to revamp philanthropic efforts Sage Health opening 3 central Md. medical school to revamp philanthropic efforts Sage Health opening 3 central Md.
with more than 5 Magnet designations Four more years: Anthem Blue Cross and Blue Shield, Wellstar re-up contract Hospital fails to dodge $10M malpractice verdict after attempting to pin payment on radiologist New survey reveals insight into Georgia’s maternal health crisis New chief medical officer hired for St.
Vincent Parkview Health’s ASC strategy: 2 updates Indiana hospital margins lag behind nation, with some budgets in the red Report shows Indiana hospitals lost more than $700 million in income in 2023 Two Indiana Hospitals Receive a “D” in Patient Safety Franciscan Health to partner with nonprofits Beacon Health System receives $5.4M
in 2023 100M hit by Change Healthcare breach AHA pushes for hospital-at-home changes Amazon One Medical, Cleveland Clinic partner on primary care Big systems looking ‘outside of the four walls of the hospital’ Calm Health, UnitedHealthcare form partnership: 3 notes Cigna-Humana merger talks are back on: report Doctors hate MIPS.
Receiver unravels financial mess at Boston nursing home Baystate Health, Wellpoint reach multi-year contract agreement Cardinal Health opens medical product distribution center in Massachusetts Changing blood test protocol could improve patient care, catch disease sooner Mass. sold for $4.1B TEXAS Bivacor to implant more U.S.
10 procedures CMS proposes moving off the inpatient-only list in 2023. update to ASC pay rate in 2023: 6 things to know. cancer, cardio lab fraud. State settles University of Iowa medical malpractice lawsuit for $7.5 CMS pitches outpatient payment rule. CMS proposes 2.7% CMS releases Medicare OPPS and ASC proposed rule.
list includes 3 from Arizona ARKANSAS Children’s Miracle Network Raises $5.4M acres in Roseville for future primary care center U.S. million bird flu shots to U.S.
’ What nurses say must improve at Framingham hospital Southcoast Health named a Recognized Center for Healthcare-AI Tufts Medicine names SVP of revenue cycle Tufts Medicine reports $68.2M operating loss, -10.2% United Therapeutics ‘no longer pursuing’ nearly 350 acres in Hackett Hill area NEW JERSEY 4 N.J.
million patients stolen during ransomware attack MINNESOTA CFO of the Year 2023: Penny Cermak, HealthPartners Inc. million patients stolen during ransomware attack MINNESOTA CFO of the Year 2023: Penny Cermak, HealthPartners Inc. million donation The state’s troubled hospital grant program has finally awarded money to eight facilities.
Fitch Revises Outlook on Dartmouth-Hitchcock Health (NH) to Negative; Affirms IDR and Revs at ‘A’ NEW JERSEY 2 nurses, medical resident injured in attack at New Jersey hospital, authorities say New Jersey man convicted in $4M fraud scheme NJ hospitals make progress after crippling cyberattacks According to U.S.
But hospitals say they can’t afford to pay California hospital nurses to receive raises of up to 30% California pharmacist pleads guilty to multi-year Medicare fraud scheme Carmichael-based Eskaton pays $5.5 deal with Bristol Myers, Boston biotech cuts workers Staffing woes leave 3,000 Mass.
fraud scheme UConn Health is in financial trouble. health care spending hits $4.5 health care spending hits $4.5 Pete’s Innovation District Dozens of patients still seek medical records after Central Florida arthritis center closes HCA Florida hospital cited after patient death Hendrix named COO at UF Health St.
NATIONAL 92% Of U.S. Here is what it will involve. billion on hospital acquisitions Wolfson Children’s Hospital ranked among best in 4 specialties, per U.S. billion on hospital acquisitions Wolfson Children’s Hospital ranked among best in 4 specialties, per U.S.
Mary’s Hospital accused of negligence and medical malpractice in wrongful death suit. renovation St. office building purchase Good Shepherd Rehabilitation unveils new robotics center at Center Valley hospital Health care software firm NextGen enacting layoffs at its Horsham office after being acquired Hospital Receives $6.4M
Doctor loses at least four homes, sentenced to federal prison for healthcare fraud amounting to $38M. million in restitution in complex telemedicine fraud scheme. QC dermatologist to pay $1.66M for fraud claim. 2 Pennsylvania nursing homes accused of health care fraud. i health officials identify 12th monkeypox case.
in false claims Georgia ranked as one of the worst states for children’s health in 2023 Georgia’s maternal mortality rate still one of the highest in U.S., Here’s what you need to know. Georgia physician found liable for $1.1M
Jaya Raj fosters relatable health care ARKANSAS 5 ASC legal cases, controversies in 1 month UAMS Report Shows Financials Improved in Fiscal Year 2023 Clinical Transaction Checks In at $1.5M Million Settlement with L.A. Million Settlement with L.A. Million Settlement with L.A. headcount among top 10 biopharma employers shrinks New Mass.
‘Not what we were looking for,’ CEO says Fired CEO files slander, defamation suit against Scotland County Hospital Missouri health system appoints strategy chief Missouri physician pleads guilty to $537K Medicare fraud scheme New Behavioral Health Crisis Center Open in Cape Girardeau St.
Top 10 Healthcare Industry Predictions For 2023. After record-breaking malpractice award, Coralville clinic files for bankruptcy. Catholic Health, with midyear losses of $95M, says change could be in store for 2023. Medicaid expansion efforts in North Carolina pushed to 2023. Walgreens’ VillageMD completes $8.9B
million for youth mental health care KENTUCKY Pike County nursing home officials release statement following loss of Medicare agreement Three Humana executives drop $11.2M
Physicians not returning Casper resident, needing surgery, may have to go elsewhere Column: Sheridan Memorial Hospital’s cardiac cath lab earns national accreditation The post Health Provider News – February 10, 2023 appeared first on Law Firm | Health Care Law Firm in the USA | Hall Render. How profitable are they?
California physician convicted of healthcare fraud, kickbacks California’s healthcare minimum wage boost to cost $4B City Council upholds approval of Hollywood Presbyterian medical offices at 1321 N. Will it survive the next few years?
Workers at another D.C. Bipartisan Ky. hospital company Kansas City Orthopaedic Institute appoints new CEO Kansas City University’s new research center aims to answer: ‘How do we keep people well?’ in costs, report finds Pennsylvania hospital staff vote for union removal St.
Anthony’s Hospital celebrates expansion, renovation project milestone ‘Our voices weren’t being heard’: COVID-19 restrictions rolled back in Metro nursing home Nebraska lawmakers send $10.7
medical workers 4 takeaways from Braselton hospital expansion presentation HAWAII Hawaii Gov. Staff shortages could spur next public health crisis, Baystate Health CEO warns CommonSpirit, Mass General, Moffitt execs to judge telehealth challenge Brigham and Women’s, AI company get $2.5M
CareTrust CIO: After Entering Kansas with Latest Deal, We Are Keen for Other New Markets KENTUCKY 2 Louisville developments among biggest U.S. has one of the highest rates avoidable hospital visits in U.S. has one of the highest rates avoidable hospital visits in U.S.
News & World Report recognizes five Northern Light Eastern Maine Medical Center services as ‘high performing’ Deer Isle nursing home offers naming opportunities to meet $1.5M
fraud scheme Blue Cross Blue Shield, Phoenix Children’s at odds over contract renewal Former Tucson Heart Hospital to become El Rio Health clinic California company will manage troubled St. Vincent’s acquisition on Nov. Vincent’s acquisition on Nov.
Mental health hospital slated for Wichita could solve some problems but faces staffing questions Missouri and Kansas limit payouts in medical malpractice lawsuits. in federal funds will allow CT colleges to hire more nursing instructors, provide student tuition support Connecticut hospital expenses $3.5B But who really benefits?
Daytona Beach medical office building/surgery center HCA Healthcare breaks ground on new freestanding ER in Orlando Lee Health’s new state-of-the-art bloodmobile hits the road Naples physician charged with Medicare fraud gives up license; enters guilty plea Nemours opens full-time office for children in Panama City with St.
Elizabeth Community Hospital receives top marks for safety Strike set at Los Angeles hospital Sutter Health credit rating upgraded ahead of $750 million bond issue Sutter Health in talks to acquire Sansum Clinic in Santa Barbara Sutter Health opens 2023 with $194M gain, 2.3%
25, union says Physician sues Prospect Medical Holdings alleging insurance fraud Two more GoHealth Urgent Care clinics opened, expanding coverage across CT Yale New Haven Hospital Named Best In Connecticut In New Report DC DC Man Sentenced to 13 Years for Unprovoked Assault on Psychiatrist at St.
Medicare fraud scheme California system CEO to retire California system posts $165M annual operating loss, -18.5% Medicare fraud scheme HCA to acquire Prime Florida hospital HHS Office for Civil Rights Imposes a $1.19 Medicare fraud scheme HCA to acquire Prime Florida hospital HHS Office for Civil Rights Imposes a $1.19
in 2023 income Ransomware group leader told hackers to attack hospitals, FBI, HHS say The 23 health systems pushing Congress to act on virtual care Three examples of how AI is going to change medicine U.S. KXAN investigates Does UT Tyler Health Science Center’s deal with private equity shield doctors from malpractice suits?
Medicaid fraud scheme New York hospital exec chosen to lead Greenwich Hospital Why 5 ASCs are facing opposition 120 doctors in CT are at risk for losing their jobs. Louis physician sentenced for Medicare, Medicaid fraud ‘We all lost our jobs’: St. base in MN Report: Minnesota nonprofit hospitals totaled $6.2B
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