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Credentialing lapses can expose a healthcare organization to malpractice suits and accreditation problems. All certifications and licenses must be verified for every provider who administers services to patients. This creates the potential for negative patient outcomes, which can lead to expensive malpractice lawsuits.
On November 16, 2023, the Centers for Medicare & Medicaid Services (“CMS”) published proposed changes to the Medicare provider enrollment requirements in the Calendar Year 2024 Physician Fee Schedule final rule (“Final Rule”). For ethical reasons, Hall Render attorneys cannot give legal advice outside of an attorney-client relationship.
This includes all credential types: license to practice, board certification, work history, malpractice history, state licensing sanctions, and both Medicare/Medicaid sanctions and exclusions. This doesnt call for monthly monitoring of all credential information only monthly monitoring of the license expiration date.
It provides a centralized system for collecting, storing, and managing all the essential data and documentation related to a healthcare professional’s background, including education, training, certifications, licenses, work history, and malpractice history.
The State Medical Board of Ohio provides licensing and regulatory guidelines for medical providers in Ohio State. The Counselor, Social Worker, and Marriage and Family Therapist Board oversees regulatory adherence and licensing for mental/behavioral health providers and social workers.
Controlled Dangerous Substance (CDS) Required The Oklahoma State Bureau of Narcotics and Dangerous Drugs Control requires registration as well as a controlled dangerous substance (CDS) license. This is in lieu of a DEA license. Primary Source Verification. Payers in Oklahoma have specific requirements. Background Checks.
Imagine discovering your surgeon’s license expired six months ago, or learning that your hospital is losing millions in revenue because of inaccurate details that cause denied claims. Missing a single expired license or skipping one background check can lead to denied claims, legal liability, and damaged reputations. With 75.7%
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. Who can Bill CPT Code 90834?
Behavioral health credentialing exploded in 2023 and 2024 as providers could enroll in Medicare for the first time. This may include proof of licensure, certification, accreditation, malpractice insurance, DEA registration (if applicable), and other supporting documentation.
By February 2024, there were at least 24 reported data breaches across the healthcare industry affecting 10,000 patients or more. Additionally, practices are running the risk of medical malpractice suits, significant financial losses, and the chance of having to appeal denied claims. Just one of these breaches compromised at least 2.35
On social media, bad health advice can be disseminated by individuals with no particular health expertise and licensed health professionals alike. professional licensing, informed consent, malpractice liability, and fiduciary duties) while these guardrails run counter to the presumed equality of speakers outside of this relationship.
If candidates get approved by the credentialing committee, they are presented with a medical practicing license to work in a specific healthcare department. This behavior can cause them to be charged with penalties and even confiscation of their hospital license. In case of any discrepancy, the application is rejected.
The effective date of the Final Rule was June 25, 2024 with a compliance date of December 23, 2024. The Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule and Disclosures of Information Relating to Reproductive Health Care, aka Final Rule became effective June, 2024. Effective date is June 25, 2024.
margin in 2024 Cyberattack disrupts Pennsylvania health system Endo to divest international pharma unit for $99M Geisinger names new COO Geisinger nurses authorize second strike if needed Highmark Health sees 9% revenue growth despite operating losses in challenging 2024 Meet the Jefferson Health executive unifying cardiovascular care Pa.
Christopher’s Hospital for Children gets another $30M lifeline Temple Health tries new tactic to recruit and retain nurses amid ongoing shortage UPMC closes practice, leaving town without a physician Viatris licenses cardiovascular treatment from Lexicon for $25M RHODE ISLAND CVS replaces Karen Lynch as CEO, takes $1.1B
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. 3 in the U.S.
Trinity vs. CommonSpirit vs. Ascension: How 3 of the largest nonprofit systems performed in FY 2024 ‘AI is like tuition’: CommonSpirit CIO’s approach to AI hype Chicago system taps 2nd CFO in 10 months Deaconess hospital names CEO HSHS names system VP of facilities Lurie ranked No. What’s included?
million malpractice award from Midland hospital McLaren Northern Michigan opens behavioral health center in Cheboygan McLaren Health Care names 1st chief nursing officer Planned Parenthood of Michigan expands reach with virtual health center Trinity Health reports $283.5M tax break for Norwood jobs; 42 other Mass.
Million CALIFORNIA California hospital dismisses CEO California physician pleads guilty to $2.5M million expansion ‘Very, very unusual.’ biotech mulling sweetened acquisition offer D.C. ranks second nationwide in hospital patient safety, with 7 Central Va. ranks second nationwide in hospital patient safety, with 7 Central Va.
Moore’s 2024 budget MASSACHUSETTS Cancer drugmaker down to 3 employees after trial failure Fallon Health CEO to retire after 25 years with Worcester-based health plan FEMA provides $4M to Massachusetts for daycare Covid-19 testing costs Massachusetts hospital to remain closed for 3 months after fire Nurses keep protesting staffing shortages.
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.
in pandemic loans, feds say South Jersey health systems see revenue rise in first half of 2024 Who is CHA Partners? Therapist pleads guilty to $1.6M Report on Hawaii disaster sheds light on effects Wilcox Medical Center awarded $10.6M
in pandemic loans, feds say South Jersey health systems see revenue rise in first half of 2024 Who is CHA Partners? Therapist pleads guilty to $1.6M Report on Hawaii disaster sheds light on effects Wilcox Medical Center awarded $10.6M
News ranking Reopening of Massachusetts hospital damaged by fire delayed until 2024 Regeneron to buy Boston-based hearing loss biotech for $213M Beth Israel Lahey taps hospital president MICHIGAN 108 employees to be affected by Kelsey Hospital’s closure $86M pediatric center near Grand Rapids clears key regulatory hurdle Ascension St.
for first half of fiscal 2024 UPMC back in the red with $198M operating loss, -0.7% for first half of fiscal 2024 UPMC back in the red with $198M operating loss, -0.7% KXAN investigates Does UT Tyler Health Science Center’s deal with private equity shield doctors from malpractice suits? Monopolizes Care Physician charged in $20.7M
Ambulance providers fear system collapse amid hospital crisis Cyberattack spurs Mississippi health system to ‘beef up’ security measures MISSOURI Ascension wraps the year with $2.7B 30 deadline Oregon hospital leader Becky Hultberg talks unions, finances and emerging from COVID Oregon passed a historic nurse staffing law.
Jill Biden will lead new initiative to boost federal government research into women’s health Joint Commission says acute, critical access hospitals must join safety network Lawsuit claims UnitedHealth AI wrongfully denies elderly extended care Most Rural U.S.
health care spending hits $4.5 Million in Retaliation Suit John Muir, Tenet scrap hospital deal after FTC challenge Kaiser to lay off 79 administrative employees Leaning toward big wins in schizophrenia and vaccines, venture group raises new fund of $389 million Madera hospital creditors want to be paid, including CEO.
News & World Report Best Hospitals for Maternity Care for 2024 Mercy Medical Center alerts 97K patients at risk in security breach St. NATIONAL AHA pushes back on HHS proposal to penalize hospitals for cyberattacks AHA urges Congress to oppose H.R. Here’s how to weigh in.
raising $5M endowment campaign for free health care clinic Trilogy Health Services names first chief medical officer OrthoCincy Orthopaedics expands reach in Kentucky with acquisition of Ortho Louisville LOUISIANA LCMC Health Launches Minority Administrative Fellowship Program St. million to UMass Memorial Health Care for COVID-19 costs Four Mass.
NATIONAL 94% of Organizations Experienced a Cyberattack in 2022 AHA blog: Strengthening crisis management in rural health care Biden signs bill ending Covid-19 national emergency Cancer drug shortages are creating dire circumstances for some patients CMS Releases FY24 IPPS Proposed Rule, Seeks to Boost Rates by 2.8%
Advocates call requirement ‘dangerous’ HCA Florida hospital taps chief medical officer Baptist Health, South Florida’s biggest healthcare provider, offers buyouts to cut costs Florida children’s hospital taps chief of cardiovascular surgery Group of doctors plan to open old Healthmark Hospital location in 2024 Why Florida hospitals are turning (..)
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. headcount among top 10 biopharma employers shrinks New Mass. headcount among top 10 biopharma employers shrinks New Mass.
Aspen U surrenders nursing program license. Aspen University in Phoenix surrenders nursing program license, failing to meet NCLEX first-time pass rate. Three Springs Surgery Center to open in 2024. 2 companies granted licenses to produce medical cannabis in Georgia. Monkeypox vaccine eligibility expanded in Alaska.
Arizona extends temporary licenses for healthcare workers. Governor Ducey Signs Bill Extending Temporary Health Care Professional Licenses. Ducey signs bill extending temporary health care worker licenses in Arizona. Florida therapists could be out of a job if they don’t meet new licensing deadline. NEW JERSEY.
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?’
Margaret’s files Chapter 11 bankruptcy for Peru, Spring Valley hospitals Why an Illinois hospital CEO laid off 20% of its leadership Illinois Department of Public Health predicts the outlook for the COVID-19 virus Tough choices at Memorial Health HSHS says system outage caused by cyberattack Physician convicted in $9.5M
NATIONAL 3 healthcare takeaways from the Trump-Harris debate 3 CMS moves shaking up the ASC landscape AHA calls out ‘skyrocketing’ administrative costs for hospitals AHA urges HRSA to block J&J’s illegal imposition of 340B rebate model AMA warns of ‘growing gap’ between Medicare pay and cost of physician care AMGA survey finds primary (..)
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
NATIONAL 340B repayments welcomed but concern remains, hospital group says 4 pieces of legislation fighting to alleviate the physician shortage crisis AHA Files Lawsuit Challenging HHS Guidance on Tracking Technologies AHA says 3.1%
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.
margin in 2024 Construction of $45M medical office complex in Arizona underway Scottsdale neuroscience company among two Flinn Foundation entrepreneurship winners UHS of Tucson Acquires 76,770 SF Behavioral Health Hospital in Arizona for $19.1M margin in 2024 Buffalo Ultrasound sued by M&T Bank for $2.4M operating income, 2.3%
Kennedy Jr. to be his Department of Health and Human Services secretary ALABAMA 5 former Ascension hospitals rebrand Andrews Sports Medicine recommended for approval of Alabama ASC Medical Properties Trust cuts Steward from portfolio, hits $801M net loss in Q3 Texas medical office building sells for $7.1M Kennedy Jr.
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