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

Provider Trust

APRIL 26, 2023

Compliance and HR managers responsible for staffing should stay apprised of events that may have repercussions within the healthcare space. However, this solution comes with its share of compliance risks, especially if interstate licenses are involved. It’s no wonder nurse strikes have been on the rise.

Licensing 52

Licensing Nurses Compliance COVID-19 52

Health Care Law Brief

JUNE 24, 2022

This guidance is a direct response to a December 2021 Executive Order that tasked HHS with developing HIPAA guidance for telehealth services, with the stated goals of improving “patient experience and convenience” as the COVID-19 public health emergency subsides. The new HIPAA guidance affects covered entities in four key ways.

HIPAA 52

HIPAA Fraud Compliance COVID-19 52

YouCompli

AUGUST 9, 2023

An opportunity to reframe, regroup, and refocus  Now that the COVID-19 Public Health Emergency (PHE) is well behind us, we have an opportunity to reframe patient expectations – and regroup and refocus on compliance-related patient care needs. You can use commercially available tools or create your own.

Compliance 52

Compliance COVID-19 ACA Fraud 52

Provider Trust

JUNE 1, 2022

Many of these trends evolved in response to the COVID-19 pandemic, but show no signs of slowing despite a wavering rate of hospitalizations. Hospitals and health systems continue to find themselves desperately searching for available frontline nurses to relieve their exhausted staff and make up for vacant positions due to burnout.

Licensing 52

Licensing Nurses COVID-19 Compliance 52

Hall Render

FEBRUARY 4, 2022

Of that, $5 billion relates to health care fraud involving drug and medical device manufacturers, managed care providers, hospitals, pharmacies, hospice organizations, laboratories and physicians. Health Care Fraud Actions. Preventing, detecting and responding to compliance issues is key.

Fraud 40

Fraud Governance Medicare Medicare 40

AIHC

SEPTEMBER 5, 2023

Compliance Considerations for Best Outcomes Written in collaboration with the AIHC Volunteer Education Committee Delivering mental health services via telehealth has increased since the COVID-19 pandemic. This information was published due to the end of the COVID-19 Public Health Emergency (PHE) which began May 12, 2023.

COVID-19 59

COVID-19 Telemedicine Informed Consent Compliance 59

Hall Render

JUNE 21, 2024

Homer hospital bond ARIZONA After 24 years as CEO of Banner, Peter Fine pinpoints the most important traits for leaders Banner’s momentum blueprint Doctors speak out as U.S. 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.

US Department of Health and Human Services 40

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

HIT Consultant

AUGUST 13, 2023

Here are seven identified cybersecurity vulnerabilities that can reveal a patient’s data and expose these healthcare organizations to fraud and fines: Limited budgets. Department of Health and Human Services (HHS) is currently investigating hundreds of cases associated with these phishing and hacking scams. Legacy systems. Ransomware.

Ransomware 98

Ransomware Fraud Health Insurance HIPAA 98

AIHC

SEPTEMBER 21, 2023

This article is subsequent to the original article “ HIPAA, The Cures Act and Information Blocking Compliance ” and Article on Right of Access Vs Information Blocking Part 1 and Part 2. The full definition of “health care provider” is available in the Public Health Service Act (42 U.S.C.

HIPAA 59

HIPAA Compliance Nurses Fraud 59

AIHC

FEBRUARY 16, 2024

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. One of the seven items, #5 is “Enforcing Standards: Consequences and Incentives.” a day for orphans, but $2.75

Compliance 52

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

AIHC

FEBRUARY 16, 2024

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. One of the seven items, #5 is “Enforcing Standards: Consequences and Incentives.” a day for orphans, but $2.75

Compliance 52

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

Health Law Advisor

APRIL 13, 2023

Department of Health and Human Services’ Office of Inspector General (“OIG”) updated its Frequently Asked Questions (“FAQs”), drafting 13 FAQs aimed at easing the transition from COVID-era flexibilities to the end of the Public Health Emergency (“PHE”) on May 11, 2023. 1395nn) (“Stark Law”) from AKS exceptions.

Public Health 52

Public Health Fraud COVID-19 Medicaid 52

Hall Render

SEPTEMBER 1, 2023

ALABAMA American Family Care opens new health care center in Northeast Birmingham doctors secure $13.9M

COVID-19 40

COVID-19 Nurses Nursing Homes Hospitals 40

Hall Render

SEPTEMBER 16, 2022

4 Health Systems Join Provider-Created Data Collective to Improve Care. Full 4th Circuit to tackle Medicaid fraud standard under False Claims Act. Rural hospitals in trouble if Congress doesn’t renew funding programs, AHA says. Why asking about social determinants of health is so important. CALIFORNIA.

US Department of Health and Human Services 40

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

Health Law Advisor

MARCH 1, 2023

In the era of abortion regulation and the wind-down of the COVID-19 public health emergency (“PHE”), new legislation in states such as Utah may be a sign of what is to come for online and telehealth prescribing. In Ohio, in order to prescribe a controlled substance without an in-person visit, a federal exception must apply (e.g.,,

Telemedicine 52

Telemedicine COVID-19 Fraud Licensing 52

Bill of Health

OCTOBER 30, 2023

In another legal case, a “moon” emoji was found to be possible evidence of securities fraud. We are more accustomed to emojis being the characters in a “ cinematic masterpiece ” or the subject of corporate public relations. Health care is no exception. This legal evolution may seem a bit strange.

Doctors 290

Doctors Hospitals Fraud Health Insurance 290

Hall Render

FEBRUARY 23, 2024

billion is attributed to cases involving the health care industry, including managed care providers, hospitals, pharmacies, laboratories, long-term acute care facilities and physicians. Health Care Fraud Actions Medicare Advantage. A long-term care hospital agreed to pay $21.6

Compliance 71

Compliance Governance Medicare Medicare 71

Health Law Advisor

MARCH 7, 2023

a cross-coverage situation), or where a practitioner is engaged in the “practice of telemedicine,” e.g. because the patient was physically located in a DEA-registered hospital, clinic, or physician’s office. These types of relationships can raise unique fraud and abuse issues and therefore require careful planning and structuring.

Telemedicine 52

Telemedicine COVID-19 FDA Compliance 52

Hall Render

MAY 19, 2023

Supplemental Grant for Rural Health Programs UAMS to Study Affordable Care Act’s Impact on Breast Cancer Treatment Arkansas Children’s Hospital Auxiliary Donates $1.4 to Partners The federal COVID-19 emergency is ending. to Partners The federal COVID-19 emergency is ending.

Nurses 40

Nurses COVID-19 Hospitals Nursing Homes 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? in 2022, survey finds Senate votes to end COVID-19 national emergency Why are 600+ rural hospitals at risk of closing? What happens if it disappears?

US Department of Health and Human Services 40

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

YouCompli

JANUARY 4, 2022

The Massachusetts Health and Hospital Association recently convened its Healthcare Legal Compliance Forum to update members on key areas of regulatory change, compliance and enforcement in this late COVID era. It reduced the rate of whistleblower and other fraud complaints, and for Unger at least, abuse cases increased.

Compliance Officers 40

Compliance Officers Compliance Elder Abuse COVID-19 40

Healthcare Law Blog

NOVEMBER 30, 2022

Department of Health & Human Services (“HHS”) declared a Public Health Emergency (the “PHE”). The blanket waivers that expand Medicare coverage of certain telehealth technology are in effect so long as the Secretary of HHS has declared a COVID-19 public health emergency. When does the PHE current expire?

Medicare 52

Medicare Medicare COVID-19 Fraud 52

Hall Render

FEBRUARY 18, 2022

48 hospitals on Forbes’ list of best employers. Hospitals plead with Congress to tackle workforce shortages. Hospitals urge HHS to fix, not end, direct contracting model. Lawmakers call on Biden to end public health emergency. Only 14% of Hospitals Met Price Transparency Rule Compliance.

COVID-19 40

COVID-19 Nursing Homes Nurses COVID-19 Vaccine 40

Hall Render

AUGUST 19, 2022

Amazon to offer behavioral health services through Ginger partnership. Ambulatory surgery centers compete with hospitals for outpatient dollars. CDC, amid criticism for COVID-19 response, plans reorganization as public health threats grow. CDC to regain control of hospital pandemic data despite criticism.

COVID-19 40

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

Hall Render

MARCH 3, 2023

NATIONAL 14 rural senators push CMS to extend low-wage hospitals’ payment bump in FY2024 American Hospital Association voices support for telehealth expansion bill Behavioral health market to hit $262B by 2029 Biden administration moves to establish ‘guardrails’ for telehealth prescriptions CMS Officials Confirm End of PHE Nursing (..)

Nursing Homes 40

Nursing Homes COVID-19 Nurses Hospitals 40

Hall Render

SEPTEMBER 23, 2022

Amazon PillPack Founders to Leave in Latest Health-Care Shakeup. Congress presses Meta about health data privacy after hospitals remove Facebook tracker. Healthcare Compliance Will Be a Challenge in Post-PHE World. Health systems grow apprenticeships to tackle shortages. Alabama hospital CEO resigns.

COVID-19 40

COVID-19 Nurses Nursing Homes Hospitals 40

AIHC

MARCH 28, 2022

trillion COVID-19 response legislation, and making recommendations about how to improve its effectiveness in dealing with public health issues and the economy. The Medicare Fee-for-Service Compliance programs prevent, reduce, and measure improper payments in FFS Medicare through medical review.

Medicare 52

Medicare Medicare Compliance Governance 52

Hall Render

NOVEMBER 28, 2023

These changes would be effective with the CY 2025 performance year and are intended to bring the expanded HHVBP model into alignment with HHQRP, as well as the measures that are publicly reported on Home Health Compare. CMS recounts one specific, egregious hospice fraud case in the 2024 Final Rule to reinforce its concern.

Medicare 40

Medicare Medicare Payment Systems Medicaid 40

HIPAA Journal

JANUARY 16, 2023

AI is used by the finance industry to detect potential credit card fraud. Beth Israel Lahey Health. The Beth Israel Deaconess Medical Center – also known as Harvard University´s teaching hospital – used 25,000 images of blood samples to develop an AI-enhanced microscope that can detect harmful bacteria such as staphylococcus and E.

Governance 65

Governance HIPAA World Health Informed Consent 65

New Jersey Healthcare Blog

JULY 22, 2022

509(a), Governor Murphy issued an Executive Order updating and clarifying timeframes for requiring covered workers at health care facilities and high-risk congregate settings to be up-to-date with their COVID-19 vaccinations, including having received a booster shot. Following a thorough review in compliance with Executive Order No.

COVID-19 Vaccine 40

COVID-19 Vaccine Licensing COVID-19 Public Health 40

Hall Render

AUGUST 26, 2022

CMS informational bulletin urges steps for improving health outcomes in nursing homes. Compliance with Oct. Despite Lackluster Operator Adoption, EHRs Positioned to Shape Behavioral Health Care’s Future. More than 80 health systems hit by cybersecurity breaches in August. COVID-19 emergencies linger throughout U.S.

Nursing Homes 40

Nursing Homes COVID-19 Nurses Hospitals 40

Hall Render

DECEMBER 29, 2023

NATIONAL 4 largest healthcare data breaches of 2023 Anesthesia practices sue CMS over reimbursement method Antitrust enforcements hit a high in 2022, with health deals impacted ASCs face leadership exodus CMS floats appeals process over observational stays CMS proposes additional Medicare appeals processes FTC eyes healthcare mergers, report shows (..)

Nursing Homes 40

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

Hall Render

FEBRUARY 24, 2023

Can Hospitals Change in Time to Keep Them? Dunleavy adds $9M to budget to address food stamp, Medicaid backlog New study provides snapshot of increase in maternal deaths in Alaska Mental Health Trust Grants $1.6M NATIONAL Addressing Staff Burnout In Healthcare Design Amazon completes $3.9B

Nursing Homes 40

Nursing Homes COVID-19 Nurses Hospitals 40

Hall Render

JULY 1, 2022

Biden officials to keep private the names of hospitals where patients contracted Covid. Fewer Than 2% of Hospitals Excelling at Health Equity, Value. Hospital group wants prompt payment of 340B funds after Supreme Court win. How hospitals should prepare for the end of the public health emergency.

US Department of Health and Human Services 40

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

Hall Render

AUGUST 26, 2024

hospital, university working to fight ambulance staff shortage Purchase of Wadley Regional Medical Center in Hope, Ark., hospital, university working to fight ambulance staff shortage Purchase of Wadley Regional Medical Center in Hope, Ark.,

US Department of Health and Human Services 40

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

Hall Render

AUGUST 23, 2024

hospital, university working to fight ambulance staff shortage Purchase of Wadley Regional Medical Center in Hope, Ark., hospital, university working to fight ambulance staff shortage Purchase of Wadley Regional Medical Center in Hope, Ark.,

US Department of Health and Human Services 40

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