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June 2020 Archives

Doctor gets four years in prison for health care fraud

The United States Attorney’s Office recently announced a physician has pled guilty to criminal health care fraud charges. The charges are the result of a health care fraud investigation that led to over 15 criminal charges for four medical professionals.

Texas BON announces changes to NLC agreement

The Texas Board of Nursing (BON), a part of the Nurse Licensure Compact (NLC) for almost 20 years, recently announced proposed changes to the NLC agreement. Participation in the NLC allows for nurses to have mobility across state boarders. This increases a patient’s access to care while also increasing the nurse’s ability to practice in their chosen profession.

CMS makes changes to ACO program: 5 things to know

The United States Centers for Medicare and Medicaid Services (CMS) recently announced changes to its Next Generation Accountable Care Organization (ACO) program. CMS explains these changes are an attempt to continue sufficient financial incentives to encourage higher quality outcomes for organizations that participate in value based arrangements.

What is the future of telehealth?

The telehealth market has thrived during the current coronavirus pandemic. This platform allows physicians to meet with patients while maintaining social distancing, a practice that can be beneficial to all involved. Health insurance companies often cover these visits, but the rate of pay is not always comparable to an in-person visit.

OIG and coronavirus funds: 2 enforcement efforts in action

The current coronavirus pandemic has led various federal government programs to provide funds to struggling businesses. Some of these funds are set aside specifically for health care businesses. These funds often come with restrictions and improper use can result in fines and allegations of wrongdoing.

Some health care companies return federal funding

The United States Centers for Medicare and Medicaid Services (CMS) sent out federal funding to help qualifying businesses within the health care marketplace. These funds were part of the Coronavirus Aid, Relief and Economic Security Act. In an effort to better ensure medical care providers received the funds promptly, the agency decided to proactively deposit $30 billion to providers who had recently filed claims with Medicare.

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