Fraud HIPAA Medicaid Public Health 
HIT Consultant
OCTOBER 18, 2021
The numbers lend credence to the numerous benefits touted throughout the public health emergency, most notably serving as a vital lifeline for high-risk patients, reducing the risk of exposure for staff, alleviating patient demand on facilities, and more. Identification to Inform Action.
MedTrainer
JULY 28, 2023
Earlier this year, an in-depth OIG investigation resulted in a six-day trial of a former Louisiana health clinic CEO , who was ultimately convicted of Medicaid fraud and sentenced to 82 months in federal prison. Medicare/Medicaid Compliance Reviews. These complaints can trigger an audit. Data Analysis and Trends.
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Health Care Law Brief
JUNE 2, 2022
The onset of the COVID-19 public health emergency (“PHE”) led to a surge in the use of telehealth by health care providers. For example, the Department of Justice has aggressively pursued health care fraud claims against individuals and entities involved in non-compliant telehealth models. Provider Licenses.
MedTrainer
SEPTEMBER 20, 2023
This means your organization must comply with the Health Insurance Portability and Accountability Act of 1996 (HIPAA). If you want to obtain or retain CMS certification in order to be reimbursed by services provided to patients with a Medicare/Medicaid health plan, you must comply with HIPAA rules and regulations.
MedTrainer
OCTOBER 4, 2023
These regulations and laws help maintain patient confidentiality, ensure quality care, and prevent fraud and abuse within the healthcare industry. These requirements are designed to protect patient rights, privacy, and safety, as well as to prevent fraud, abuse, and other improper practices within healthcare organizations.
HIPAA Journal
APRIL 25, 2023
Data breaches have recently been announced by Santa Clara Family Health Plan, United Steelworkers Local 286, Robeson Health Care Corporation, Two Rivers Public Health Department, and NewBridge Services. The post 277,000 Santa Clara Family Health Plan Members Affected by GoAnywhere Hack appeared first on HIPAA Journal.
AIHC
SEPTEMBER 5, 2023
Medicare covers many telebehavioral and telemental health services including audio-only services. Most private insurers and Medicaid cover telebehavioral health care, but check for reimbursement restrictions and obtain professional coding and billing guidance to avoid overpayment situations.
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