Verisys

JULY 25, 2024

June 2024 Bad Actor Roundup By Verisys Each month we will give a roundup of recent healthcare fraudsters and compliance busters. Here is a round up of bad actors: National Health Care Fraud Enforcement Action Results in 193 Defendants Charged and Over $2.75 The post June 2024 Bad Actors Roundup appeared first on Verisys.

Fraud 52

Fraud Nursing Homes COVID-19 Licensing 52

Verisys

JULY 25, 2024

June 2024 Bad Actor Roundup By Verisys Each month we will give a roundup of recent healthcare fraudsters and compliance busters. Here is a round up of bad actors: National Health Care Fraud Enforcement Action Results in 193 Defendants Charged and Over $2.75 The post June 2024 Bad Actors Roundup appeared first on Verisys.

Fraud 52

Fraud Nursing Homes COVID-19 Licensing 52

Healthicity

APRIL 2, 2024

The selected items relate to (1) nursing homes and (2) medications. March was a busy month for new additions to the OIG’s Work Plan. Some of the items fit nicely into two broad categories which we’ve grouped together and summarized below.

Nursing Homes 52

Nursing Homes Nurses Fraud Compliance 52

Compliancy Group

APRIL 17, 2024

Office of Inspector General (OIG) in the Department of Health and Human Services (DHHS) oversees efforts in the healthcare sector to identify, reduce, and prevent incidents of fraud, waste, and abuse of funds from programs like Medicare. and cybersecurity threats. and cybersecurity threats.

Compliance Officers 52

Compliance Officers Compliance Medicare Medicare 52

Provider Trust

JANUARY 25, 2024

This report helps HHS fulfill its mission to improve the health and well-being of Americans while also providing suggestions for how healthcare organizations can stay ahead of the curve to avoid and combat fraud, waste, and abuse. Unfortunately, Medicare Advantage programs are not exempt from instances of fraud, waste, and abuse.

Fraud 52

Fraud Medicaid Medicaid Medicare 52

MedTrainer

AUGUST 8, 2024

As of March 2024, over 67 million in the United States are Medicare beneficiaries. Fraud, Waste, and Abuse (FWA) Training Fraud, Waste, and Abuse (FWA) training is designed to help healthcare professionals detect, prevent, correct, and report fraudulent, wasteful, and abusive practices within the Medicare system.

Medicare 93

Medicare Medicare Compliance Medicaid 93

Hall Render

JANUARY 10, 2025

In 2024, North Florida saw a surge in the construction of freestanding emergency departments (“EDs”) by various health care systems, driven by regional population growth. The HHS OIG has recommended that CMS enhance its review of nursing homes’ related-party cost reporting.

Nursing Homes 40

Nursing Homes Nurses Hospitals Fraud 40

AIHC

JUNE 3, 2024

People with degenerative diseases or cognitive disabilities, which include dementia, Alzheimer’s, and Parkinson’s, or those living in institutional settings such as nursing homes, are often not included in surveys. An article was published on April 30, 2024 by CBS News entitled Criminal schemes targeting U.S.

Elder Abuse 52

Elder Abuse Compliance Nursing Homes Compliance Officers 52

Hall Render

NOVEMBER 10, 2023

Since the release of its first compliance program guidance (“CPG”) for hospitals in 1998, OIG has developed a series of voluntary CPGs directed at various subsets of the health care industry, such as hospitals, nursing homes, third-party billing companies, clinical laboratories, among many others.

Compliance 40

Compliance Compliance Officers Fraud Governance 40

Hall Render

DECEMBER 11, 2024

On December 2, 2024, the Office of Inspector General (OIG) for the U.S. OIGs new Industry Segment-Specific Compliance Program Guidance For Nursing Facilities (Nursing Facility ICPG) for nursing home members of the health care compliance community emphasizes the importance of staff screening and exclusion checks.

Compliance 40

Compliance Licensing Nurses Medicaid 40

Hall Render

NOVEMBER 25, 2024

On November 20, 2024, the Office of Inspector General (“OIG”) for the U.S. Department of Health and Human Services (“HHS”) issued new Industry Segment-Specific Compliance Program Guidance For Nursing Facilities (“Nursing Facility ICPG”) for nursing home members of the health care compliance community.

Nurses 40

Nurses Compliance Compliance Officers Medicare 40

Hall Render

JULY 12, 2023

CMS’ goal is to select SFP hospices starting in 2024. Selection Approach In establishing the proposed SFP, CMS examined the Special Focus Facility program for nursing homes and its methodology for facility selection. CMS proposes the hospice SFP begin on the effective date of the final rule when it is when published.

Medicare 40

Medicare Medicare Nursing Homes Fraud 40

AIHC

FEBRUARY 16, 2024

The GCPG standardized the seven Elements of a Successful Compliance Program, which differs slightly from the individual compliance guidance documents (CPGs) directed at various segments of the health care industry, such as hospitals, nursing homes, third-party billers, and durable medical equipment suppliers.

Compliance 52

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

AIHC

FEBRUARY 16, 2024

The GCPG standardized the seven Elements of a Successful Compliance Program, which differs slightly from the individual compliance guidance documents (CPGs) directed at various segments of the health care industry, such as hospitals, nursing homes, third-party billers, and durable medical equipment suppliers.

Compliance 52

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

Hall Render

MARCH 14, 2025

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

Nurses 40

Nurses Nursing Homes Medicaid Medicaid 40

Hall Render

JUNE 21, 2024

To Settle Telehealth Fraud Accusations State Health Dept, Hospital Association Honor Yale New Haven Hospital D.C. Supreme Court weighs future of ER abortions Flinn Foundation report identifies bioscience growth areas for Phoenix metro Medical center office building in Chandler sells for $7.3

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes Nurses Hospitals 40

Hall Render

OCTOBER 20, 2023

nursing home advocate: industry in ‘death spiral’ from lack of health care providers, low pay Georgia medical center named one of the ‘most beautiful hospitals in the U.S.’

COVID-19 Vaccine 40

COVID-19 Vaccine COVID-19 Nursing Homes Nurses 40

Hall Render

FEBRUARY 24, 2023

judgment against nursing home chain over woman’s death Arkansas BCBS names VP of group market U of Arkansas to offer dual DNP-MBA program Unity Health welcomes Jacksonville community to new hospital Baptist Health Opens Behavioral Services Clinic in North Little Rock Arkansas Children’s Hospital gets $2.5

Nursing Homes 40

Nursing Homes COVID-19 Nurses Hospitals 40

Hall Render

MAY 10, 2024

law protects doctors, nurses who make medical errors LOUISIANA Dr. Million CALIFORNIA California hospital dismisses CEO California physician pleads guilty to $2.5M million expansion ‘Very, very unusual.’ Million CALIFORNIA California hospital dismisses CEO California physician pleads guilty to $2.5M million expansion ‘Very, very unusual.’

Nursing Homes 40

Nursing Homes Nurses Hospitals Medicaid 40

Hall Render

OCTOBER 25, 2024

Humana sues to reverse cut to Medicare Advantage ratings Karen Lynch steps down as CVS Health CEO Nursing home survey teams don’t always have to include nurses: federal appeals court Senate report: How private equity ‘gutted’ dozens of U.S. health care company acquires three Del.

Nursing Homes 40

Nursing Homes Nurses Hospitals Doctors 40

Hall Render

JULY 26, 2024

How hospitals can mitigate the damage.

US Department of Health and Human Services 40

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

Hall Render

JULY 26, 2024

How hospitals can mitigate the damage.

US Department of Health and Human Services 40

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

Hall Render

DECEMBER 13, 2024

turnaround in FY 2024 UC Davis Health CFO on cutting costs and boosting growth UC San Diego Health taps physician group CFO UCSF to pay $15M for mixing anesthesia with formaldehyde Sutter Health begins work on new Point West medical offices Sutter Health names Aparna Abburi new CEO of insurer Sutter Health Plan L.A.

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes Hospitals Nurses 40

Hall Render

DECEMBER 1, 2023

1 Mass General Brigham to build AI products with Australian health tech company Mass General Brigham hospital workers to receive average 21% raises Mass General Brigham to integrate triage AI across system Mass General Brigham sued over infection control lapse Nurse practitioner pleads guilty to $7.8M

Nursing Homes 40

Nursing Homes Nurses COVID-19 Ransomware 40

Hall Render

OCTOBER 13, 2023

Vincent Partners With Park Plaza Mall on Community Health Programs Former Arkansas Medical Board Chair Brian Hyatt Arrested for Medicaid Fraud New Provider in Arkansas Focuses on No-Rush Health Care Walker Foundation Pledges $1M to UAMS Radiation Oncology Center Five nonprofits to split $5.9 Luke’s receives $1.5

Nurses 40

Nurses Hospitals Nursing Homes Doctors 40

Hall Render

JUNE 28, 2024

Pritzker joins health officials, advocates to redouble HIV/AIDS prevention efforts Illinois Man Indicted on Several Fraud Charges Linked to COVID Pandemic INDIANA Franciscan Alliance sued by Indy physician for breach of contract, interfering in practice Hamilton County hospital surge comes amid closings elsewhere IU Health’s $2.3B

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes Nurses Hospitals 40

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? County-owned buildings facing potential earthquake risk Gilead drops option to buy cancer therapeutics company Health and Life Organization Inc. buys industrial property in Rancho Cordova for $5.12

US Department of Health and Human Services 40

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

Hall Render

SEPTEMBER 1, 2023

Here’s why Ransomware gang reportedly selling Prospect Medical patient data Ransomware attack not the only headache for Prospect Medical Ridgecrest Regional Hospital receives $5.5 operating margin, $1B net gain halfway through its first year Illinois public health officials warn of “rising COVID-19 activity” St.

COVID-19 40

COVID-19 Nurses Nursing Homes Hospitals 40

Hall Render

MARCH 8, 2024

NATIONAL 34.5% NATIONAL 34.5%

Nursing Homes 40

Nursing Homes Nurses Hospitals COVID-19 40

Hall Render

JUNE 2, 2023

NATIONAL 9 health systems working with Amazon, Microsoft, Apple 293 hospitals at immediate risk of closure AHA chair-elect participates in CEO roundtable on rural health care crisis AHA report demonstrates benefits of 340B program AHA Urges OCR to Suspend or Amend Online Tracking Guidance AMA and others launch collective call for health equity in Rise (..)

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes Nurses Hospitals 40

Hall Render

SEPTEMBER 16, 2022

Full 4th Circuit to tackle Medicaid fraud standard under False Claims Act. On Average, Two Nurses Are Assaulted Every Hour, New Press Ganey Analysis Finds. Three Springs Surgery Center to open in 2024. Iowa nurse fired for incorrectly administering monkeypox shots. Massachusetts nurse pleads guilty in $100M fraud scheme.

US Department of Health and Human Services 40

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

Hall Render

SEPTEMBER 20, 2024

Luke’s Children’s Hospital opens new inpatient rehab unit LC State Radiographic Science Program Ranked No.

US Department of Health and Human Services 40

US Department of Health and Human Services Nurses Hospitals Nursing Homes 40

Hall Render

JULY 28, 2023

million for rural hospital expansion Hospices in Arizona & other states receive scrutiny over concerns of fraud, waste & abuse Phoenix Children’s Building New 44,000-Square Foot Level IV Neonatal Intensive Care Unit Firefighters oppose Banner’s planned $400M hospital There’s a growing nurse shortage in Arizona.

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes Nurses Hospitals 40

Hall Render

JUNE 7, 2024

Children’s Hospital Colorado seeks congressional help on funding cuts UCHealth appoints new board members for Longs Peak, Broomfield hospitals CONNECTICUT Gov. New data shed light. Ochsner St. Martin redirecting ambulances due to flooding MAINE MaineHealth CFO announces retirement Sen. million bird flu shots to U.S.

US Department of Health and Human Services 40

US Department of Health and Human Services Nurses Hospitals Nursing Homes 40

Hall Render

JANUARY 17, 2025

accepted bid Dr.

Nursing Homes 40

Nursing Homes Nurses Hospitals Medicaid 40

Hall Render

DECEMBER 20, 2024

operating margin in Q3 Ahead of anticipated AZ nursing shortage, NAU’s College of Nursing graduates first cohort IV fluid shortage still impacting southern Arizona hospitals Whos Who in Arizona Healthcare for 2025 ARKANSAS Arkansas hospital hit with immediate jeopardy warning amid leadership turmoil CHI St.

Nursing Homes 40

Nursing Homes Nurses Hospitals Fraud 40

Hall Render

APRIL 15, 2022

CMS: End to pandemic waivers helps nursing homes ‘redirect efforts’ to meet residents’ needs. CMS pushes for mandatory flu vax monitoring among nursing home staff. CMS Releases Skilled Nursing Facility PPS Proposed Rule for FY23. CMS Releases Skilled Nursing Facility PPS Proposed Rule for FY23.

COVID-19 40

COVID-19 Nursing Homes Nurses Hospitals 40