Pharmacy Law Blog

FEBRUARY 13, 2018

On November 22, 2017, a Florida woman who was accused of a $45 million Medicare fraud, received a six-and-a-half-year prison sentence, following a 2016 U.S. This came after a 2016 guilty plea to a charge of conspiracy to commit health care fraud. By George F. Indest III, J.D., Board Certified by The Florida Bar in Health Law.

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Fraud Medicare Medicare Governance 40

MedTrainer

JANUARY 30, 2024

In these cases, the Centers for Medicare and Medicaid Services (CMS) require compliance programs from the following facilities: Hospitals: General acute care and specialty hospitals. Nursing Homes: Skilled nursing facilities, long-term care facilities, and other types of nursing homes.

Governance 52

Governance Compliance Nursing Homes Medicaid 52

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

Compliancy Group

APRIL 17, 2024

Office of Inspector General (OIG) in the Department of Health and Human Services (DHHS) oversees efforts in the healthcare sector to identify, reduce, and prevent incidents of fraud, waste, and abuse of funds from programs like Medicare. Findings from OIG audits can identify compliance areas needing improvement. and cybersecurity threats.

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Compliance Officers Compliance Medicare Medicare 52

Med Law Blog

MAY 1, 2023

Similar issues were raised with respect to the private equity acquisition of Hahnemann Hospital. In the article entitled “The Death of Hahnemann Hospital” published in the New Yorker magazine in May 2021. Christopher’s Hospital, to American Academic Health System, which then closed Hahnemann Hospital in June of 2019.

Nursing Homes 52

Nursing Homes Malpractice Hospitals Nurses 52

Compliancy Group

AUGUST 31, 2023

Healthcare compliance laws play a vital role in safeguarding patients’ rights, preventing fraud and abuse, and maintaining the integrity of healthcare systems. Office of Inspector General (OIG) Compliance Program Guidance Office of Inspector General (OIG) compliance program guidance is for individual providers like hospitals or nursing homes.

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Compliance Compliance Officers Fraud Compliance Framework 52

Florida Health Care Law Firm

JANUARY 20, 2022

It may be easier to list what Florida AHCA does NOT regulate rather than all it does, but here are just a few of the primary things that ACHA regulates: Fraud and abuse of billing and services. Licensure of healthcare professionals, healthcare clinics and other facilities, including hospitals and long-term care programs.

Nursing Homes 40

Nursing Homes Medicaid Medicaid Fraud 40

YouCompli

JANUARY 4, 2022

Unger, Chief of Medicaid Fraud Division, Office of the Massachusetts Attorney General; and Patrick Callahan, Healthcare Fraud Unit, US Attorney’s Office. Unger and Callahan addressed the Massachusetts Health and Hospital Association’s Healthcare Legal Compliance Forum in December 2021. Featured speakers: Toby R. Read a summary.

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Fraud Compliance Elder Abuse Medicaid 40

MedTrainer

AUGUST 8, 2024

Fraud, Waste, and Abuse (FWA) Training Fraud, Waste, and Abuse (FWA) training is designed to help healthcare professionals detect, prevent, correct, and report fraudulent, wasteful, and abusive practices within the Medicare system. Attestation: Providers must complete training within 90 days of their hire date and annually thereafter.

Medicare 52

Medicare Medicare Compliance Medicaid 52

Hall Render

MAY 20, 2022

AHA responds to report on hospitals’ requested price hikes to insurers. HHS Announces $15M in Funding For Behavioral Healthcare In Nursing Homes. Nonprofit hospital margins to remain weak through Q2, Fitch says. Nonprofit hospitals squeezed by pricier labor, investment losses in Q1. Arkansas Gets $3.9M

COVID-19 40

COVID-19 Nursing Homes Nurses Hospitals 40

MedTrainer

NOVEMBER 6, 2023

While specific compliance requirements vary depending on the type of facility — from large hospitals and surgery centers to clinics and nursing homes — having a well-structured compliance plan is essential for all medical settings. But what exactly is a compliance plan in healthcare, and why is it so crucial?

Compliance 52

Compliance Fraud Nursing Homes Governance 52

Hall Render

MAY 13, 2022

340B hospitals amplify loss projections as more drugmakers unveil restrictions. Nurses make exit plans after RaDonda Vaught’s conviction. Travel nurses raced to help during Covid. US faces deficit of 450,000 nurses by 2025. Alabama hospitals were just ranked for safety: See how yours fared. HHS awards $16.3M

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COVID-19 Nurses Nursing Homes Hospitals 40

Hall Render

NOVEMBER 10, 2023

Since the release of its first compliance program guidance (“CPG”) for hospitals in 1998, OIG has developed a series of voluntary CPGs directed at various subsets of the health care industry, such as hospitals, nursing homes, third-party billing companies, clinical laboratories, among many others.

Compliance 40

Compliance Compliance Officers Fraud Governance 40

Hall Render

NOVEMBER 25, 2024

Department of Health and Human Services (“HHS”) issued new Industry Segment-Specific Compliance Program Guidance For Nursing Facilities (“Nursing Facility ICPG”) for nursing home members of the health care compliance community. On November 20, 2024, the Office of Inspector General (“OIG”) for the U.S.

Nurses 40

Nurses Compliance Compliance Officers Medicare 40

Healthcare IT Today

MARCH 16, 2021

Throughout the health care field, clinical and administrative staff complain about the burden of collecting data required by government regulations–often with no idea what purpose the data serves.

Governance 93

Governance Nursing Homes Fraud Nurses 93

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. Only 14% of Hospitals Met Price Transparency Rule Compliance. . How a Small Alabama Company Fueled Private Equity’s Push Into Hospitals.

COVID-19 40

COVID-19 Nursing Homes Nurses COVID-19 Vaccine 40

Hall Render

FEBRUARY 25, 2022

40% of Nursing Home Residents Haven’t Received COVID-19 Boosters, Analysis Finds. 342 hospitals have received price transparency noncompliance notices from CMS. No COVID-19 boosters for 70% of nursing home staffs, AARP says. The 55 hospitals penalized by Medicare 8 years straight over patient complications.

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COVID-19 Nursing Homes Nurses Hospitals 40

Hall Render

APRIL 29, 2022

About 20K nursing home staff now have vaccine medical exemptions. CMS’ Brooks-LaSure defends 2023 pay bump for hospitals that groups charge is too small. HHS calls on hospitals to make voluntary pledge to cut emissions to zero by 2050. Hospitals sue HHS over Medicare billing calculation. CMS Proposes $1.6B

COVID-19 40

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

Hall Render

MARCH 18, 2022

Former CMS Chief Seema Verma Blasts Nursing Home Reform Proposals. Hospitals and Health Systems Experiencing Severe Shortage of Pharmacy Technicians. Housing for hospital workers called ‘crisis’. How the PE Nursing Home Crackdown Could Affect the Home Health Industry.

COVID-19 40

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

Hall Render

MARCH 25, 2022

Hospital stays for nursing home residents down nearly 9%, federal data shows. What’s holding up hospital at home? Alabama COVID hospitalizations drop to lowest point since pandemic started. New rural hospital model could preserve communities, jobs. As nurses quit, states seek to train more.

COVID-19 40

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

Hall Render

APRIL 22, 2022

3 hacker gangs targeting hospitals. GAO investigating private equity ownership of nursing homes. Hospitals to receive a proposed 3.2% This nursing home chain reported the highest COVID death rate. Mask mandate ruling was ‘irresponsibly abrupt,’ hospital exec says. HHS is giving $226.5

COVID-19 40

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

Hall Render

SEPTEMBER 23, 2022

Congress presses Meta about health data privacy after hospitals remove Facebook tracker. House report attacks, nursing homes fight back over allegations of deficient staffing, care and safe practices as pandemic hit. Alabama hospital CEO resigns. Alabama’s COVID positivity rate, hospitalizations drop considerably.

COVID-19 40

COVID-19 Nurses Nursing Homes Hospitals 40

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

AIHC

FEBRUARY 16, 2024

The GCPG standardized the seven Elements of a Successful Compliance Program, which differs slightly from the individual compliance guidance documents (CPGs) directed at various segments of the health care industry, such as hospitals, nursing homes, third-party billers, and durable medical equipment suppliers.

Compliance 52

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

AIHC

FEBRUARY 16, 2024

The GCPG standardized the seven Elements of a Successful Compliance Program, which differs slightly from the individual compliance guidance documents (CPGs) directed at various segments of the health care industry, such as hospitals, nursing homes, third-party billers, and durable medical equipment suppliers.

Compliance 52

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

Hall Render

MAY 10, 2024

Million CALIFORNIA California hospital dismisses CEO California physician pleads guilty to $2.5M Million CALIFORNIA California hospital dismisses CEO California physician pleads guilty to $2.5M Million CALIFORNIA California hospital dismisses CEO California physician pleads guilty to $2.5M million expansion ‘Very, very unusual.’

Nursing Homes 40

Nursing Homes Nurses Hospitals Medicaid 40

Hall Render

DECEMBER 13, 2024

in Refinancing for Medical Office Building in Goodyear, Arizona Northern Arizona VA part of national campaign to help veterans with ‘blast exposure’ become eligible for benefits Pharmaceutical company now profits off Arizona opioid crisis settlement Scottsdale hospital performs breakthrough heart procedure with new technology St.

US Department of Health and Human Services 40

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

Hall Render

JANUARY 5, 2024

Wade; expected to remain big issue in 2024 races Most nursing home residents in Arizona still haven’t gotten their COVID-19 booster COVID-19 hospitalizations are up in Arizona and around the U.S.

COVID-19 40

COVID-19 Nursing Homes Nurses Hospitals 40

Hall Render

OCTOBER 25, 2024

in 2023 100M hit by Change Healthcare breach AHA pushes for hospital-at-home changes Amazon One Medical, Cleveland Clinic partner on primary care Big systems looking ‘outside of the four walls of the hospital’ Calm Health, UnitedHealthcare form partnership: 3 notes Cigna-Humana merger talks are back on: report Doctors hate MIPS.

Nursing Homes 40

Nursing Homes Nurses Hospitals Doctors 40

Hall Render

DECEMBER 22, 2023

Million in Retaliation Suit John Muir, Tenet scrap hospital deal after FTC challenge Kaiser to lay off 79 administrative employees Leaning toward big wins in schizophrenia and vaccines, venture group raises new fund of $389 million Madera hospital creditors want to be paid, including CEO. health care spending hits $4.5

Nursing Homes 40

Nursing Homes Nurses COVID-19 Hospitals 40

Hall Render

JUNE 3, 2022

4 benefits of behavioral health partnership for hospital performance. CMS has cited 69 hospitals for noncompliance with worker vaccine mandate. Doctors, nurses risked their lives to battle COVID. Hospital revenues plummet. Is It Finally Time for Hospital-at-Home or is Time Up? Providence St.

COVID-19 40

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

Hall Render

OCTOBER 13, 2023

Vincent Partners With Park Plaza Mall on Community Health Programs Former Arkansas Medical Board Chair Brian Hyatt Arrested for Medicaid Fraud New Provider in Arkansas Focuses on No-Rush Health Care Walker Foundation Pledges $1M to UAMS Radiation Oncology Center Five nonprofits to split $5.9

Nurses 40

Nurses Hospitals Nursing Homes Doctors 40

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? Federal Grant to Study Eye Disease UAMS Study to Address Maternal, Infant Deaths with $2.4M Federal Grant to Study Eye Disease UAMS Study to Address Maternal, Infant Deaths with $2.4M

US Department of Health and Human Services 40

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

Hall Render

DECEMBER 1, 2023

to Recruit, Train Primary Care Students UAMS Gets $17.5M to Recruit, Train Primary Care Students UAMS Gets $17.5M to Recruit, Train Primary Care Students UAMS Gets $17.5M to Recruit, Train Primary Care Students UAMS Gets $17.5M to Recruit, Train Primary Care Students UAMS Gets $17.5M to Recruit, Train Primary Care Students UAMS Gets $17.5M

Nursing Homes 40

Nursing Homes Nurses COVID-19 Ransomware 40

Hall Render

AUGUST 19, 2022

Ambulatory surgery centers compete with hospitals for outpatient dollars. CDC to regain control of hospital pandemic data despite criticism. FTC tells states to avoid shielding hospital mergers from antitrust enforcement. Huntsville Hospital received $2 million in pandemic aid despite reporting $40 million in expenses.

COVID-19 40

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

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