Remove Fraud Remove Health Care Access Remove Medicare
article thumbnail

What is HIPAA?

HIPAA Journal

HIPAA consisted of five Titles addressing the primary objectives of the Act: Title I: Health care access, portability, and renewability. Title II: Preventing health care fraud and abuse; administration simplification; medical liability reform. What is HIPAA Title II?

HIPAA 99
article thumbnail

2024 Final Rule: CMS Announces More Changes to Medicare Advantage but Declines to Reform the “60 Day Rule”

Health Care Law Brief

On April 5, the Centers for Medicare & Medicaid Services (“CMS”) released the 2024 Medicare Advantage and Prescription Drug Benefit Programs Final Rule (“Final Rule”), which will be codified at 42 C.F.R. 405.986) or “reliable evidence” of fraud or “similar fault” (as defined in 42 C.F.R. Parts 417, 422, 423, 455, and 460.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Health Provider News – March 25, 2022

Hall Render

2 sentenced for $48M medical reimbursement account fraud scheme. How New Orleans health leaders are reacting to city’s lifted vaccine mandate. MA Unveils Bill to Boost Behavioral Health, Primary Care Access. Massachusetts Doctor Faces Health Care Fraud Charges. MISSISSIPPI.

article thumbnail

Health Provider News

Hall Render

Health Policy Commission still missing key document in Steward sale to Optum Local obesity drug developer lands deal worth up to $600M with Novo Nordisk Mass. Million CALIFORNIA California hospital dismisses CEO California physician pleads guilty to $2.5M million expansion ‘Very, very unusual.’ million expansion ‘Very, very unusual.’

article thumbnail

Health Provider News

Hall Render

Mary’s ‘modernization’ project UChicago Medicine AdventHealth Bolingbrook Hospital Names New CFO Nurses asks lawmakers for staffing mandates, hospital leaders disagree Loyola Medicine Burr Ridge outpatient medical center trades for $59.95

article thumbnail

Health Provider News

Hall Render

Mary’s ‘modernization’ project UChicago Medicine AdventHealth Bolingbrook Hospital Names New CFO Nurses asks lawmakers for staffing mandates, hospital leaders disagree Loyola Medicine Burr Ridge outpatient medical center trades for $59.95

article thumbnail

Health Provider News

Hall Render

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.