Med-Net Compliance

NOVEMBER 8, 2022

On November 3, 2022, the OIG released the results of a recent inspection of a nursing home by the Texas Health and Human Services (HHS) Office of Inspector General Audit and Inspections Division (OIG Inspections). OIG inspectors recommended the facility develop a process to collect this data and post the information as required.

Nursing Homes 59

Nursing Homes Nurses US Department of Health and Human Services Licensing 59

Healthcare IT Today

JUNE 18, 2024

Prior authorization is a hot topic for health systems, providers, and legislators. It’s here where AI can have an immediate impact, be trained on a health system’s own data, and be course-corrected to ensure highly accurate outcomes. It’s costly, inefficient, and responsible for patient care delays.

US Department of Health and Human Services 115

US Department of Health and Human Services Hospitals Doctors Nurses 115

Healthcare IT Today

NOVEMBER 14, 2023

Even when digital tools are utilized, it’s not uncommon for provider network teams to use a combination of siloed point solutions, disparate spreadsheets, and a series of complex process steps for keeping status information up to date in multiple disconnected systems. How is provider data shared in your organization?

US Department of Health and Human Services 113

US Department of Health and Human Services Licensing Nurses Compliance 113

Verisys

JUNE 13, 2023

Centers for Medicare & Medicaid Services : The US Department of Health and Human Services has issued a final rule update concerning guidelines for COVID-19 vaccination requirements for Long-Term Care Facilities (LTC) and Intermediate Care for Individuals with Intellectual Disabilities (ICFs-IID).

COVID-19 Vaccine 52

COVID-19 Vaccine US Department of Health and Human Services COVID-19 Licensing 52

Provider Trust

MARCH 13, 2023

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.

Fraud 52

Fraud US Department of Health and Human Services Licensing Compliance Officers 52

Med-Net Compliance

OCTOBER 27, 2022

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.

Nursing Homes 59

Nursing Homes Fraud US Department of Health and Human Services Nurses 59

Healthcare IT Today

MAY 30, 2024

Layering AI on top of CCTA can enable health systems to use cath labs for intervention – rather than diagnostics – which could dramatically reduce a backlog of procedures, optimize resources, and streamline efficiency in cardiac care.

US Department of Health and Human Services 127

US Department of Health and Human Services Hospitals Nurses Patient Satisfaction 127

Verisys

JANUARY 20, 2022

Whether you use paper, spreadsheets, email, or fax, the credentialing process can be long and frustrating when you’re doing it internally. It’s important for a practitioner to be credentialed and have privileges granted before beginning to practice medicine and bill for services rendered. What’s the solution?

US Department of Health and Human Services 52

US Department of Health and Human Services Licensing Compliance Fraud 52

Verisys

JANUARY 27, 2022

COVID has impacted every aspect of daily life, and these changes have affected people’s mental health, making telehealth services for behavioral health more important than ever. Others may become susceptible to mental health issues, such as depression or anxiety. The use of telemedicine in the U.S.

US Department of Health and Human Services 52

US Department of Health and Human Services Telemedicine Licensing Informed Consent 52

MedTrainer

OCTOBER 16, 2023

Dive with us as we explore the complexities and necessities of compliance in the healthcare sector. Health Insurance Portability and Accountability Act (HIPAA) HIPAA is a pivotal regulation that focuses on the protection of patient health information, enforced by the U.S. Department of Health and Human Services (HHS).

Compliance 52

Compliance US Department of Health and Human Services HIPAA Medicaid 52

Healthcare IT Today

JANUARY 10, 2024

As we kick off 2024, we wanted to start the new year with a series of 2024 Health IT predictions. Jason Considine, Chief Commercial Officer at Experian Health Staffing shortages will continue to be a major pain point for providers in 2024 and have a direct impact on their bottom line.

US Department of Health and Human Services 122

US Department of Health and Human Services Nurses Hospitals Telemedicine 122

Verisys

JANUARY 19, 2022

Due to the complex nature of medical credentialing, it requires coordination between several disparate departments within an organization. According to recent surveys of major metropolitan hospitals , departments that typically share the responsibility for credentialing include: The Compliance Office. Human Resources.

US Department of Health and Human Services 52

US Department of Health and Human Services Hospitals Malpractice Compliance Officers 52

Verisys

JANUARY 6, 2022

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 Human Services (HHS) Office of the Inspector General ( OIG) and dictates which providers are excluded from receiving federal funds.

US Department of Health and Human Services 52

US Department of Health and Human Services Fraud Medicaid Medicaid 52

AIHC

NOVEMBER 15, 2022

Written by Joanne Byron , BS, LPN, CCA, CHA, CHCO, CHBS, CHCM, CIFHA, CMDP, COCAS, CORCM, OHCC, ICDCT-CM/PCS The Federal Hospital Price Transparency Rule helps Americans know the cost of a hospital item or service before receiving it. In the US, hospital prices vary widely but are not visible to patients or the public.

Hospitals 52

Hospitals US Department of Health and Human Services Compliance Governance 52

Verisys

FEBRUARY 23, 2022

As government agencies and national regulatory organizations pass more regulations and the need for healthcare services grows, healthcare compliance officers (HCOs) are more important than ever. Healthcare entities must comply with an increasingly complex and changing set of laws and regulations. Reimbursement. Healthcare administration.

Compliance Officers 52

Compliance Officers Compliance US Department of Health and Human Services Governance 52

Provider Trust

JANUARY 26, 2022

Luckily for all us, there’s a spectrum–and it was created with visibility and safety in mind. Department of Justice (DOJ), the U.S. And when patient care and reimbursements are on the line, even one bad actor can put an entire organization’s reputation in jeopardy. How the OIG Finds & Prosecutes Healthcare Fraud.

Fraud 52

Fraud US Department of Health and Human Services Medicaid Medicaid 52

Healthcare IT News - Telehealth

JULY 10, 2019

As healthcare manages the twin challenges of a shrinking workforce and an expanding patient population , hospitals and health systems are faced with some fundamental challenges. More than half of respondents to a recent Accenture survey said they've already made use of wearable devices so far this year.).

US Department of Health and Human Services 148

US Department of Health and Human Services Doctors Hospitals Nurses 148

HIT Consultant

FEBRUARY 1, 2022

Tech solutions in health care are getting the spotlight these days. And if the solutions are related to the care process itself, both service providers and on-site specialists need in-depth clinical knowledge to make it happen. However, developing new tech solutions can also bring increased complexity with it.

US Department of Health and Human Services 52

US Department of Health and Human Services Licensing Hospitals 52

SQA

FEBRUARY 15, 2023

Relevant matters are hereby announced as follows: As of 01 December 2022, the Electronic Certificates of Documentation for Export of APIs to the EU and Certificate of a Pharmaceutical Product will be put into use. Efforts should be made to promote and guide the use of electronic certificates.

US Department of Health and Human Services 40

US Department of Health and Human Services FDA COVID-19 World Health 40

Verisys

FEBRUARY 10, 2022

Did you know that for every 1,000 licensed healthcare practitioners there will typically be 20 with inactive licenses, 10 with a suspended license, and another six practitioners with either a restricted or revoked license, or on probation? By carefully screening the practitioner and continually monitoring his license.

Licensing 52

Licensing US Department of Health and Human Services Malpractice Compliance 52

Healthcare IT Today

FEBRUARY 15, 2023

The following is a guest article by Rachel Podczervinski MS, RHIA, Vice President of Professional Services at Harris Data Integrity Solutions. House and Senate Labor, Health and Human Services, Education, and Related Agencies (Labor-HHS) appropriations bills. million per year in denied claims and lost revenue.

US Department of Health and Human Services 128

US Department of Health and Human Services COVID-19 Public Health Hospitals 128

Verisys

AUGUST 14, 2023

US Drug Enforcement Administration (DEA): Public Notice: The DEA has issued a notice of a public listening session requesting input concerning the practice of telemedicine with regards to controlled substances and potential safeguards that could effectively prevent and detect diversion of controlled substances prescribed via telemedicine.

US Department of Health and Human Services 52

US Department of Health and Human Services Licensing Telemedicine Medicare 52

Verisys

JANUARY 25, 2022

On average, for every 1,000 licensed healthcare workers, there are three currently excluded individuals, seven historically excluded individuals, two sex offenders, two patient abusers, 20 practitioners with inactive licenses, three practitioners on probation, two with restricted or impaired licenses, one revoked license, and 10 suspended licenses.

US Department of Health and Human Services 52

US Department of Health and Human Services Licensing Malpractice Hospitals 52

Hall Render

MARCH 18, 2022

Amazon Pharmacy partners with health plans for discount drugs. Health Policy Brief: Pandemic-Driven Health Policies To Address Social Needs And Health Equity. HHS putting $35 million toward mental health support for children, young adults. 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

JUNE 7, 2024

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

US Department of Health and Human Services 40

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

Hall Render

MARCH 25, 2022

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.

COVID-19 40

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

Hall Render

JULY 28, 2023

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.

US Department of Health and Human Services 40

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

Hall Render

APRIL 22, 2022

HHS Secretary Outlines FY 2023 Mental Health Investments at Senate Hearing. million in ARP funds to train health workers in local communities. million in ARP funds to train health workers in local communities. Patient generated data can be a key factor in reducing health inequity. HHS is giving $226.5 HHS is giving $226.5

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

AIHC

AUGUST 2, 2022

Written by: AIHC Blogger This educational article is based on clinical information as of the publication date and primarily based on government and coding guidelines to assist coders, billers, clinical documentation improvement professionals and auditors address appropriate documentation for filing claims in the United States.

US Department of Health and Human Services 98

US Department of Health and Human Services FDA Licensing Compliance 98

Hall Render

JULY 26, 2024

How hospitals can mitigate the damage.

US Department of Health and Human Services 40

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

Hall Render

JULY 26, 2024

How hospitals can mitigate the damage.

US Department of Health and Human Services 40

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

SQA

OCTOBER 18, 2022

Health Canada. Health Canada is warning consumers about counterfeit BTNX Rapid Response COVID-19 antigen rapid test kits (25-pack boxes) found in Ontario. The counterfeit devices were sold online by a distributor named Healthful Plus without the required license to import, distribute, or sell medical devices in Canada.

US Department of Health and Human Services 40

US Department of Health and Human Services FDA COVID-19 Compliance 40

Hall Render

JUNE 30, 2023

Report: Amazon Pauses 50-State Virtual Care Service Expansion UnitedHealth acquires Amedisys for $3.3B after home health provider reneges on Option deal Will the doctor see you now? Maybe not amid the changing healthcare landscape in the US. Here’s why.

US Department of Health and Human Services 40

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

Hall Render

OCTOBER 4, 2024

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

US Department of Health and Human Services 40

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

Hall Render

JANUARY 7, 2022

CDC shortens COVID isolation rules for health workers. FDA expands use of Pfizer vaccine, green-lights boosters for children 12-15. Health systems eye outpatient sector as hospital M&A continues to slump. US children hospitalized with COVID in near-record numbers. Report: Alaska health care jobs projected to increase.

COVID-19 40

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

Hall Render

FEBRUARY 2, 2024

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 Human Services’ requests for $13.4M Opens in North Little Rock CHI St.

Nursing Homes 40

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