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According to court documents and evidence presented at trial, the psychologist caused the submission of fraudulent Medicare claims from July 2016 through June 2019 for psychotherapy services purportedly provided to nursinghome residents in Chicago and surrounding areas.
Department of Health and Human Services (HHS) issued new Industry Segment-Specific Compliance Program Guidance For Nursing Facilities (Nursing Facility ICPG) for nursinghome members of the health care compliance community. Medical Directors in NursingHomes 42 CFR 483.70(g)
The United States has filed a lawsuit against an Alabama psychiatrist for improper prescribing of Nuedexta to nursinghome residents. In return, the psychiatrist prescribed Nuedexta to nursinghome residents who did not have pseudobulbar affect.
In connection with the enforcement action, the department seized over $8 million in cash, luxury vehicles, and other fraud proceeds. Issue: Nursing staff should monitor telemedicine appointments held with their residents, review related medical record documentation, and report any concerns with observed practices immediately.
A mother and her two daughters have been charged for providing fraudulent COVID-19 vaccination cards to maintain and obtain employment at a New York nursinghome. Vaccination is mandatory for nursinghome employment in New York. Bassett stated, “Vaccination fraud is a serious crime.
If you are looking for something to read prior to turkey or afterwards, here is a round up of bad actors: Pharma Fraud: . A Physician representing Avanir received over $300,000 in kickbacks for writing over 10K prescriptions for the drug Nuedexta and another $1,500 per each presentation. Pharma Fraud. Pharma Fraud .
Examples of covered entities include health plans, clearinghouses, and certain health care providers including but not limited to: doctors, clinics, psychologists, dentists, chiropractors, nursinghomes, and pharmacies. There are a number of laws built to fight against Medicare/Medicaid noncompliance and fraud.
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.
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, nursinghomes, third-party billing companies, clinical laboratories, among many others.
OIGs new Industry Segment-Specific Compliance Program Guidance For Nursing Facilities (Nursing Facility ICPG) for nursinghome members of the health care compliance community emphasizes the importance of staff screening and exclusion checks. Under 42 CFR Sec.
Department of Health and Human Services (“HHS”) issued new Industry Segment-Specific Compliance Program Guidance For Nursing Facilities (“Nursing Facility ICPG”) for nursinghome members of the health care compliance community. On November 20, 2024, the Office of Inspector General (“OIG”) for the U.S.
South Carolina Attorney General Alan Wilson announced that his office’s Medicaid Fraud Control Unit (SCMFCU) arrested a 37-year-old woman for allegedly practicing medicine as a registered nurse without a license at seven nursing and assisted living facilities in Anderson, Greenville, and Pickens counties.
Evidence revealed that the nurse failed to administer a total of eight required neurological checks to the patient after he had an unwitnessed fall at the facility on the night of April 12, 2018. Issue: Nursing staff should be knowledgeable of standards of care, and the facility’s policies and procedures for implementing them.
As you might expect from a federal investigation, conducted by politicians with media present, the tone of the meeting was more hostile rather than supportive. Howell, Constantine Yannelis and Abhinav Gupta positing that their research shows that “PE ownership increases short term mortality of Medicare patients by 10%, in nursinghomes”.
This information can be useful when completing a Social Determinants of Health (SDOH) risk assessment and any time a health care professional determines it is necessary to gain a deeper understanding of presenting problems which are warning signs of elder physical, sexual, psychological abuse, abandonment, neglect and financial extortion.
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, nursinghomes, third-party billers, and durable medical equipment suppliers. Now for that presentation.
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, nursinghomes, third-party billers, and durable medical equipment suppliers. Now for that presentation.
Grimm, the OIG continues its tireless efforts to uncover instances of fraud, waste, and abuse within HHS programs. OIG continues to work tirelessly to identify instances of fraud, waste, and abuse and prosecute offenders. Led by acting Inspector General Christi A. What is the HHS-OIG Semiannual Report to Congress?
Prism pays $650K to settle Medi-Cal fraud claims filed in San Diego. NursingHome Operator Leaving 8 Locations. ‘So much is new’: ScionHealth launch presents wealth of opportunities, CFO says. COVID outbreaks strike 8 nursinghomes as cases rise across Maine. Covid-19 continues climbing in state.
To Settle Telehealth Fraud Accusations State Health Dept, Hospital Association Honor Yale New Haven Hospital D.C. Supreme Court weighs future of ER abortions Flinn Foundation report identifies bioscience growth areas for Phoenix metro Medical center office building in Chandler sells for $7.3
Children’s Hospital Colorado seeks congressional help on funding cuts UCHealth appoints new board members for Longs Peak, Broomfield hospitals CONNECTICUT Gov. New data shed light. Ochsner St. Martin redirecting ambulances due to flooding MAINE MaineHealth CFO announces retirement Sen. million bird flu shots to U.S.
About 20K nursinghome staff now have vaccine medical exemptions. More than 400 nursinghome closures projected for 2022: report. Strikes averted at four Connecticut nursinghomes but not in Windsor. State suspends Destin nursinghome license, orders it to discharge 100-plus residents.
nursinghomes to pay $4M over claims of substandard care Mass. officials take aim at anti-abortion centers with new public awareness campaign Massachusetts, DC loosen CRNA supervision requirements Nursinghome chain with 3 Central Mass. nursinghomes to pay $4M over claims of substandard care Mass.
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.
judgment against nursinghome chain over woman’s death Arkansas BCBS names VP of group market U of Arkansas to offer dual DNP-MBA program Unity Health welcomes Jacksonville community to new hospital Baptist Health Opens Behavioral Services Clinic in North Little Rock Arkansas Children’s Hospital gets $2.5
government grant for maternal health care Alabama slides to 50th on nursinghome and long-term care report card Ascension sells Alabama hospital Ascension St.
government grant for maternal health care Alabama slides to 50th on nursinghome and long-term care report card Ascension sells Alabama hospital Ascension St.
40% of NursingHome Residents Haven’t Received COVID-19 Boosters, Analysis Finds. AI in Healthcare Presents Need for Security, Privacy Standards. No COVID-19 boosters for 70% of nursinghome staffs, AARP says. Contract Nurse Agencies Are Making Big Money in the Age of COVID-19. CALIFORNIA.
1 Mass General Brigham to build AI products with Australian health tech company Mass General Brigham hospital workers to receive average 21% raises Mass General Brigham to integrate triage AI across system Mass General Brigham sued over infection control lapse Nurse practitioner pleads guilty to $7.8M
Aspen University investigation: Students vent frustration amid nursing board probe into private college. ‘I feel extorted:’ Former FMC nurses told to pay $5K after being fired for refusing vaccine. Nursinghomes say they’re being price gouged by direct care staffing agencies. Million in Covid Relief.
renovation Reid Health details restructuring effort to reduce costs Cameron Hospital, Trine break ground on $10M nursing education center IOWA 26 NursingHomes Close in the Past Year Across Iowa Groundbreaking set for new UnityPoint – St.
Nursinghomes and long-term care facilities face increased turnover, look to new solution to attract workers. Rat infestation closes Veteran Affairs nursinghome in Arizona. Deadline to Close NursingHome Extended by 2 Months. Valley nursinghome workers calling for increased pay and staffing.
NATIONAL 5 Stark law issues physicians are closely watching Anti-monopoly advocates urge FTC to block McKesson, Cardinal Health’s big-ticket oncology acquisitions Biden administration doles out $68.5M to resolve fraudulent lab testing allegations Lilly to invest another $4.5B to make breast cancer treatments safer St.
million recovered for Kent County Memorial Hospital workers denied overtime Connecticut ASC postpones surgeries after car damages building Connecticut judge nixes appeal for new ASC Connecticut psychiatrist settles fraud allegations CT OHS fines Johnson Memorial Hospital $153.5K
health care Skilled nursing providers embrace bill nixing staff mandate, despite uncertain fate US News to begin rating ASCs ALABAMA Birmingham business lands pharmacy contract with Louisiana hospital Madison Co. CT presents draft settlement in YNHH-Prospect hospitals sale Mandell-Braunstein family gifts $2.5M NATIONAL 8.5M NATIONAL 8.5M
Hospital stays for nursinghome residents down nearly 9%, federal data shows. Huntsville Hospital to launch new nurse training program. Alabama hospitals, nursinghomes split $80 million in ARPA funds. New apprenticeship program to address nursing shortage in Alabama. vaccinated nursinghome staff.
s Mary’s Center makes cuts under new leadership in ‘reset’ to strengthen care, operations George Washington University Hospital nurses schedule vote on union Mayor Muriel Bowser taps San Francisco health equity official Ayanna Bennett as next D.C. Baltimore, and Northern Virginia DELAWARE Bayhealth adds northern Del.
NursingHome Operating Expenses Could Balloon by $500K With Staffing Minimums in Place. Parkinson warns of new ‘enormous’ business problem for nursinghomes; highlights staffing-minimum alternative. Apprentice program addressing the nursing shortage crisis in Alabama. California nurses begin strike.
NATIONAL A quiet ‘pharmageddon’ walkout AHA: NursingHome Staffing Mandate Would Not Align with Modern Clinical Practice, Stifle Innovation AMA, allies plead for leniency as Medicare pay penalties loom ANA announces support for federal staffing ratios bill Apple eyes behavioral health space Clinically integrated networks poised to boost (..)
Medical groups to Biden: ED boarding at a ‘crisis point’ Nursinghome groups request public health emergency extension. Supreme Court Weighs Whether Medicaid Residents Can Sue State-Owned NursingHomes. ADHS declined to investigate nursinghome where elderly resident was sexually assaulted.
NATIONAL As AI advances in healthcare, industry players wrestle with its risks AHA Comments on FY 2024 Proposed Rule for Skilled Nursing Facilities AHA rebukes ‘flawed’ study on hospital finances AHA urges CMS to consider inflation, staffing in light of proposed inpatient rehab rule AHCA prepared to sue over minimum staffing mandate AMA, (..)
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