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Department of Health and HumanServices aims to protect the integrity of federal healthcare programs, in addition to the health of beneficiaries. "We believe health technology should be used in the service of care to achieve better health and value," said VanLandingham.
As we wrap up another year and get ready for 2025 to begin, it is once again time for everyone’s favorite annual tradition of Health IT Predictions! Check out the community’s predictions down below and be sure to follow along as we share more 2025 Health IT Predictions !
A registered nurse from a veteran’s hospital in Detroit pleaded guilty to charges related to COVID-19 vaccination record cards fraud. Issue: Legitimate vaccination cards are being stolen from healthcare facilities and then used in a fraudulent manner. Participating in the fraud can result in the person(s) being prosecuted.
A federal jury convicted a licensed Illinois psychologist of defrauding Medicare over the course of several years by causing the submission of fraudulent claims for psychotherapy services he never provided. The psychologist was convicted of four counts of healthcare fraud.
million scheme to defraud Medicare by billing for services under another doctor’s name after Medicare revoked his privileges to participate in the program. According to court documents and evidence presented at trial, the podiatrist was revoked from participating in the Medicare program in January 2015.
It’s no secret–when fraud enters healthcare, things get risky. But how exactly does the HHS-OIG (Office of Inspector General), the main body responsible for conducting investigations into suspected fraudulent activity, address healthcare fraud and assess future risk of these bad actors? Department of Justice (DOJ), the U.S.
Three schools across Broward County and Palm Beach County, Florida, were involved in this multimillion-dollar fake diploma scheme: Siena College of Health, Palm Beach School of Nursing, and Sacred Heart International Institute. In addition, an estimated 37 percent of student nurses with fake diplomas passed the NCLEX.
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.?.
Board Certified by The Florida Bar in Health Law On July 14, 2015, Ann Maxwell, Assistant Inspector General for Evaluation and Inspections of the Office of Inspector General (OIG), USDepartment of Health and HumanServices (HHS), gave testimony to Congress on the Medicare Part D Program. Indest III, J.D.,
On Thursday, March 16, the Office of the Inspector General for the Department of Health and HumanServices (“OIG”) issued OIG Advisory Opinion (“AO”) No. Like these other AOs, OIG found that while the Proposed Arrangement could generate fraud and abuse risks under both the Federal anti-kickback statute (i.e.,
Federal payments for healthcare services account for 28% of all healthcare spending in the United States. The List of Excluded Individuals/Entities (LEIE) is maintained by the Department of Health and HumanServices (HHS) Office of the Inspector General ( OIG) and dictates which providers are excluded from receiving federal funds.
Within the USDepartment of Health and HumanServices (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.
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. One of the seven items, #5 is “Enforcing Standards: Consequences and Incentives.” The result?
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. One of the seven items, #5 is “Enforcing Standards: Consequences and Incentives.” The result?
It supports compliance with laws like the Health Care Quality Improvement Act and standards set by accrediting bodies such as The Joint Commission. Nurse credentialing is a crucial process in healthcare that ensures nurses have the qualifications, skills, and experience to provide safe and effective patient care.
The Department of Health and HumanServices once again (for the ninth time) extended the public health emergency this past month , stretching it beyond mid-July. But sooner or later, that provision of the Public HealthService Act will draw to a close. We spoke recently with Allison M.
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.
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
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.
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
The CDC has stopped printing them Telehealth Visits Decline 46%, But Telebehavioral Healthcare Still High URAC to offer health equity accreditation Walgreens CIO is latest to leave in company’s C-suite shakeup AI is creating a complex landscape for healthcare executives ALABAMA Alabama hospital to remain on Cerner after sale Alabama gets $3.6M
The CDC has stopped printing them Telehealth Visits Decline 46%, But Telebehavioral Healthcare Still High URAC to offer health equity accreditation Walgreens CIO is latest to leave in company’s C-suite shakeup AI is creating a complex landscape for healthcare executives ALABAMA Alabama hospital to remain on Cerner after sale Alabama gets $3.6M
Amazon to offer behavioral healthservices through Ginger partnership. CDC, amid criticism for COVID-19 response, plans reorganization as public health threats grow. House approves sweeping climate, tax, health care package. Joint Commission’s New Accreditation Standards Tackle Health Disparities. CALIFORNIA.
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
Dr. Lorna Breen Health Care Provider Protection Act becomes law. Here are the top health systems by patient reviews. Sensitive health data of 50 million Americans hacked or breached last year: analysis. Private equity’s pandemic-era health care push. 12 million dollar drug lab, mental health center coming to Dothan.
AHA Urges DOJ to Protect Health Care Workers??from Coalition of hospitals, health plans and others urge for stronger guidance around third-party apps. Hospital, long-term care groups again petition Becerra to extend COVID-19 public health emergency. Justice Department to join whistleblower lawsuit against EHR vendor, CEO.
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 HumanServices’ requests for $13.4M Opens in North Little Rock CHI St.
NATIONAL AHA Comments on CMS’ Inpatient Payment Proposal for FY 2025 AHA urges CMS to make Transforming Episode Accountability Model voluntary AMA adopts new policy to create equity in clinical trials and research DOJ loses bid to toss Humana Medicare Advantage case Drug shortages hit highest number since 2001, impacting patients, hospitals and pharmacies (..)
How CVS, Amazon and Walgreens are pushing into primary care, home health. Like ordering from Amazon: Where health tech is heading, according to 3 CIOs. Medical groups to Biden: ED boarding at a ‘crisis point’ Nursing home groups request public health emergency extension. deal to combine with Summit Health.
NATIONAL 3 Stark law updates changing the healthcare landscape Agency nurse prices move higher for skilled nursing as staffing minimum nears AHA Responds to Request for Information on Drug Shortages AHA responds to GOP inquiry on drug shortages, shares impact on hospitals and patient care Biden launches new initiatives to reduce health care costs Cash (..)
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. NATIONAL 8.5M NATIONAL 8.5M NATIONAL 8.5M NATIONAL 8.5M NATIONAL 8.5M NATIONAL 8.5M
Vincent’s to begin ER construction, gains CON approval Birmingham CRE firm acquires South Carolina medical office property Encompass Health prepares to open rehab hospital, fill gap in care Nearby ED means more avoidable visits from AL residents, study finds Nurse salaries rose last year, dipped in 2023.
NATIONAL FTC inundated with premerger notification filings HHS is losing thousands of workers under Trump administration probationary job cuts Lawsuit Against UnitedHealth Over AI-Based Denials of Post-Acute Care Moves Ahead Nearly half of rural hospitals in the red, 432 vulnerable to closure, report finds Physicians sound the alarm on ‘dangerous’ (..)
NATIONAL 2025 ushers new era in physician unions CMS faces renewed legal pressure on drug price negotiation program DOJ sues Walgreens for knowingly’ filling millions of prescriptions that lacked legit medical purposes Employer cost-cutting pushes tech companies to merge Expect more hospital mergers in 2025, with deals driven by distress and (..)
Executive Health Resources, Inc. , Executive Health Resources, Inc. , 2023) ( Buckman preemption barred MDL asserting fraud on EPA), cert. United States Department of Health and HumanServices , 58 F.4th In 2023, these include United States ex rel. Polansky v. UnitedHealthcare, Inc. , 3d 239 (Cal.
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