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The woman is charged with 259 counts of access device fraud, 16 counts of identity theft, and four counts of contributing to the delinquency of a juvenile. Resident Council, Family Council, articles in newsletters, and notices on bulletin boards are useful platforms for distributing this message.
Department of Health and Human Services (HHS) issued new Industry Segment-Specific Compliance Program Guidance For Nursing Facilities (Nursing Facility ICPG) for nursinghome members of the health care compliance community. Medical Directors in NursingHomes 42 CFR 483.70(g)
Effective October 1, 2023, Connecticut enacted a law that contains several updates to Connecticut’s change of ownership laws for nursinghomes and other health care providers. Hall Render blog posts and articles are intended for informational purposes only.
Part 3 in a series of articles to support World Elder Abuse Awareness Written by Joanne Byron, BS, LPN, CCA, CHA, CHCO, CHBS, CHCM, CIFHA, CMDP, OHCC, ICDCT-CM/PCS of the American Institute of Healthcare Compliance ( AIHC ), a non-profit healthcare education organization. These scams are outlined in more detail below. 6:00 p.m.
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. Attestation: Providers must complete training within 90 days of their hire date and annually thereafter.
The Office of Inspector General (OIG) of the US Department of Health and Human Services (HHS) is investigating a Tennessee-based nursing care company. The company runs more than 200 skilled nursinghomes (SNFs), assisted living facilities (ALFs), retirement living communities, home care services, and Alzheimer's centers across the country.
This month’s article looks at COVID enforcements.?? ?. MorseLife NursingHome Health System was alleged to have provided vaccines to individuals who were not eligible under this program. Different kinds of fraud and abuse have sprung up in relation to vaccination cards. MorseLife agreed to pay $1.75
A recent article predicted trends in the senior housing industry for 2025. The HHS OIG has recommended that CMS enhance its review of nursinghomes’ related-party cost reporting. Hall Render blog posts and articles are intended for informational purposes only.
In this article, we’ll explore the requirements for long-term care training as well as ways to ideas to simplify the delivery of training. The best courses are those created specifically for healthcare settings and that meet multiple regulatory requirements. Training requirements vary by employee role and specific healthcare setting.
Unger, Chief of Medicaid Fraud Division, Office of the Massachusetts Attorney General; and Patrick Callahan, Healthcare Fraud Unit, US Attorney’s Office. Unger reported that her unit is focused on about 65% Medicare fraud and about 35% abuse and neglect. Millions in dollars in fraud are happening this way,” Callahan said.
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, nursinghomes, third-party billing companies, clinical laboratories, among many others.
OIGs new Industry Segment-Specific Compliance Program Guidance For Nursing Facilities (Nursing Facility ICPG) for nursinghome members of the health care compliance community emphasizes the importance of staff screening and exclusion checks. Hall Render blog posts and articles are intended for informational purposes only.
Department of Health and Human Services (“HHS”) issued new Industry Segment-Specific Compliance Program Guidance For Nursing Facilities (“Nursing Facility ICPG”) for nursinghome members of the health care compliance community. Hall Render blog posts and articles are intended for informational purposes only.
Selection Approach In establishing the proposed SFP, CMS examined the Special Focus Facility program for nursinghomes and its methodology for facility selection. Hall Render blog posts and articles are intended for informational purposes only. CMS’ goal is to select SFP hospices starting in 2024.
This “fee obstacle” was what precipitated many of the bankruptcies in the 1990s physician practice management ventures, as mentioned in my prior article. In the article entitled “The Death of Hahnemann Hospital” published in the New Yorker magazine in May 2021.
Part 1 in a series of articles to support World Elder Abuse Awareness Written by Joanne Byron, BS, LPN, CCA, CHA, CHCO, CHBS, CHCM, CIFHA, CMDP, OHCC, ICDCT-CM/PCS Please feel free to repost, print and make available to your workforce members. An article was published on April 30, 2024 by CBS News entitled Criminal schemes targeting U.S.
This has been a growing trend in health care enforcement, and health care fraud remained the leading source of all FCA cases in 2022. Health Care Fraud Actions Medicaid. DOJ filed claims against multiple nursinghomes and their management corporation for providing services that the DOJ alleged were grossly below the standard of care.
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, nursinghomes, third-party billers, and durable medical equipment suppliers.
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, nursinghomes, third-party billers, and durable medical equipment suppliers.
Humana sues to reverse cut to Medicare Advantage ratings Karen Lynch steps down as CVS Health CEO Nursinghome 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.
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?’ Bipartisan Ky.
2023) (First Amendment bars state-law misrepresentation claims over “truth” of published scientific article) ( here ); National Association of Wheat Growers v. 2023) ( Buckman preemption barred MDL asserting fraud on EPA), cert. C-8 Personal Injury Litigation , 87 F.4th 4th 315 (6th Cir. Infectious Diseases Society of America , 86 F.4th
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