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Five Individuals and Two Nursing Facilities Indicted on Charges of Conspiracy to Defraud the United States and Health Care Fraud

Briggs Healthcare

Five individuals and two for-profit skilled nursing facilities in Southwestern Pennsylvania have been indicted by federal grand jury in Pittsburgh on charges of conspiracy to defraud the United States and related health care fraud charges, United States Attorney Cindy K. Lebanon Rehabilitation and Wellness Center. as co-defendants.

Nursing 74
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CMS Revises Fiscal Year (FY) 2023 State Performance Standards System (SPSS) Guidance

Briggs Healthcare

CMS works with the State Survey Agencies to strengthen oversight so that the care provided in nursing homes and other acute and continuing care providers and suppliers is of the highest quality. Every year, CMS conducts a formal assessment of each State Survey Agencies’ performance relative to measures included in the SPSS program.

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Public Health Emergency (PHE) 1135 Waivers: Updated Guidance for Providers 

Briggs Healthcare

During the PHE, CMS has used a combination of emergency authority waivers, regulations, enforcement discretion, and sub-regulatory guidance to ensure easier access to care during the PHE for health care providers and their beneficiaries.

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Behavioral Health System Modernization along the Continuum

NASHP

The commission was created in the New Hampshire Legislature in 2000 (NH RSA Chapter 12-J), which established the Alcohol Fund, directing a part of proceed from sales of alcohol to prevention, harm reduction treatment, and recovery services. An action plan dashboard tracks targets.

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HCPCS vs CPT: Everything You Need to Know

Etactics

Preventing denial codes is essential if you want to keep a steady revenue flow. This is an easily preventable billing error, which we are going to go over in this blog. H Codes - Rehabilitative services. R0070 - The transportation of personnel and portable X-ray equipment to nursing homes or other residency.

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A Model Act for State Oversight of Proposed Health Care Mergers

NASHP

Health care services” means supplies, care, and services of medical, behavioral health, substance use disorder, mental health, surgical, optometric, dental, podiatric, chiropractic, psychiatric, therapeutic, diagnostic, preventative, rehabilitative, supportive or geriatric nature.

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HIPAA Criminal Penalties: Possible Violations with Real Examples

Etactics

A HIPAA violation is a failure to comply with any aspect of HIPAA laws and regulations detailed in 45 CFR Parts 160, 162, and 164. The Department of Health and Human Services Office for Civil Rights (OCR) is responsible for the text of all published HIPAA regulations. There are 115 pages of regulations related to HIPAA standards.