Healthcare Compliance Blog

APRIL 26, 2022

The Office of Inspector General (OIG) for the US Department of Health and Human Services (HHS) has made educational resources available for healthcare providers to comply with federal healthcare laws and regulations. Voluntary Compliance: OIG has several self-disclosure processes to report fraud in HHS programs.

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The Health Law Firm

OCTOBER 7, 2022

Board Certified by The Florida Bar in Health Law The US Department of Health and Human Services (HHS) issues investigative subpoenas through the Office of the Inspector General (OIG). These subpoenas are very broad, usually requiring the production of thousands of pages of documents. By George F.

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Healthcare Compliance Blog

MAY 10, 2022

According to a Medicaid Fraud Control Unit investigation, the provider had failed to disclose his former felony convictions that precluded Medicaid from accepting the application. The provider had created a business to provide home and community-based services to Medicaid recipients. List of Excluded Individuals/Entities ?(LEIE).

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Medicaid Medicaid US Department of Health and Human Services Fraud 59

Med-Net Compliance

JULY 13, 2022

Both defendants also admitted that Defendant 1 stole at least 20 CDC Vaccination Record Cards in March of 2021, that he sent his brother, Defendant 2, some of the stolen vaccination record cards, and that they agreed to use them and sell them to others for $50. Participating in the fraud can result in the person(s) being prosecuted.?.

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COVID-19 Vaccine US Department of Health and Human Services COVID-19 Fraud 59

HIT Consultant

NOVEMBER 13, 2023

hours entering electronic health records (EHR data), and managing patient loads of 2,000 or more. These healthcare organizations (HCOs) will deploy task-oriented and domain-specific models that build on large-language models (LLMs), using reinforcement learning and knowledge graphs to deliver relevant, accurate, and stable data outputs.

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Healthcare Compliance Blog

JUNE 9, 2022

His exclusion means that no federal healthcare program payment may be made, either directly or indirectly, for any items or services furnished by him or at his direction or prescription. HHS-OIG will continue to work with the US Attorney’s Office to ensure the integrity of the Medicare Trust Fund.”.

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AIHC

APRIL 10, 2024

Checklist for Individual & Small Group Practices Written by: Nancie Lee Cummins, CFE, CHA, CIFHA, OHCC, CHCM, CHCO, CORCM This article provides an overview of Health Information Technology for Economic and Clinical Health Act (HITECH) and basic checklist of policies and procedures for compliance of smaller health care organizations.

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Compliance US Department of Health and Human Services HIPAA Electronic Medical Records 99

Compliancy Group

FEBRUARY 28, 2024

Within the US Department of Health and Human Services (HHS), the Centers for Medicare & Medicaid Services (CMS) is responsible for overseeing and administering various healthcare programs, including Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP). This is just the beginning.

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Compliance US Department of Health and Human Services Fraud Medicare 52

Healthcare IT Today

AUGUST 15, 2024

Many businesses and organizations came to an abrupt halt as all systems using CrowdStrike received the infamous blue screen of death. Richard Bird, Chief Security Officer at Traceable AI The CrowdStrike event serves as an incredibly important reminder that the digital world is nothing more than a tool that serves the human world.

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Healthcare Compliance Blog

MAY 19, 2022

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.?

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The Health Law Firm

JANUARY 28, 2013

Board Certified by The Florida Bar in Health Law. A family that owns a number of South Florida pharmacies is allegedly under investigation for Medicare fraud, according to a number of sources. Drug Enforcement Administration (DEA) agents removed boxes of documents and computers from the pharmacy, according to Naples News.

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US Department of Health and Human Services Medicare Medicare Fraud 40

MedTrainer

JULY 21, 2022

These hackers are costing health organizations millions of dollars and threatening the safety of patients. However, unauthorized access is causing more than just identity fraud. In January of 2018, Hancock Health of Indiana experienced a serious ransomware attack that forced their entire network to shut down.

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Compliancy Group

FEBRUARY 26, 2024

Department of Health and Human Services (HHS) released new guidelines for healthcare compliance programs, the first updates in 15 years. Department of Health and Human Services (HHS) released new guidelines for healthcare compliance programs, the first updates in 15 years.

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Compliance US Department of Health and Human Services Hospitals Compliance Officers 52

Med-Net Compliance

JULY 19, 2022

Issue: The US Department of Health and Human Services (HHS) Office of Inspector General (OIG) has the authority to exclude individuals and entities from federally funded healthcare programs for a variety of reasons, including a conviction for Medicare or Medicaid fraud. 5 years, 10 years, etc.)

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Medisys Compliance

JUNE 23, 2024

Introduction In the ever-evolving landscape of healthcare, compliance with the Health Insurance Portability and Accountability Act (HIPAA) is crucial for protecting patient information and maintaining trust. Enacted in 1996, HIPAA is a federal law designed to safeguard patient health information (PHI) from fraud and abuse.

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Medical Billing HIPAA Compliance US Department of Health and Human Services 45

Compliancy Group

JANUARY 17, 2024

Understanding the OIG Work Plan The OIG Work Plan for physicians and health organizations is a dynamic document that lays out the various audits, reviews, and inspections the OIG intends to conduct in relation to healthcare programs and services within a time frame. OIG in healthcare , functioning as an arm of the U.S.

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US Department of Health and Human Services Regulatory Compliance Compliance Regulations Compliance 52

Compliancy Group

MARCH 19, 2024

Insurance carriers, cloud service providers, pharmacies, medical equipment manufacturers, and other organizations in this industry must comply with various health and safety regulations. It also reduces waste, fraud, and abuse that threaten the efficiency of healthcare delivery and services. name, phone number).

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Regulatory Compliance Compliance US Department of Health and Human Services ACA 52

Verisys

JANUARY 20, 2022

Whether you use paper, spreadsheets, email, or fax, the credentialing process can be long and frustrating when you’re doing it internally. It’s important for a practitioner to be credentialed and have privileges granted before beginning to practice medicine and bill for services rendered. What’s the solution?

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US Department of Health and Human Services Licensing Compliance Fraud 52

Verisys

FEBRUARY 23, 2022

As government agencies and national regulatory organizations pass more regulations and the need for healthcare services grows, healthcare compliance officers (HCOs) are more important than ever. Ensuring proper creation, maintenance, distribution, and storage of documentation. Reimbursement. Healthcare administration.

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Compliance Officers Compliance US Department of Health and Human Services Governance 52

YouCompli

AUGUST 22, 2023

In contrast, Medicare Advantage is provided through a private health plan and typically covers everything in one monthly premium. Examples of Possible Fraud, Waste, and Abuse Christi Grimm, the Inspector General of HHS, commented on this trend in a recent keynote address to compliance professionals.

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Medicare Medicare US Department of Health and Human Services Compliance 52

AIHC

APRIL 10, 2024

Checklist for Individual & Small Group Practices Written by: Nancie Lee Cummins, CFE, CHA, CIFHA, OHCC, CHCM, CHCO, CORCM This article provides an overview of Health Information Technology for Economic and Clinical Health Act (HITECH) and basic checklist of policies and procedures for compliance of smaller health care organizations.

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Compliance US Department of Health and Human Services HIPAA Electronic Medical Records 52

Total HIPAA

SEPTEMBER 11, 2019

Explore the full article to gain a holistic understanding of the law or use the table of contents below to find the specific information you need. To fully obey the law, you must create the necessary documents, including Privacy and Security Policies and Procedures, and follow the protocols for protecting PHI you set.

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HIPAA Compliance US Department of Health and Human Services Health Insurance 52

MedTrainer

FEBRUARY 13, 2022

During the credentialing procedure, a candidate’s documentation is sent back to the institution that first issued them, such as a university to confirm their legitimacy. After all, there is a bit of a loophole under the Incident-to rule that allows a non credentialed physician to bill under a credentialed physician for services.

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US Department of Health and Human Services Medical Billing Hospitals Compliance 40

MedTrainer

AUGUST 8, 2022

During the credentialing procedure, a candidate’s documentation is sent back to the institution that first issued them, such as a university to confirm their legitimacy. After all, there is a bit of a loophole under the Incident-to rule that allows a non credentialed physician to bill under a credentialed physician for services.

US Department of Health and Human Services 40

US Department of Health and Human Services Medical Billing Hospitals Compliance 40

Hall Render

APRIL 29, 2022

County Struggles with Income Affect Social Determinants of Health. HHS puts $90 million toward addressing health disparities through data. Nearly half of rural hospitals lose money on childbirth services. Juneau clinic offers new option for treating opioid use disorder. Banner Health to build new hospital in Buckeye.

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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. Cobra breeders killed the majority of the cobras and redeemed them for money while they continued to breed more cobras.

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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. Cobra breeders killed the majority of the cobras and redeemed them for money while they continued to breed more cobras.

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

Hall Render

MARCH 18, 2022

Amazon Pharmacy partners with health plans for discount drugs. Health Policy Brief: Pandemic-Driven Health Policies To Address Social Needs And Health Equity. HHS putting $35 million toward mental health support for children, young adults. How the PE Nursing Home Crackdown Could Affect the Home Health Industry.

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Hall Render

JUNE 21, 2024

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

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Hall Render

SEPTEMBER 20, 2024

Mesa hospital Phoenix bioscience boom poised to improve health care and local economy, proponents say What’s next for Steward hospitals in Arizona?

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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.

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

Hall Render

JULY 26, 2024

How hospitals can mitigate the damage.

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Hall Render

JULY 26, 2024

How hospitals can mitigate the damage.

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

Hall Render

JUNE 7, 2024

News ranks hospitals in health equity. These hospitals earn top honors. These hospitals earn top honors. facility Southern Research CEO talks biotech incubator, future of Birmingham medicine ALASKA Juneau’s hospital is bleeding cash. list includes 3 from Arizona ARKANSAS Children’s Miracle Network Raises $5.4M

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Hall Render

NOVEMBER 4, 2022

CVS Health, Walgreens each to settle all opioid cases for $5B. HHS releases video on documenting recognized HIPAA security practices. Cullman Regional to build north Alabama’s 1st freestanding emergency department. USDA funds 11 rural Alabama health care projects with $7.3 CMS bumps ASC payments to 3.8 prescription drugs.

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

Hall Render

FEBRUARY 2, 2024

Vincent North in Sherwood Washington Regional Medical System Names Lucas Campbell as VP & Chief Transformation Officer 4 more Arkansas hospitals awarded federal funds Arkansas Legislative Council approves Department of Human Services’ requests for $13.4M Opens in North Little Rock CHI St.

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

Hall Render

JULY 8, 2022

SCOTUS won’t hear challenge to health worker vaccine mandate. Why health systems are choosing Amazon as their cloud provider. Worst health system data breaches of 2022, according to Wired. Alabama Department of Corrections picks new medical, mental health care provider. UAB names interim health system CEO.

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