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Medicaid Medicare US Department of Health and Human Services 
Healthcare It News
MARCH 30, 2022
Department of Health and Human Services Office of Inspector General released a study examining how Medicare beneficiaries used telehealth during the first year of the COVID-19 pandemic. What compelled the team to look into beneficiaries' use of telehealth? This past month, the U.S.
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Healthcare It News
APRIL 15, 2022
West Virginia will use the U.S. Postal Service and an online account this summer to connect with Medicaid enrollees about the expected end of the covid public health emergency, which will put many recipients at risk of losing their coverage. West Virginia has more than 600,000 Medicaid enrollees.
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Healthcare It News
APRIL 5, 2024
Northwestern Medicine, the Nevada Health Link, Cohere Health and Kyruus Health are partnering withDell Technologies, Google Cloud Marketplace and others to offer providers and payers ways to tackle the daily challenges that delay care approvals and prevent patients from seeking care and enrolling in health plans.
Healthcare IT News - Telehealth
JUNE 30, 2020
"Much of this transformation is dependent on temporary flexibilities extended to health systems and providers that are limited to the duration of the COVID-19 public health emergency declaration," the letter read.
Healthcare IT News - Telehealth
OCTOBER 2, 2020
The Telehealth Improvement for Kids’ Essential Services, or TIKES, Act of 2020 would require the Secretary of the U.S. Department of Health and Human Services to issue guidance to states about how to increase access to telehealth under Medicaid and the Children’s Health Insurance Program.
Healthcare IT News - Telehealth
AUGUST 24, 2020
" CMH, which serves more than 400,000 people in the state, saw a significant decline in in-office visit numbers, said Martel, as well as a drop in the number of those seeking care through the emergency department and hospital admissions.
Healthcare It News
JULY 11, 2024
Touted as the product of 10 years of work, the most recent proposed rule issued July 10 by the Office of the National Coordinator for Health IT will usher in an age of automation for healthcare interoperability through application programming interface-based exchange capabilities, officials said on Wednesday.
Healthcare IT News - Telehealth
NOVEMBER 25, 2020
Department of Health and Human Services' final rules regarding the Physician Self-Referral Law (also known as the Stark Law) and the Federal Anti-Kickback Statute. The American Telemedicine Association this week issued a statement in response to the U.S. WHY IT MATTERS.
Healthcare IT News - Telehealth
AUGUST 11, 2021
Department of Health and Human Services works to ensure the integrity of federal healthcare programs and to safeguard the health and welfare of those programs' beneficiaries. And I think it's important for us to recognize that we don't know a whole lot right now.
Healthcare IT News - Telehealth
JUNE 17, 2020
In a hearing this week, members of the Senate Committee on Health, Education, Labor and Pensions asked how many of those changes should be made permanent – and how to make sure the most vulnerable won't get left behind. At UVA, she said, "we saw a greater than 9,000% increase in the use of telehealth. Tina Smith, D-Minn.
Healthcare Compliance Blog
MAY 10, 2022
An ineligible Medicaid provider was arrested in Florida for defrauding Medicaid of more than $68,000. According to a Medicaid Fraud Control Unit investigation, the provider had failed to disclose his former felony convictions that precluded Medicaid from accepting the application. List of Excluded Individuals/Entities ?
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HIPAA Journal
JANUARY 30, 2023
Attendees will gain valuable insights into health information privacy, healthcare cybersecurity, HIPAA enforcement, and a wealth of information to help them maintain HIPAA compliance and take healthcare data privacy and security to the next level. Jillson, JD – Counsel to the Director, Bureau of Consumer Protection, U.S.
Healthcare IT Today
MAY 16, 2024
Mike Semel, President and Chief Security Officer of Semel Consulting The Ascension health system data breach can’t be easily separated from the United Healthcare Change Health breach that recently caused a huge financial and medical impact across the healthcare sector and may have breached the personal information for a third of Americans.
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Healthcare IT Today
OCTOBER 16, 2023
It’s always been pretty obvious that factors such as wealth, race, education, and the quality of food and water have enormous impacts on health. Given that the field is increasingly digitized and data-driven, health IT is responsible for collecting and analyzing social determinants of health (SDoH).
Compliancy Group
FEBRUARY 12, 2024
In one incident, a New Jersey pharmacy admitted to conspiracies to defraud benefits providers, including Medicare and Medicaid, of $65 million for medications never provided to patients. In the other fraud scheme, Medicare patients were billed an estimated $2 billion for urinary catheters they never received.
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The Health Law Firm
AUGUST 22, 2016
Board Certified by The Florida Bar in Health Law On July 11, 2016, a federal appeals court stated that a bankruptcy judge did not have the authority to block government health officials from cutting off Medicare and Medicaid payments to a Florida nursing home that was alleged to have violated patient-care regulations.
The Health Law Firm
JULY 16, 2015
Board Certified by The Florida Bar in Health Law The House Committee on Energy and Commerce and the Senate Committee on Finance both recently sent a letter to Secretary Burwell urging the US Department of Health and Human Services (HHS) to actually issue the Medicaid Equal Access regulations.
Jane Sarashon
FEBRUARY 4, 2024
As a constant observer and advisor across the health/care ecosystem, for me the concept of a “health plan” in the U.S. Furthermore, health plan members now see themselves as medical bill payers, seeking value and consumer-level services for their health insurance premium investment. is getting fuzzier by the day.
Health Law Checkup
MARCH 17, 2022
In response to the COVID-19 pandemic, the Centers for Medicare & Medicaid Services (CMS) issued almost 200 “blanket” waivers which automatically apply to health care providers including hospitals, other healthcare facilities, and healthcare professionals.
Health Law Checkup
MARCH 14, 2022
In response to the COVID-19 pandemic, the Centers for Medicare & Medicaid Services (CMS) issued almost 200 “blanket” waivers which automatically apply to health care providers including hospitals, other healthcare facilities, and healthcare professionals.
American Medical Compliance
AUGUST 1, 2022
In Spring 2022’s Semiannual Report to Congress (SAR), the Department of Health and Human Services’ Office of Inspector General (HHS-OIG) reported that nearly $3 billion had been misspent on Medicare and Medicaid services. HHS Examines Medicare Spending and COVID-19 Tests.
Healthcare Compliance Blog
JUNE 9, 2022
His exclusion means that no federal healthcare program payment may be made, either directly or indirectly, for any items or services furnished by him or at his direction or prescription. Between 2017 and 2019, the man, through a group of pain clinics he controlled, caused the submission of false claims for payment to Medicare.
Healthcare Compliance Blog
MAY 9, 2022
A home health services company headquartered in Kentucky, and its related entities, paid $2.1 million to the United States government to settle claims of improperly billing the Medicare Program for home health services provided to beneficiaries living in Florida.
Provider Trust
MARCH 21, 2023
US Department of Health and Human Services (HHS) Office of Inspector General Christi A. Grimm gave a lecture at the 2023 RISE National Conference in early March 2023 about Medicare Advantage, or Medicare Part C, and the increased risk of fraud due to the rapid growth of healthcare programs.
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Healthcare IT Today
JANUARY 6, 2023
As we head into 2023, we wanted to kick off the new year with a series of 2023 Health IT predictions. Digitally-enabled care is the future of telehealth – “telehealth” has become industry norm since the start of the pandemic and used as a catchall term for everything from virtual doctor’s appointments to at-home testing kits.
Compliancy Group
JUNE 6, 2024
Many compliance violations in healthcare arise from financial conflicts of interest, particularly when providers get kickbacks or achieve financial gain from their referral services. Department of Health and Human Services, enforces the Stark Law. CMS Updates in 2023 : Voluntary self-referral disclosure laws.
The Health Law Firm
OCTOBER 7, 2022
Board Certified by The Florida Bar in Health Law The US Department of Health and Human Services (HHS) issues investigative subpoenas through the Office of the Inspector General (OIG). Indest III, J.D., These subpoenas are very broad, usually requiring the production of thousands of pages of documents.
American Medical Compliance
AUGUST 1, 2022
In Spring 2022’s Semiannual Report to Congress (SAR), the Department of Health and Human Services’ Office of Inspector General (HHS-OIG) reported that nearly $3 billion had been misspent on Medicare and Medicaid services. HHS Examines Medicare Spending and COVID-19 Tests.
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. Issue: It is illegal to submit claims for payment to Medicare or Medicaid that you know or should know are false or fraudulent.
Healthcare IT News - Telehealth
JUNE 4, 2021
But for health IT, things sped up. When new technologies were needed to solve fast-moving healthcare challenges, hospitals and health systems could not afford to wait the time it normally took to stand up IT. This is the ninth installment in Healthcare IT News ' Health IT Lessons Learned in the COVID-19 Era feature story series.
Med-Net Compliance
OCTOBER 19, 2022
The settlement resolves allegations that between 2013 and 2020, the company paid remuneration to its home health medical directors in Oklahoma and Texas for the purpose of inducing referrals of Medicare and TRICARE home health patients. The corporate officers were previously the CEO and COO of the company.
Healthcare Compliance Blog
APRIL 26, 2022
The Office of Inspector General (OIG) for the US Department of Health and Human Services (HHS) has made educational resources available for healthcare providers to comply with federal healthcare laws and regulations. Department of Health and Human Services (hhs.gov).
Healthcare IT Today
SEPTEMBER 22, 2022
Zócalo Health set to deliver the only Latino healthcare experience focused on the culture of patients’ primary and social health needs. Zócalo Health , a Latino-founded healthcare service designed for Latino patients, announced today $5M in seed funding co-led by Animo, Virtue, and Vamos Ventures. million people.
Med-Net Compliance
SEPTEMBER 20, 2022
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.
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Med-Net Compliance
AUGUST 18, 2022
An Indiana provider of skilled nursing and long-term care services has agreed to pay $5,591,044.66 to resolve allegations that it violated the False Claims Act by submitting false claims to the Medicare program. The complaint alleged that the provider had engaged in conduct to defraud the Medicare program. to the United States.
HIPAA Journal
MARCH 29, 2024
While it is currently unclear what types of data were stolen in the attack, UnitedHealth Group said personally identifiable health information, eligibility and claims information, and financial information are likely to have been compromised. United Health Group has also confirmed that it has paid out more than $3.3 40% of the $3.3
99 
The Health Law Firm
JUNE 29, 2016
Board Certified by The Florida Bar in Health Law This is part one of two in a blog series in which the effects and scope of OIG exclusion on health care professionals will be discussed. The paramount effect of exclusion is that payment is prohibited for items or services that an excluded individual or entity provides.
The Health Law Firm
MAY 9, 2016
candidate at Tulane University: Law Clerk, The Health Law Firm On April 20, 2016, the US Department of Health and Human Services Office of Inspector General (OIG) released updated non-binding criteria that disclosed when a company or individual can be barred from participating in Medicare, Medicaid, and other federal health care programs.
Med-Net Compliance
OCTOBER 26, 2022
The US Department of Health and Human Services (HHS) Office of Inspector General (OIG) has announced that they will be enhancing their focus on potentially preventable hospitalizations of Medicare-eligible skilled nursing facility (SNF) residents. and 42 CFR § 483.25).
The Health Law Firm
JULY 6, 2016
Board Certified by The Florida Bar in Health Law This is part two of two in a blog series in which the effects and scope of OIG exclusion on health care professionals will be discussed. Indest III, J.D., Click here to read part one of this blog series.
The Health Law Firm
DECEMBER 7, 2020
Board Certified by The Florida Bar in Health Law. In a September 15, 2020 memorandum, the current Secretary of the US Department of Health and Human Services (HHS), Alex Azar, barred the 0Food and Drug Administration (FDA) and other federal health agencies under his authority from independently enacting any new federal regulations.
Compliancy Group
FEBRUARY 28, 2024
Within the US Department of Health and Human Services (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).
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Compliancy Group
JULY 24, 2024
One of the most significant regulatory bodies is the Centers for Medicare & Medicaid Services (CMS), which conducts rigorous inspections to ensure that healthcare providers meet required standards. Understanding CMS Inspections CMS is a federal agency within the United States Department of Health and Human Services.
HIT Consultant
JANUARY 5, 2022
However, as a board-certified physician in addiction medicine and chief medical officer of a nationwide addiction medicine practice, waiting on government funding was not an option as we treated patients struggling with opioid use disorder (OUD) during the COVID pandemic. We need to do more.
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