This site uses cookies to improve your experience. To help us insure we adhere to various privacy regulations, please select your country/region of residence. If you do not select a country, we will assume you are from the United States. Select your Cookie Settings or view our Privacy Policy and Terms of Use.
Cookie Settings
Cookies and similar technologies are used on this website for proper function of the website, for tracking performance analytics and for marketing purposes. We and some of our third-party providers may use cookie data for various purposes. Please review the cookie settings below and choose your preference.
Used for the proper function of the website
Used for monitoring website traffic and interactions
Cookie Settings
Cookies and similar technologies are used on this website for proper function of the website, for tracking performance analytics and for marketing purposes. We and some of our third-party providers may use cookie data for various purposes. Please review the cookie settings below and choose your preference.
Strictly Necessary: Used for the proper function of the website
Performance/Analytics: Used for monitoring website traffic and interactions
Join us for our complimentary webcast, “Navigating Increased Scrutiny for Health Care Deals in 2024,” to be held on March 5 at 10 am PT. CLICK HERE TO REGISTER We encourage all stakeholders in the health care space contemplating mergers and acquisitions and strategic transactions to attend this webinar.
A home healthservices company headquartered in Kentucky, and its related entities, paid $2.1 million to the United States government to settle claims of improperly billing the Medicare Program for home healthservices provided to beneficiaries living in Florida.
The Office of Inspector General (OIG) for the USDepartment of Health and HumanServices (HHS) has made educational resources available for healthcare providers to comply with federal healthcare laws and regulations. Department of Health and HumanServices (hhs.gov).
BetterHelp, an on-line mental health platform, engaged in unfair and unreasonable privacy practices according to the FTC’s complaint , leading to a proposed $7.8 Department of Health and HumanServices (HHS) warned us that use of on-line tracking technologies can violate HIPAA.
Following an internal review and audit, the hospital discovered irregularities regarding its billing of certain services, and proactively contacted the United States to self-disclose the issues.?The If the patient was going to receive ICR for longer than 30 days, a physician must complete and sign updates to the ITP every 30 days thereafter.?
This surge in cyberattacks has prompted the Department of Health and HumanServices (HHS) to publish voluntary cybersecurity performance goals to help healthcare organizations plan and prioritize their cybersecurity implementations. Our zero trust implementation allowed us to meet all of those goals.
Compliance officers can help protect revenue and reduce the risk of penalties by collaborating with the Finance and Reimbursement departments to navigate the dynamics of outlier payments and prospective repayment. The government alleged these increased charges resulted in the greater number of outlier payments.
Do your hiring managers and Human Resources colleagues know what to look for? Department of Health and HumanServices Office of Inspector General (OIG) has the authority to exclude individuals and entities from federally funded healthcare programs. Provision of unnecessary or substandard services.
Corporate compliance training software is vital to tailoring programs to staff, departments, and locations. Corporate compliance training software is vital to tailoring programs to staff, departments, and locations. Department of Health & HumanServices ( HHS ).
On Thursday, March 16, the Office of the Inspector General for the Department of Health and HumanServices (“OIG”) issued OIG Advisory Opinion (“AO”) No. Millions of people in the US suffer from heart failure each year, resulting in billions of dollars in healthcare costs.
Unfortunately, with a title like “compliance officer,” we have some image issues to overcome if we want our healthcare leaders to see us more like a business partner and less like an obstacle. Let’s imagine someone is conducting an audit involving the review of medical-necessity documentation for physical therapy services.
Berger, there are six key psychological drivers for word-of-mouth communication among humans: Social Currency Triggers Emotion Public Practical Value Stories As compliance officers, we play a significant factor in influencing others and shaping our organizations’ culture of compliance. I recently stumbled across a book by Jonah Berger, Ph.D.,
Sharon Parsley, JD, MBA, CHC, CHRC’s writes a monthly series on compliance officer effectiveness for the YouCompli blog. Most of us have had the experience of preparing for an important conversation or interaction, only to leave it feeling defeated, misunderstood and not even really heard. Discriminative Listening: .
Traditional Medicare is administered by the federal government, and individuals pay a separate monthly premium for hospital visits, doctors/outpatient, and prescription drugs. In contrast, Medicare Advantage is provided through a private health plan and typically covers everything in one monthly premium.
Three schools across Broward County and Palm Beach County, Florida, were involved in this multimillion-dollar fake diploma scheme: Siena College of Health, Palm Beach School of Nursing, and Sacred Heart International Institute. In addition, an estimated 37 percent of student nurses with fake diplomas passed the NCLEX.
Dive with us as we explore the complexities and necessities of compliance in the healthcare sector. Health Insurance Portability and Accountability Act (HIPAA) HIPAA is a pivotal regulation that focuses on the protection of patient health information, enforced by the U.S. Department of Health and HumanServices (HHS).
USDepartment of Health and HumanServices (HHS) Office of Inspector General Christi A. Fraud is an unfortunate part of the healthcare space that affects every payer — from government programs to private insurance companies and everything in between. Medicare Advantage will be no exception.
Enforcement agencies are prioritizing efforts to deter FWA as more individuals enroll in government healthcare programs like Medicare and Medicaid, and telehealth services continue to evolve post-pandemic. For example, they can describe how to read a billing statement and identify services or supplies that were not provided.
Most of us have had the experience of preparing for an important conversation or interaction, only to leave it feeling defeated, misunderstood, and not even really heard. Discriminative Listening According to betterup.com , discriminative listening is a skill all humans are born with. Soldier on with your scripted remarks?
By Jon Larsen and Sterling Johnson There is a well-established whole of government response to drug policing centered around the “war on drugs.” Policy changes must be considered to replace acknowledged failures and reimagine the whole of government response to drug policing.
Relevant matters are hereby announced as follows: As of 01 December 2022, the Electronic Certificates of Documentation for Export of APIs to the EU and Certificate of a Pharmaceutical Product will be put into use. Efforts should be made to promote and guide the use of electronic certificates.
Lessons Learned about Consequences & Incentives Submitted by the AIHC Education Department Introduction The Office of Inspector General has released the new General Compliance Program Guidance or “GCPG” in late 2023. The British government decided to take action and offered citizens a bounty to redeem for dead cobras.
Lessons Learned about Consequences & Incentives Submitted by the AIHC Education Department Introduction The Office of Inspector General has released the new General Compliance Program Guidance or “GCPG” in late 2023. The British government decided to take action and offered citizens a bounty to redeem for dead cobras.
In doing so, we encouraged contributors to comment on the Principles’ potential usefulness as guidance in addressing real emergency situations, as well as any possible gaps and weaknesses. They also were intended to be of application to a wide range of emergencies, not public health emergencies specifically.
This post launches a new Digital Symposium: Supreme Court Preview: Key Health Law Issues for the 2024 Term , guest edited by Cary Franklin , Professor of Law, McDonald/Wright Chair of Law, and Faculty Director of the Center on Reproductive Health, Law, and Policy and the Williams Institute at UCLA Law; and Lindsay F.
It rapidly caused a widespread epidemic in China and has spread to over 50 countries outside of China with more than 90,000 confirmed cases and 3000 deaths at the time of this blog article. Secretary of the Department of Health and HumanServices (HHS) has declared a public health emergency.
Health Canada. Health Canada is warning consumers about counterfeit BTNX Rapid Response COVID-19 antigen rapid test kits (25-pack boxes) found in Ontario. The counterfeit devices were sold online by a distributor named Healthful Plus without the required license to import, distribute, or sell medical devices in Canada.
Johns Hopkins COVID-19 interactive map told us this morning. Department of Health and HumanServices on the nation’s response to the coronavirus pandemic, published March 13, 2020, forecasts a plan looking 18 months out. Health Populi’s Hot Points: In the U.S., This report from the U.S.
NATIONAL 50% of U.S. to buy property. NATIONAL 50% of U.S. to buy property. NATIONAL 50% of U.S. to buy property. The deal fell through, but that won’t solve Bartlett’s budget issues. Kenai Peninsula Borough Assembly considers $38.5M Kenai Peninsula Borough Assembly considers $38.5M
Cohen and Carole Joffe A new story of abortion in America is upon us. Jackson Women’s Health Organization overturned Roe v. Indeed, much to the surprise of many — including the two of us — the best data we have so far reveals that the number of abortions performed in the United States has increased after the decision.
Some of the initiatives going forward at home and abroad include expanding prevention and access to treatment, addressing the social determinants of health that underpin health disparities and poorer outcomes for some people, advancing innovation and R&D for HIV/AIDS, and strengthening partnerships both domestically and globally.
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%
Over the years I have written about the use of “Most Favored Nation” approach to the pricing of Drugs. Prescriptions from Outside the US. Pharmaceutical Pricing: Update to May 17, 2018 Blog. It now appears that the Biden administration is rejecting that approach in favor of the government negotiating prices.
Executive Health Resources, Inc. , 2023) (federal government may unilaterally obtain dismissal of FCA claims, and calling the constitutionality of the FCA’s private enforcement mechanism into question) ( here ); Quishenberry v. Executive Health Resources, Inc. , United States Department of Health and HumanServices , 58 F.4th
We organize all of the trending information in your field so you don't have to. Join 26,000+ users and stay up to date on the latest articles your peers are reading.
You know about us, now we want to get to know you!
Let's personalize your content
Let's get even more personalized
We recognize your account from another site in our network, please click 'Send Email' below to continue with verifying your account and setting a password.
Let's personalize your content