Medisys Compliance

APRIL 19, 2023

The Medicaid program in Florida provides medical services and assistance to low-income individuals and families. To participate in the Medicaid program, healthcare providers must meet several general requirements set forth by the Agency for Health Care Administration (AHCA).

Medicaid 52

Medicaid Medicaid Medical Billing Outsourcing Licensing 52

Verisys

DECEMBER 8, 2022

A professional career can take a provider across state lines, and through an evolution of various license types. In order to see the full picture of an individual, the comprehensive whole of each state licensing board across all license types must be searched. Take the process back another step.

Licensing 52

Licensing Medicaid Medicaid Fraud 52

Medisys Compliance

MAY 23, 2024

Introduction The Centers for Medicare & Medicaid Services (CMS) establish specific billing guidelines for behavioral health services provided to Medicare beneficiaries. This article provides a comprehensive overview of essential information for providers navigating CMS behavioral health billing guidelines.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Medicare 59

The Health Law Firm Blog

OCTOBER 5, 2023

Board Certified by The Florida Bar in Health Law Do you have a medical, pharmacist, counselor, or nursing license in more than one state? Do you have a license in more than one profession? By George F. Indest III, J.D., Have you been notified that an investigation has been opened against your professional [.]

Licensing 52

Licensing Nurses Medicaid Medicaid 52

Provider Trust

MAY 9, 2023

What is a Medicaid Fraud Control Unit (MFCU)? But these programs cannot be controlled by Medicaid and Medicare alone. But these programs cannot be controlled by Medicaid and Medicare alone. With this legislation, Medicaid Fraud Control Units (MFCUs) were born.

Fraud 52

Fraud Medicaid Medicaid Nurses 52

Verisys

OCTOBER 8, 2024

Starting August 26, 2024, out-of-state physicians who have received a license from a compact state and a corresponding “letter of qualification” can apply to the IMLC to designate Pennsylvania as a state where the physician wants to practice and apply for expedited licensure from the relevant state licensing board.

Regulatory Compliance 52

Regulatory Compliance Compliance Licensing Medicaid 52

Verisys

OCTOBER 8, 2024

Starting August 26, 2024, out-of-state physicians who have received a license from a compact state and a corresponding “letter of qualification” can apply to the IMLC to designate Pennsylvania as a state where the physician wants to practice and apply for expedited licensure from the relevant state licensing board.

Regulatory Compliance 52

Regulatory Compliance Compliance Licensing Medicaid 52

HIPAA Journal

JULY 4, 2024

SkinCure Oncology has notified 13,434 patients about an email attack that occurred in June 2023, and the Wisconsin Department of Health Services has announced a breach of the personal information of 19,150 Medicaid recipients. Further information can be contained by calling SkinCure Oncology’s helpline – (866) 528-8844.

Medicaid 123

Medicaid Medicaid Fraud Licensing 123

HIPAA Journal

MARCH 16, 2023

Florida Medical Clinic, NorthStar Emergency Medical Services, Denver Public Schools, Wichita Urology Group, and The Bone & Joint Clinic have recently reported hacking incidents and the exposure and potential theft of protected health information. No financial information was compromised, and only 115 Social Security numbers were exposed.

Electronic Medical Records 68

Electronic Medical Records Health Insurance Ransomware HIPAA 68

The Health Law Firm Blog

JULY 11, 2022

Board Certified by The Florida Bar in Health Law Do you have a medical, pharmacist, counselor, or nursing license in more than one state? Do you have a license in more than one profession? By George F. Indest III, J.D., Have you been notified that an investigation has been opened against your professional [.].

Licensing 52

Licensing Nurses Medicaid Medicaid 52

Verisys

FEBRUARY 8, 2024

Upon moving to another compact state, a nurse holding a compact license must apply for a new license in their new primary state of residence within 60 days of relocating. NLC Relocation Rule Explanation NLC Relocation FAQ Arizona: The Arizona Board of Nursing has issued a reminder for nursing licenses expiring in 2024.

Regulatory Compliance 52

Regulatory Compliance Compliance Licensing Nurses 52

HIPAA Journal

NOVEMBER 12, 2024

Cyberattacks involving unauthorized access to patient information have been reported by Physical Medicine & Rehabilitation Center in New Jersey (4,083 records) and Orthopedics Rhode Island(500 records). Passwords were reset and policies and procedures have been reviewed.

Health Insurance 49

Health Insurance Fraud Licensing HIPAA 49

Provider Trust

SEPTEMBER 16, 2024

While existing processes rely heavily on self-reported data and manual verifications, DynamicNPI pulls from many disjointed sources including state licensing boards, federal and state exclusion/sanction lists, specialty boards, and more, offering the most comprehensive and up-to-date provider data on the market.

Licensing 52

Licensing Medicaid Medicaid 52

Verisys

MARCH 12, 2024

License renewals are due February 29, 2024. Licenses can still be renewed after that date, however, they will be subject to late fees. IL PA License Renewal (page 6) Maryland : The Maryland Board of Pharmacy has adopted new regulations establishing the requirements and responsibilities of Validated Pharmacy Technicians.

Regulatory Compliance 52

Regulatory Compliance Compliance Medicaid Medicaid 52

MedTrainer

MARCH 30, 2024

Step-By-Step Provider Enrollment Process There are many reasons provider enrollments are delayed: incorrect information, missing documents, busy credentialers, and slow-moving payers. CAQH Profile Management Streamline your enrollment processes with the most up-to-date provider information at your fingertips.

Malpractice 98

Malpractice Licensing Medicaid Medicaid 98

Bill of Health

OCTOBER 17, 2024

SB 1223 amended the California Consumer Privacy Act of 2018 to include neural data as sensitive personal information, whose collection and use companies can be directed to limit. In SB 1223, an amendment to the California Consumer Privacy (CCP) Act, California has protected neural data as sensitive personal information.

Medicare 150

Medicare Medicare Health Insurance Licensing 150

Healthcare It News

OCTOBER 31, 2022

The pilot, funded under a cooperative agreement by the Office of the National Coordinator for Health IT (ONC) and Health Level Seven International (HL7), focuses on applying FHIR Gravity social risk terminology – to exchange information.

Licensing 282

Licensing Medicaid Medicaid Health Outcomes 282

Provider Trust

MARCH 16, 2022

Exclusions are administrative actions that are placed upon an individual or entity by HHS OIG, a state agency or Medicaid Fraud Control Unit (MFCU), or by one of the many agencies associated with SAM.gov. Additionally, there are varying, disparate State Medicaid exclusions sources that require periodic screening.

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

MedTrainer

MAY 30, 2024

Compiling that volume of information for all of your organization’s providers is hard enough. Traditionally, credentialers call the appropriate entities to verify transcripts, licenses, etc. Data Accuracy and Verification : Verifying the accuracy of the information is crucial but challenging.

Licensing 52

Licensing Malpractice Medicare Medicare 52

Provider Trust

OCTOBER 29, 2024

This ensures the seamless flow of information to expedite credentialing and enrollment processes, while also enabling our customers to leverage our real-time provider data across their entire organizations,” said Christopher Redhage, ProviderTrust co-founder and managing partner. Magazine, and the Nashville Business Journal.

Regulatory Compliance 52

Regulatory Compliance Licensing Medicaid Medicaid 52

HIPAA Journal

NOVEMBER 12, 2024

Health & Palliative Services of the Treasure Coast in Florida and Universal Health Corporation in Virginia have discovered unauthorized access to their email systems and the exposure of patients’ protected health information. The final list of affected patients was manually reviewed, and that process was completed on September 27, 2024.

HIPAA 49

HIPAA Licensing Health Insurance Medicaid 49

Verisys

MAY 11, 2023

Publication of Notice – Operation Nightingale Oregon : The Oregon Medical Board has proposed a new rule to add “license denials” as a class of cases exempt from the 90-day timeline requirements. This new rule would allow a longer timeline due to board meeting schedules and the complexity of license denial cases.

Licensing 52

Licensing Nurses Medicaid Medicaid 52

HIT Consultant

FEBRUARY 5, 2024

All certifications and licenses must be verified for every provider who administers services to patients. This includes each practitioner’s education, medical training, residency, licenses, as well as any certifications issued by a board in the physician’s area of specialty. 4: Not updating and verifying information.

Malpractice 96

Malpractice Licensing Due Diligence Hospitals 96

HIPAA Journal

JULY 4, 2023

Murfreesboro Medical Clinic & SurgiCenter (MMC) in Tennessee has recently confirmed that the protected health information of more than half a million patients was compromised in what it describes as “a series of attacks on our network and IT systems,” which were discovered on or around April 24, 2023.

Medicaid 96

Medicaid Medicaid Health Insurance Licensing 96

MedTrainer

MAY 7, 2024

We’ll walk you through the steps in enrolling your providers with UnitedHealthcare, the information and documents you need, and the best practices to follow. Here is a list of the information you’ll need to gather for UnitedHealthcare credentialing: Training and Education Practitioner degree (M.D.,

Malpractice 52

Malpractice Licensing Medicaid Medicaid 52

Physician Credentialing Company

OCTOBER 25, 2024

In this article, we will discuss detailed information regarding what the 90834 CPT code means, who can assign it, and the services covered by it. For example, a psychotherapist who has a professional practicing license might embrace the cognitive-behavioral approach to urge the patient to overcome negative thinking methods.

Licensing 52

Licensing Medical Billing Telemedicine Medicare 52

MedTrainer

DECEMBER 4, 2023

The Kentucky Cabinet for Health and Family Services (CHFS), Department for Medicaid Services administers the state’s Medicaid program, ensuring access to essential health care services for eligible low-income individuals and families in Kentucky.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

MedTrainer

NOVEMBER 27, 2023

The Department of Community Health (DCH) serves as the lead agency for Medicaid and PeachCare for Kids® , and also oversees the State Health Benefit Plan , Healthcare Facility Regulation Division and State Office of Rural Health. The Medical Assistance Plans Division oversees Georgia’s Medicaid and PeachCare for Kids® programs.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

HIPAA Journal

FEBRUARY 16, 2022

Family Christian Health Center (FCHC) in Illinois has announced it was the victim of a ransomware attack in November 2021 that compromised the protected health information of 31,000 patients. The attackers compromised FCHC’s old dental system which contained the PHI of patients who had received dental services prior to August 31, 2020.

Ransomware 134

Ransomware Hospitals Licensing HIPAA 134

Hall Render

NOVEMBER 1, 2024

Health care fraud remains a significant focus for federal and state enforcement agencies, with particular attention placed on the integrity of Medicaid and Medicare billing. He was also ordered to pay $557,000 in restitution to Indiana Medicaid and Medicare. As such, providers should prioritize billing compliance.

Fraud 40

Fraud Compliance Medicaid Medicaid 40

Verisys

OCTOBER 23, 2023

Alabama : License renewals for pharmacy technicians, pharmacy interns, and facilities are open as of 9/15/2023. The board urges that nurses who were practicing under an EMSA license should apply for licensure by endorsement to continue to practice in California. Here is our monthly regulatory update.

Licensing 52

Licensing Nurses Compliance Medicaid 52

HIPAA Journal

JUNE 16, 2023

EpiSource Confirms Breach of its AWS Environment The Gardena, CA-based medical coding vendor, EpiSource, has confirmed that the protected health information of patients of its healthcare clients has been exposed and potentially compromised in a February 2023 cyberattack on its Amazon Web Services (AWS) environment.

Medicaid 104

Medicaid Medicaid HIPAA Health Insurance 104

MedTrainer

APRIL 11, 2024

Although each process is slightly different, both involve thoroughly verifying provider information, including provider background, education, and qualifications. Data Integrity Problems: Paperwork errors are significant issues, such as spelling or missing information in required fields.

Licensing 52

Licensing Medicaid Medicaid Medicare 52

Medisys Compliance

MAY 20, 2024

Provider type: Psychiatrists, psychologists, licensed clinical social workers, and licensed professional counselors typically have different reimbursement rates. Payer type: Private insurance companies, Medicare, and Medicaid have their own reimbursement structures. Stay Informed: Reimbursement rates can change periodically.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Medicare 59

HIPAA Journal

SEPTEMBER 9, 2022

Birmingham, AL-based Henderson & Walton Women’s Center (HWWC) has recently notified 34,306 patients that some of their protected health information may have been compromised as a result of a hacker gaining access to the email account of one of its employees. The information exposed varied from patient to patient.

Licensing 123

Licensing Health Insurance Fraud HIPAA 123

Pharmacy Law Blog

MAY 14, 2018

Our attorneys include those who are board certified in health law by The Florida Bar, those who are nurses, and those who are themselves licensed health professionals. The Following is a list of little known facts about state investigations (including DOH investigations) that could save your license: 1.

Licensing 40

Licensing Nurses Medicaid Medicaid 40

Pharmacy Law Blog

MAY 7, 2018

Our attorneys include those who are board certified in health law by The Florida Bar, those who are nurses, and those who are themselves licensed health professionals. The Following is a list of little known facts about state investigations (including DOH investigations) that could save your license: 1.

Licensing 40

Licensing Nurses Medicaid Medicaid 40