Healthcare Compliance Blog

FEBRUARY 8, 2022

The United States has filed a lawsuit against an Alabama psychiatrist for improper prescribing of Nuedexta to nursing home residents. The complaint alleges that an Alabama psychiatrist caused the submission to Medicare and Medicaid of false and fraudulent claims for the prescription drug Nuedexta.

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Nursing Homes Nurses Compliance Medicare 52

Healthcare IT News - Telehealth

SEPTEMBER 15, 2021

For healthcare providers, telehealth presents an opportunity to address patient care needs, improve the customer experience and reduce costs. The Centers for Medicare and Medicaid Services (CMS) began to allow for reimbursement for videoconferencing between healthcare provider and patient.

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Telemedicine COVID-19 Medicare Medicare 195

MedTrainer

SEPTEMBER 20, 2023

Examples of covered entities include health plans, clearinghouses, and certain health care providers including but not limited to: doctors, clinics, psychologists, dentists, chiropractors, nursing homes, and pharmacies. There are a number of laws built to fight against Medicare/Medicaid noncompliance and fraud. Accreditation.

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Medicaid Medicaid Medicare Medicare 97

Verisys

NOVEMBER 20, 2022

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. The group steered members to bill Medicaid rather than going through the NICA. Mental Health practitioners billed Medicaid for services not rendered. Pharma Fraud.

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Healthcare IT Today

JUNE 2, 2023

government introduced the meaningful use program as part of the Health Information Technology for Economic and Clinical Health (HITECH) Act in 2009, LTPAC organizations – notably nursing homes – and the vulnerable patients they serve have been left behind. Since the U.S.

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Governance Nursing Homes Medicaid Medicaid 117

Healthcare IT Today

AUGUST 16, 2022

And simultaneously, technology supporting advanced scheduling practices and more effective care models is making value-based care in the home more feasible than ever before – helping agencies drive more impact while also shoring up costs. First, let’s understand the magnitude of the challenge. He keeps me here.

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Nursing Homes Nurses Licensing Medicaid 107

Healthcare Law Blog

DECEMBER 19, 2022

In 2021, COVID-19 immunization rates among nursing home staff quickly rose due to federal vaccine mandates for healthcare workers and long-term care facilities participating in the Federal Pharmacy Partnership for Long-Term Care Program. viii] Who We Help – Nursing Homes | qioprogram.org. pdf (federalregister.gov).

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Healthcare IT News - Telehealth

MAY 6, 2020

Current Health is leveraging this data to better understand how the coronavirus presents and evolves across diverse populations via a partnership with the Mayo Clinic. A provider present with the patient at one location – a nursing home, community clinic, etc.

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Healthcare IT Today

APRIL 19, 2024

Laura Ferrara, Chief Strategy Officer at Intus Care The focus on healthcare delivered in the comfort of one’s home has surged in recent times, particularly in light of the pandemic. But with the development of digital therapeutics, we are now delivering care at home. Patient care was still only delivered in the clinic.

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Telemedicine COVID-19 Nurses Nursing Homes 137

Med-Net Compliance

JULY 26, 2022

Additionally, the Centers for Medicare & Medicaid Services (CMS), Center for Program Integrity (CPI), announced that it took administrative actions against 52 providers involved in similar schemes. In connection with the enforcement action, the department seized over $8 million in cash, luxury vehicles, and other fraud proceeds.

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Fraud Telemedicine Medicare Medicare 59

Provider Trust

JANUARY 25, 2024

Ensuring the Financial Integrity of HHS Programs In fiscal year (FY) 2022, improper payments within healthcare programs like Medicare, Medicaid, and Children’s Health Insurance Program (CHIP) were estimated at a staggering $131.6 With Medicaid, the challenges are equally formidable.

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Health Care Law Brief

OCTOBER 27, 2021

For instance, some temporary solutions to challenges presented by COVID-19 are being made permanent due to their proven efficiency or effectiveness. In part, this was due to the fact that hospitals were unable to discharge patients too sick to go home, but not sick enough to remain in the hospital.

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Hall Render

DECEMBER 11, 2024

The Proposed Rule would codify changes made by the Medicaid Services Investment and Accountability Act of 2019 (MSIAA), that added exclusion authorities related to misclassification and false information about outpatient drugs. Under 42 CFR Sec.

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Compliance Licensing Nurses Medicaid 40

Hall Render

NOVEMBER 25, 2024

Department of Health and Human Services (“HHS”) issued new Industry Segment-Specific Compliance Program Guidance For Nursing Facilities (“Nursing Facility ICPG”) for nursing home members of the health care compliance community. On November 20, 2024, the Office of Inspector General (“OIG”) for the U.S.

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CMS.gov

APRIL 15, 2019

Ensuring Safety and Quality in America’s Nursing Homes. Administrator, Centers for Medicare & Medicaid Services. Nursing facilities. This duty is especially important when it comes to the care provided for some of the most vulnerable in our society, Americans residing in nursing homes. Jeremy.Booth@c….

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Nursing Homes Nurses Compliance Medicare 51

Med-Net Compliance

NOVEMBER 1, 2022

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.

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Nursing Homes Licensing Nurses Fraud 59

Med-Net Compliance

OCTOBER 4, 2022

On September 23, 2022, the Centers for Medicare & Medicaid Services (CMS) issued revised COVID-19 nursing home visitation guidance. If a roommate is present during the visit, it is safest for the visitor to wear a face covering or mask. The revision provides updated guidance for face coverings and masks during visits.

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COVID-19 Nursing Homes Nurses Medicaid 59

Hall Render

JANUARY 11, 2022

Facing further confusion from skilled nursing facilities and families amidst the current spike in COVID cases in the United States, the Centers for Medicare & Medicaid Services (“CMS”) released additional best practices and addressed more issues that skilled nursing providers should follow as they encounter certain visitation scenarios.

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Nurses Nursing Homes Medicaid Medicaid 73

Med Law Blog

MAY 1, 2023

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 nursing homes”.

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Nursing Homes Malpractice Hospitals Nurses 52

AIHC

FEBRUARY 16, 2024

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, nursing homes, third-party billers, and durable medical equipment suppliers. Was it you?

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Compliance US Department of Health and Human Services COVID-19 Hospitals 52

AIHC

FEBRUARY 16, 2024

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, nursing homes, third-party billers, and durable medical equipment suppliers. Was it you?

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Compliance US Department of Health and Human Services COVID-19 Hospitals 52

Healthcare Law Blog

DECEMBER 7, 2022

The numbers in the last three categories highlighted in the last paragraph more closely align with the yearly numbers presented for fiscal years 2019 and 2020, which might indicate that the COVID-19 pandemic prevented or delayed OIG representatives from handing out penalties. 4] See MorseLife Nursing Home Health System Agrees to Pay $1.75

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Nursing Homes Nurses US Department of Health and Human Services COVID-19 52

Provider Trust

AUGUST 9, 2023

This post will delve into the key highlights, focus areas, and accomplishments presented in the semiannual report, shedding light on the OIG’s crucial role in safeguarding the integrity of federal healthcare programs and addressing emerging challenges such as the COVID-19 pandemic.

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Nursing Homes COVID-19 Fraud Medicaid 52

Hall Render

JUNE 10, 2022

As skilled nursing ‘teeters,’ leaders look to DC for help on pay rule and more. CMS updates Medicaid eligibility standards. An APR 40th anniversary encore presentation. Report: Mesa nursing home fined $500 after negligence leads to resident’s death. Bloomington nursing home is fined $25,000 for COVID-19 violations.

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COVID-19 Nursing Homes Nurses Hospitals 40

Hall Render

MAY 13, 2022

Nursing Home Operator Leaving 8 Locations. ‘So much is new’: ScionHealth launch presents wealth of opportunities, CFO says. COVID outbreaks strike 8 nursing homes as cases rise across Maine. Massachusetts to receive $250,000 from 5 nursing homes over patient neglect, inadequate care claims.

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Hall Render

JUNE 21, 2024

Medicare fraud scheme OSF HealthCare, Illinois State Collaborate on SDOH Research Second lawsuit filed in deadly fall at UChicago Hospital construction site State fines four nursing homes in west central Illinois Waukegan hospital facing lawsuit over handling of asbestos in demolition project Who’s pursuing ASCs in 2024?

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

Hall Render

FEBRUARY 2, 2024

5 highest paid anesthesiologists in Washington, DC D.C.’s The fight over the deal is heating up. Groups aim to improve La. healthcare ranking, equity through advocacy Louisiana lawmakers call meeting on Blue Cross Blue Shield MAINE St.

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

Hall Render

JUNE 7, 2024

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.

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

Bill of Health

SEPTEMBER 9, 2022

We know that incarcerated patients often present at younger ages with more advanced stages of disease when seen by external health care providers. patchwork ” system of incarceration, ultimately fall far short of the extensive regulatory framework governing Medicare/Medicaid, which shapes health care for over 83 million people in the U.S.

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COVID-19 COVID-19 Vaccine Medicaid Medicaid 350

Hall Render

JUNE 14, 2024

nursing homes 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 Nursing home chain with 3 Central Mass. One is still waiting for a contract.

US Department of Health and Human Services 40

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

Hall Render

APRIL 29, 2022

About 20K nursing home staff now have vaccine medical exemptions. More than 400 nursing home closures projected for 2022: report. Family nurse practitioners. Alabama Medicaid enrollment increases as pandemic requirement continues. Strikes averted at four Connecticut nursing homes but not in Windsor.

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

Hall Render

FEBRUARY 24, 2023

Dunleavy adds $9M to budget to address food stamp, Medicaid backlog New study provides snapshot of increase in maternal deaths in Alaska Mental Health Trust Grants $1.6M Dunleavy adds $9M to budget to address food stamp, Medicaid backlog New study provides snapshot of increase in maternal deaths in Alaska Mental Health Trust Grants $1.6M

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Nursing Homes COVID-19 Nurses Hospitals 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.

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

Hall Render

OCTOBER 6, 2023

government grant for maternal health care Alabama slides to 50th on nursing home and long-term care report card Ascension sells Alabama hospital Ascension St.

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

Hall Render

OCTOBER 6, 2023

government grant for maternal health care Alabama slides to 50th on nursing home and long-term care report card Ascension sells Alabama hospital Ascension St.

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

Hall Render

FEBRUARY 25, 2022

40% of Nursing Home 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 nursing home staffs, AARP says. Contract Nurse Agencies Are Making Big Money in the Age of COVID-19. CALIFORNIA.

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COVID-19 Nursing Homes Nurses Hospitals 40

Hall Render

DECEMBER 1, 2023

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 Corewell Health reports 1.4%

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