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Texas OIG Inspectors Discover Errors in Reported Nursing Home Staff Hours
On November 3, 2022, the OIG released the results of
OIG Enhances Focus on Potentially Preventable Hospitalizations of Nursing Home Residents
The US Department of Health and Human Services (HHS) Office
OIG Posts False Claims Act Settlements for FY 2022 Q1–Q4 on the Risk Spectrum
The Office of Inspector General (OIG) has recently posted the
OIG Audit Finds Certain Nursing Homes May Not Have Complied with Federal Requirements
The Office of Inspector General (OIG) conducted an audit and
Applying for Reinstatement after OIG Exclusion
Reinstatement of an excluded individual or entity is not automatic
HHS-OIG Issues Exclusion Notice to Owner of Seven Louisiana Nursing Homes
The Department of Health and Human Services (HHS) Office of
OIG Provides Interim Assessment Report of States’ Background Check Program for LTCs
Background checks for employees of long-term care (LTC) facilities are
OIG Educational Resources for Healthcare Providers
The Office of Inspector General (OIG) for the US Department
OIG Settles Multiple Cases Recovering Funds for State of Texas
The Office of Inspector General (OIG) settled multiple healthcare cases
OIG Provides Recommendations for Facility-Initiated Discharges in Nursing Homes
In November 2021, the Office of Inspector General (OIG) submitted
Healthcare Fraud Self-Disclosure Protocol Revised by OIG
On November 8, 2021, the Department of Health and Human
Annual Compliance and Ethics Program Assessment Checklist: Monitoring and Reporting
Jeannine LeCompte, Publishing and Research Coordinator The annual assessment of the
Annual Compliance and Ethics Program Assessment Checklist: Education and Training
Jeannine LeCompte, Publishing and Research Coordinator An annual assessment of the
Annual Compliance and Ethics Program Assessment Checklist: Screening Procedures and Discipline for Noncompliance
Jeannine LeCompte, Publishing and Research Coordinator All long-term care facilities using
Annual Compliance and Ethics Program Assessment Checklist: Standards, Policies, and Procedures
Jeannine LeCompte, Publishing and Research Coordinator All long-term care facilities using
Managing Risks in Handling Protected Health Information
Jeannine LeCompte, Publishing and Research Coordinator All healthcare providers are legally
HHS-OIG Offers Toolkit for Emergency Preparedness and Response in Healthcare Facilities
On August 2, 2021, the U.S. Department of Health and
Compliance Program Core Components: Identification and Response to Compliance Risks
Jeannine LeCompte, Publishing and Research Coordinator The final component of a
Compliance Program Core Components: Disciplinary Standards
Jeannine LeCompte, Publishing and Research Coordinator A Medicare- and Medicaid-approved long-term
Compliance Program Core Components: Effective Training and Communication
Jeannine LeCompte, Publishing and Research Coordinator A Medicare- and Medicaid-approved long-term
Compliance Program Core Components: Written Policies and Oversight
Jeannine LeCompte, Publishing and Research Coordinator A Medicare- and Medicaid-approved long-term
Demonstrating Compliance in Employee Screening and Evaluation Management
Jeannine LeCompte, Publishing and Research Coordinator The Office of Inspector General
OIG Files Lawsuit Against Eleven Skilled Nursing Facilities for Fraudulently Billing Medicare for Unreasonable and Unnecessary Services
The U.S. Department of Health and Human Services and the
OIG Prioritizes Cybersecurity for HHS Agencies
The Office of Inspector General (OIG) recognizes that the U.S.
An OIG Study Finds that CMS Could Improve the Data it uses to Monitor Antipsychotic Drugs in Nursing Homes
The Office of Inspector General (OIG) conducted a follow-up study
QAPI and Compliance and Ethics Programs: Do They Overlap?
Jeannine LeCompte, Publishing and Research Coordinator Although Quality Assurance Performance Improvement
OIG Posts False Claims Act Settlements for FY 2021 Q1-Q2 on the Risk Spectrum
The government’s primary civil tool for addressing healthcare fraud is
Compliance and Ethics Program Requirements
Jeannine LeCompte, Publishing and Research Coordinator A Compliance and Ethics program
Office of Inspector General Releases Medicaid Fraud Control Units Annual Report
The Office of Inspector General (OIG) is the designated Federal
OIG Audit Finds that Florida Nursing Facilities Did Not Always Report Potential Abuse or Neglect
The Office of the Inspector General (OIG) found that Florida
OIG Finds That Many Iowa Nursing Homes Did Not Meet CMS Requirements for Life Safety and Emergency Preparedness
A recently released report from the Office of Inspector General
What Can Be Reported on a Hotline
Jeannine LeCompte, Publishing and Research Coordinator A hotline forms a part
OIG Provide Recommendations to CMS After Review of Focused Infection Control and Complaint Surveys
The Office of Inspector General (OIG) is recommending to the
HHS Announces the Establishment of a False Claims Act Working Group
On December 4, 2020, the Department of Health and Human
Completing the Compliance Annual Assessment: Director Obligations
Jeannine LeCompte, Publishing and Research Coordinator The Office of Inspector General
Adhering to the Law: Implementing a Compliance Program
Jeannine LeCompte, Publishing and Research Coordinator Medicare- and Medicaid-approved Skilled Nursing
Adhering to the Law: Ensuring Vendor Compliance
Jeannine LeCompte, Compliance Research Specialist The third element of the Office
Adhering to the Law: Ensuring Employee Compliance
Jeannine LeCompte, Compliance Research Specialist Skilled Nursing Facilities (SNFs) are under
OIG Audit Targets Failure to Report and Investigate Abuse or Neglect of Medicaid Beneficiaries Residing in New Jersey Nursing Homes
A recently released report contained findings from an OIG audit
Enforcing a Structured Compliance Program Administration
Jeannine LeCompte, Compliance Research Specialist Once a skilled nursing facility has
The Appointment of a Compliance Committee
Jeannine LeCompte, Compliance Research Specialist The appointment of a compliance committee
The Appointment of a Compliance Officer
Jeannine LeCompte, Compliance Research Specialist The designation of a compliance officer
The Establishment of a Compliance Officer and Compliance Committee
Jeannine LeCompte, Compliance Research Specialist The establishment of a compliance officer
The Purpose of a Compliance and Ethics Program
Jeannine LeCompte, Compliance Research Specialist The Office of the Inspector General
Employee Verification: Part of the Mandated Compliance and Ethics Requirement
Jeannine LeCompte, Compliance Research Specialist Employee verification in the long-term care
Massachusetts Nursing Homes Failed to Investigate 75% of Serious Complaints Reported
Massachusetts Nursing Homes Failed to Investigate 75% of Serious Complaints
Actual Cause of Death Alarms Family of Nursing Home Resident
Actual Cause of Death Alarms Family of Nursing Home Resident The
Joint State and Federal Investigation Ends with Conviction in $3.7 Million Medicare and Medicaid Scheme
Submitting claims for reimbursement for providing healthcare services after being
Does the “Compliance and Ethics” Process Intersect with QAPI at Any Stage?
Does the “Compliance and Ethics” Process Intersect with QAPI at
Compliance and Ethics Program Details
Compliance and Ethics Program Details Jeannine LeCompte, Compliance Research Specialist The CMS
QAPI vs “Compliance and Ethics” Requirements
QAPI vs “Compliance and Ethics” Requirements Jeannine LeCompte, Compliance Research Specialist Understanding
QAPI vs “Compliance and Ethics”—What’s the Difference?
QAPI vs “Compliance and Ethics”—What’s the Difference? Louise Lindsey, Editor On November
Setting Systems in Place to Prevent Staff from Making Coding and Billing Errors
Setting Systems in Place to Prevent Staff from Making Coding
Employees Forced to Resign After Denial of Reasonable Accommodation Basis for EEOC Lawsuit
Compliance Perspective - EEOC Lawsuit: The Compliance Officer should review with
14 Arizona Assisted-Living Centers Found Discriminating Against Prospective Deaf Residents
Healthcare Compliance Perspective: The Compliance Officer will review the policies and
Nurse Staffing Agency and Nurse Aide Sued in Death of 101-Year-Old Nursing Home Resident
Healthcare Compliance Perspective - Death of a Resident: The Compliance Officer
Religious Discrimination Alleged in Civil Complaint against Health and Rehabilitation Center in Virginia
A former employee (plaintiff) has filed a civil complaint against
Increase in Respiratory Illnesses in Illinois Nursing Home Being Investigated
Healthcare Compliance Perspective - Respiratory Illnesses: The Compliance Officer should review
Medicaid Provider Agrees to Lifetime Exclusion from Medicaid
Healthcare Compliance Perspective - Lifetime Exclusion from Medicaid: The Compliance Officer
Religious Discrimination Alleged in Civil Complaint against Health and Rehabilitation Center in Virginia
Religious Discrimination Alleged in Civil Complaint against Health and Rehabilitation
Employee Checks in a SNF Environment—Employer Obligations
Employee Checks in a SNF Environment—Employer Obligations The extensive penalties imposed
Woman Sues Houston Area Nursing Home for Wrongful Termination
Healthcare Compliance Perspective - Wrongful Termination: The Compliance Officer will review
Home Healthcare Provider Agrees to $3 Million False Claims Settlement
Healthcare Compliance Perspective - False Claims Settlement: The Compliance Officer will
July Heatwave Forces New Jersey Nursing Home Evacuation When Air Conditioning System Fails
Healthcare Compliance Perspective - Nursing Home Evacuation: The Compliance Officer will
Resident of Skilled Nursing Home Injured in Smoking-Related Accident
Healthcare Compliance Perspective - Resident Injured: The Compliance Officer should review
SNF and Employee Checks—Mandatory and Permissive Exclusions
SNF and Employee Checks—Mandatory and Permissive Exclusions The Office of the
20 months After Family Files Complaint Unlicensed Nurse Finally Faces Charge
Healthcare Compliance Perspective - Nurse Faces Charge: The Compliance Officer should
Kentucky Skilled Nursing Facility, Corporate Management and Owner Agree to Pay $540,000 to Resolve False Claims Allegations
Healthcare Compliance Perspective - False Claims Allegations: The Compliance Officer should
Former Business Manager Arrested and Charged with Embezzling $227,000 from Healthcare Agency
Healthcare Compliance Perspective - Embezzling: The Compliance Officer should review business
Kentucky Man Jailed for Allegedly Stealing from Nursing Home Residents While “Squatting” in an Unoccupied Room
Healthcare Compliance Perspective - Squatting: The Compliance Officer should evaluate the
Staffing Agency Settles EEOC Sex Harassment and Retaliation Suit for $30,000
Healthcare Compliance Perspective - Retaliation Suit: The Compliance Officer will confer
Wound Services Provider to Pay Almost $400,000 for False Claims Act Allegations
Healthcare Compliance Perspective - False Claims: The Compliance Officer should verify
Bed Rails: Avoiding Noncompliance Penalties
Given that bed rails fall under the category of restraints,
Nearly $50,000 in Overstated Medicaid Claims by Nursing Home Revealed by Tennessee State Auditors
Healthcare Compliance Perspective - Medicaid Claims: The Compliance Officer will involve
Hidden Camera Footage Supports $1.2 Million Awarded in Nursing Home Abuse Case
Healthcare Compliance Perspective -Nursing Home Abuse: The Compliance Officer should involve
VA Hospital Worker Pleads Guilty to Identity Theft of More Than 1,000 Patients
Healthcare Compliance Perspective - Identity Theft: The Privacy Officer needs to
Woman Sentenced to Five Years for Setting Nursing Home Fire Two Years Ago
Healthcare Compliance Perspective Nursing Home Fire: The Compliance Officer should ask
Guidance for the Installation and Maintenance of Bed Rails
Guidance for the Installation and Maintenance of Bed Rails The correct
Snapchat Used by Nursing Home Employees to Post Videos of Elder Abuse
Compliance Perspective - Elder Abuse: The Privacy Officer should investigate the
Charlottesville Nursing Home Resident Dies After Falling into Creek
Healthcare Compliance Perspective: The Compliance Officer should review with the Compliance
North Carolina Nursing Homes Fined $567,976 by Medicare for Resident Abuse
Healthcare Compliance Perspective - Resident Abuse: The Compliance Officer together with
Healthcare Company to Pay More Than $30 Million to Resolve False Claims Act Allegations Related to Rehabilitation Therapy
Compliance Perspective - False Claims: The Compliance Officer should work with
Resident of Assisted Living Center Files Suit Over Staff Accusations She Hallucinated About Bedbug Infestation
Healthcare Compliance Perspective - Bedbugs: The Compliance Officer should investigate any
Legal Considerations When Using Bed Rails
Apart from considerations of resident comfort, there are a number
Underinflated Air Mattress May Have Contributed to a Resident’s Fall and Injury
A resident who was alert and who did not normally
Former Nursing Home Owner and Manager Charged with Multiple Felonies
Healthcare Compliance Perspective - Multiple Felonies: The Compliance Officer should be
Deaf Resident Sues Nursing Home for Lack of Access to Interpreter
Healthcare Compliance Perspective - Resident Sues Nursing Home: The Compliance Officer
Facility Blamed in Death of Former Presidential Adviser’s Father
Healthcare Compliance Perspective: A Compliance Officer faced with multiple concerns, e.g.,
Former Employee Files Suit Claiming Wrongful Discharge and Unlawful Retaliation
Healthcare Compliance Perspective - Wrongful Discharge: The "Ethics" of a Compliance
Bed Rails in a SNF Environment: Physical Restraint or Resident Aid
Bed Rails in a SNF Environment: Physical Restraint or Resident
Nurses and the Opioid Prescription Drug Epidemic
The news media is full of articles about what the
Middle Tennessee Podiatrist Sentenced to Federal Prison for Health Care Fraud Scheme
Healthcare Compliance Perspective - Healthcare Fraud Scheme: Compliance Officers should develop
Walmart, Sam’s Club to Pay $825,000 to Resolve Fraud Allegations Concerning Auto Refilling Medicaid Prescriptions
Healthcare Compliance Alert - Fraud Allegations: The Compliance Officer should audit
Florida Nursing Homes Get Ready for 2018 Hurricane Season
Healthcare Compliance Perspective - Hurricane Season: The Compliance Officer needs to
Man in New York Recovery Center Found Dead and Decomposing
Compliance Perspective: A Compliance Officer's primary role is to be available
Two-Year Investigation of Medicaid Transportation Fraud Based in Essex County Results in the Arrest of 12 Individuals
Healthcare Compliance Perspective - Medicaid Transportation Fraud: Compliance Officers must audit
Nursing Home Resident Indicted and Committed to Mental Health Facility for Raping Another Resident
Healthcare Compliance Perspective: A reasonable suspicion of a crime must be
Former Employee of Speech Recognition Software Company Accesses Thousands of the Company’s Healthcare Provider Clients’ HIPAA Protected Health Information
Healthcare Compliance Perspective - HIPAA Protection: What should a healthcare provider
CNA Accused of Stealing Money and Using Personal Identity Information of Elderly Couple to Defraud
Healthcare Compliance Perspective - Defraud: A healthcare provider which uses independent
The Importance of the I-9 Form and Compliance
With Immigration and Customs Enforcement (ICE) increasing actions to curb
Nursing Home Miscalculated Resident’s Fall Risk, Possibly Contributing to Her Death
Healthcare Compliance Perspective - Fall Risk: CMS regulation F689 Accidents requires
Georgia Man Gets 5-Year Sentence for Filing Fraudulent Income Tax Returns and Cashing U.S. Treasury and Other Checks
Healthcare Compliance Perspective - Fraud: Under the HIPAA privacy rule a
Massachusetts Skilled Nursing Facility Agrees to Settlement of Government Suit Alleging Disability Discrimination Involving Patient
Healthcare Compliance Perspective - Disability Discrimination: In light of growing concern
The Development of a Resident Privacy Policy
An HIV-positive patient asked an office manager to fax his
Family Practitioner and Orthopedic Surgeon Convicted of Healthcare Fraud
Healthcare Compliance Perspective - Healthcare Fraud: Knowingly making false statements and
Woman Convicted and Sentenced for Healthcare Fraud
Healthcare Compliance Perspective - Healthcare Fraud: Knowingly billing Medicare for services
Missouri Nursing Home Being Investigated for Providing Sub-Standard Care to Residents
Healthcare Compliance Perspective In general, all reported or filed complaints
Chicago Area Physician Indicted for Allegedly Pocketing Nearly $1 Million in Medicare and Insurer Payments for Nonexistent False Claim Treatment
Healthcare Compliance Perspective: The submission of a false claim based on
Skilled Nursing Will See Medicare Pay Raise
Come 2019, skilled nursing facilities could see significant increases in
Massachusetts Doctor Convicted by Jury of Illegally Sharing Patient Medical Files
Healthcare Compliance Perspective: Although the initial act of allowing unauthorized individuals
Athens County Home Health Care Agency Owner Sentenced for Committing $2M Fraud
Healthcare Compliance Perspective: Fraudulent behavior often involves all opportunities available
Internal Structural Requirements for HIPAA Compliance
A medical employee was fired in 2017 after she violated
Congressional Democrats Propose Legislation that Would Ban Noncompete Agreements
Democratic senators helped reign in the new month with proposed
Three Deaths and Numerous Incidents of Alleged Abuse and Neglect Result in Iowa Nursing Home’s Fines of $45,750
Healthcare Compliance Perspective - Abuse and Neglect: Compliance Officers should be
Northeast Texas Hospital Self-Discloses and Resolves Healthcare Compliance Concerns
Healthcare Compliance Perspective: A Compliance Officer, with guidance from Compliance Attorney,
Medical Records Leaked by Transcription Service
A medical transcription service provider was notified last week by
Case Study: Failure to Observe Narcotic Medication Protocol and Missing Fentanyl Patches
Failure to Observe Narcotic Medication Protocol and Missing Fentanyl Patches A
Nursing Home Fighting $25,000 State Fine
Healthcare Compliance Perspective - Nursing Home State Fine: Policies and procedures
New CMS Rules on the Management of Controlled Substances
In response to a growing problem in drug diversion in
Owner of Assisted Living Home in Florida Accused of Elder Abuse Charges, Arrested and Jailed
Healthcare Compliance Perspective / Elder Abuse Charges: Unresolved citations for substandard
Oahu Physical Therapist Pleads Guilty to Healthcare Fraud
Healthcare Compliance Perspective - Healthcare Fraud: Services provided by non-licensed persons
Pittsburgh Pharmacist Sentenced to Prison for Misbranded Drug Scheme
A federal district court judge has sentenced a resident of
New CMS Controlled Substance Control Guidelines
The Centers for Medicare & Medicaid Services (CMS) set the
Tennessee Nursing Home Fined and Admissions Suspended After Annual Survey
Healthcare Compliance Perspective: Failure to investigate and prevent the continuing
No Water and a Faulty Sprinkler Alarm Cited in Nursing Home Fire
Healthcare Compliance Perspective: Emergency preparedness auditing requires a hands on
U.S. DOJ Charges Missouri Nursing Home’s Social Services Director with Identity Theft from Elderly Residents
Healthcare Compliance Perspective: Suspicious activity that could potentially alert staff to
Exclusion List/License Checks
Exclusion List/License Checks Case A certified nursing assistant had been working at
Doctor Lands in Prison for Unlicensed Staff
Anthony Enrico, a Passaic County Podiatrist, was sentenced to three
VA OIG Report Reveals New York VA Medical Center Personnel Failed to Try and Resuscitate a Dying Patient
Healthcare Compliance Perspective: Licensed employees must not only refrain from acting
Nurse Accused of Removing Fentanyl Patches from Nursing Home Residents
Healthcare Compliance Perspective: The Compliance Officer will work with the Pharmacy,
Heart Pump Manufacturer Agrees to Pay $3.1 Million to Resolve Kickback Allegations
Healthcare Compliance Perspective: Light meals may be offered in conjunction with
Justice Department Launches Initiative to Fight Sexual Harassment in the Workplace
Healthcare Compliance Perspective: Healthcare providers must develop a written policy and
Academic Medical Center Employees Fired for Snooping into Patients’ Private Health Information
Healthcare Compliance Perspective: It is essential for skilled nursing facilities to
Internet Robots (Spiders, Crawlers and Web Bots) May Put Healthcare Organizations at Risk for HIPAA Violations
Healthcare Compliance Perspective: Inappropriate use of healthcare provider computers increases the
Employee Screening in Skilled Nursing Facilities: An Introduction
Most SNF employers are aware of the necessity of screening
Getting Compliance Right: Disciplinary Steps and Procedure Reassessment
Skilled nursing facilities (SNF) receiving federal funds are obligated to
U.S. Files False Claims Act Complaint Against Compounding Pharmacy, Private Equity Firm, and Two Pharmacy Executives Alleging Payment of Kickbacks
Healthcare Compliance Perspective: Fraud, based upon kickbacks, always involves an emphasis
Former Long-Term Care Ombudsman Pleads Guilty to Stealing from Nursing Home Resident
Healthcare Compliance Perspective: Public officials must maintain integrity for our
Springfield Nursing Home Residents Take Narcotics from Unsecured Medication Drawer
Healthcare Compliance Perspective: Audits must address medication diversion must account
California Nursing Home Sued for Injury to Former Resident’s Eye
Healthcare Compliance Perspective: Individual occurrences, in an of themselves, are
3 New Cases of Legionnaires at Illinois Veterans’ Home
Healthcare Compliance Perspective: An effective Compliance and Ethics Program requires
Woman Found Dead Inside Speedway Nursing Home Leads to Licensing Complaint
Healthcare Compliance Perspective: A licensed healthcare professional is responsible, not only
Cousins Committing $2.6 Million in Healthcare Fraud Get Suspended
Healthcare Compliance Perspective: An effective Compliance and Ethics Program requires a
Navigating Alternative payment models (APM) and the Data in 2018 for Home Care Agencies:
By ShirleyAnn Janulewicz RN, BSN, PHN Competing in today’s healthcare market
Wisconsin Nursing Homes Close as Costs Rise and Reimbursement Rates Can’t Keep Up
Healthcare Compliance Perspective: In situations of financial distress, it is important
Getting Compliance Right: Training and Auditing
Skilled nursing facilities (SNFs) receiving federal funds are obligated to
Elopement Assessment After Hospitalization
A resident was readmitted from the hospital, and staff did
Resident’s Death Raises Alarm About Security
Healthcare Compliance Perspective: It is essential to develop elopement risk prevention
Getting Compliance Right: Structure and Policies
Skilled nursing facilities (SNFs) receiving federal funds are obligated to
Physician Admits Guilt in Conspiring to Unlawfully Distribute and Dispense Controlled Substances and Health Care Fraud
Healthcare Compliance Perspective: It is essential that healthcare providers conduct background
Pathologist Testifies Nursing Home Staff Had Chance to Save Lives
Healthcare Compliance Perspective: It is essential to have clear policies and
Attorney General Sues Fentanyl Maker for Deceptive Promotion of Prescription Opioid
Healthcare Compliance Perspective: Prescription drug off-label marketing potentially injures many people
Home Health Care Provider to Pay $6.4 Million to Settle Allegations of False Medicaid Billing
Healthcare Compliance Perspective: Medicare Fraud and Abuse is serious problem that
U.S. Obtains $16.2 Million Judgment Against MRI Provider for Submitting False Claims
Healthcare Compliance Perspective: Medicare reimbursement requires medical services be performed in
Hospital Agrees to Pay $89,000 to Settle EEOC Religious Discrimination Suit
Healthcare Compliance Perspective: A Compliance Program assists a healthcare provider in
Doctor and Patient Recruiters Charged in $18 Million Illegal Distribution of Prescription Drugs Scheme
Healthcare Compliance Perspective: All offers of employment for any position within
Dealing with an EEOC Charge Relating to Sexual Harassment/Discrimination
If all attempts to settle a complaint of sexual harassment
Georgia State Authorities Dismantle Systematic Elder Abuse and Medicaid Fraud Scheme
Healthcare Compliance Perspective: Sometimes a fraud comes along that is just
Healthcare Provider to Pay $2.3 Million to Settle Potential HIPAA Violations
Healthcare Compliance Perspective: When a potential breach of Protected Health Information
Kmart Corporation to Pay U.S. $32.3 Million to Resolve False Claims Act Allegations
Kmart Corporation, a wholly owned subsidiary of Sears Holdings Corporation
California Healthcare Corporation Agrees to $325K Settlement in Disability Discrimination Class Action Suit
Healthcare Compliance Perspective: All employees in the workplace are responsible for
Medicaid Fraud Complaint Filed Against Former Physicians and Their Business Entities for Filing False Claims
Healthcare Compliance Perspective: Compliance Perspective: False claims and billing fraud may
Former Nursing Home Executives Plead Guilty in Kickback Scheme
Healthcare Compliance Perspective: It is essential that all current employees and
Nursing Home Resident Received a Wound Possibly from a Cigarette Burn
A resident has a wound that he claims is related
U.S. Sues Diagnostics Company for Allegedly Billing Medicare for Unnecessary Home Sleep Tests
Healthcare Compliance Perspective: Each employee and vendor of a healthcare provider
Virginia Doctor Sentenced to 30 Years for Oxycodone Distribution Conspiracy
Healthcare Compliance Perspective: Vendors must be screened prior to conducting business
Developing the Correct Procedure to Deal with Sexual Harassment Claims
Once a sexual discrimination or harassment claim has been made,
Arrests Made in Alleged Cover Up of Neglect and Abuse in Nursing Home
Healthcare Compliance Perspective: Intentional and/or reckless false documentation is a crime,
Three New York Diagnostic Testing Facility Owners Charged for Fraud Scheme
Healthcare Compliance Perspective: Physicians, employees, diagnostic testing facilities, and various other
Defining Sexual Harassment and Discrimination
Having a clear definition of what constitutes sexual harassment and
Imaging Companies and Owners Resolve Swapping and Medicare Fraud Allegations
Healthcare Compliance Perspective: The Anti-Kickback Statute makes it a crime to
Oncology Company Agrees to Pay $26 Million to Settle False Claims Act Allegations
Healthcare Compliance Perspective: Facilities should consistently audit various aspects of their
Connecticut Nursing Home Fined
Healthcare Compliance Perspective: Substandard quality of care arising from ineffective
Medical Center Agrees to Settle ADA Claim with Individual Who Is Deaf
Healthcare Compliance Perspective: Residents/patients have the right to be fully informed
Investigation: The Third Stage of the CMS New Survey Process
The “Investigative Process” forms the third major component of the
Facility Evacuation Due to Area Fire Danger
Case Study: Emergency Preparedness A fire in the vicinity caused
Hospital Pharmacy Technician Suspended for Diversion of Medications and Compounding Medication Errors
Healthcare Compliance Perspective: Employees for healthcare companies shall adhere to a
Sample Selection: The Second Stage of the CMS’s New Survey Process
“Sample Selection” forms the second major component of the Centers
DPH Assesses Fines on Nursing Homes for Care Infractions
Healthcare Compliance Perspective: A pattern of submitting claims to Medicare or
EEOC Sues Foundation for Race and Age Discrimination
Healthcare Compliance Perspective: Healthcare providers must be committed to equal opportunity
Former Owner and Co-Conspirator of Sleep Study Clinics Charged With Estimated $200 Million in Health Care Fraud and Tax Evasion
Healthcare Compliance Perspective: Under federal law, directors, officers, and physicians who
Nurse Charged in Resident’s Death for Medication Errors
Healthcare Compliance Perspective: Each resident's drug regimen must be free from
Home Healthcare Company Settles EEOC Disability Discrimination Suit for $25,000
Healthcare Compliance Perspective: Healthcare providers, under the Americans with Disabilities Act,
Initial Pool: The First Stage of the CMS’s New Survey Process
The “Initial Pool Process” (IPP) forms the first major component
CNA Accused of Credit Card Theft Has License Placed Under Emergency Restriction
Healthcare Compliance Perspective: Healthcare providers must ensure that employed individuals have
Sensitive Medical Records Carelessly Dumped in Public Recycling Bin
Healthcare Compliance Perspective: Healthcare providers must ensure that any documentation containing
The New Survey Process: What is it, and Why?
November 28, 2017 was the Centers for Medicare & Medicaid
Social Media and HIPAA Violations: A Risk for Healthcare Providers
Social Media and HIPAA The time when social media involved only
Woman Pleads Guilty to Stealing from Nursing Home Residents
Charged with 20 criminal counts of "theft and receiving stolen
Operator of Purported Durable Medical Equipment Providers Pleads Guilty
Healthcare Compliance Perspective: Compliance Officers must focus on ensuring that products
Lawsuit Accuses Senior Living Facility of Elder Abuse and Negligence
Healthcare Compliance Perspective: Healthcare Providers can work in partnership with local
Creating the “Systematic Analysis and Systemic Action” Element of a QAPI
The “Systematic Analysis and Systemic Action” element of the Centers
Nursing Home Companies Settle Allegations of Poor Care
Healthcare Compliance Perspective: Knowingly submitting claims for services provided that are
Federal Agents Investigating Exposure of Patient Data
Healthcare Compliance Perspective: If a breach of protected
Hospital and Heart Specialists’ Practice Settle Lawsuit for $20.7 Million
Healthcare Compliance Perspective: Compliance Officers must emphasize with management to refrain
San Diego Pharmacy to Pay $60,000 to Settle Equal Pay Discrimination Suit
Healthcare Compliance Perspective: Healthcare providers are prohibited from basing pay rates,
Bed Rails Cited as Cause in Nursing Home Death
Healthcare Compliance Perspective: The inappropriate use of restraints constitutes substandard quality
Physician Sentenced to Prison for Fraudulent Prescriptions
Healthcare Compliance Perspective: Civil penalties for violating the Federal False Claims
Nurse Sentenced to 2 Years in Prison for Misappropriating Residents’ Pain Pills
Healthcare Compliance Perspective: Quality Assurance and Performance Improvement studies can be
Nursing and Rehabilitation Center Fined for Financial Abuse of Resident
Healthcare Compliance Perspective: Compliance Officers need to monitor their staff for
Employee’s Claims of Sexual Harassment by Patients Is Not Severe Enough to Support Her Claim of a Hostile Working Environment
Compliance Perspective: Harassment occurs when the unwanted conduct is a condition
Preparing the “Design and Scope” Element of QAPI
The “Design and Scope” element of the Centers for Medicare
QAPI Deadline Approaching: Is Your Facility Ready?
All long-term-care (LTC) facilities must, by law, have a “Quality
Caretaker to plead guilty after elderly patient dies from bed bug bites
Healthcare Compliance Alert: Compliance and Ethics Committees must verify that exterminators
Prescription Painkillers from Adult Care Homes Are Being Diverted to the Black Market
Healthcare Compliance Perspective: Compliance Officers must ensure that their provider is
Former Nurse Convicted of Stealing Patient Information, Files over $1M in Fraudulent Claims with IRS
Healthcare Compliance Perspective: Compliance and Ethics Committees must be cognizant of
Former President of Harris County Medical Society and Affiliated Facilities Settle Allegations of Medicare Fraud
Healthcare Compliance Perspective: If sidestepping standard medical procedures to boost profits
Former Nursing Home Biller Charged With Medicaid Fraud
Healthcare Compliance Perspective: An effective Compliance and Ethics Program
SNF Emergency Preparedness: Emergency Power Supplies
While it might seem obvious that all skilled or long-term
Pharmacy Chain Agrees to Pay Almost $2.7M to Settle Claims It Recycled Drugs
Healthcare Compliance Perspective: Skilled nursing facilities and long-term care pharmacies must
Pleas in Freezing Death of Alzheimer’s Patient
Healthcare Compliance Perspective: Failure to provide adequate supervision and response to
Modifications to the Quality of Patient Care Star Rating Algorithm for Home Health Agencies
By ShirleyAnn Janulewicz RN, BSN, PHN Patient Care Star Rating is an important tool
Succeeding with the New Home Health Agency CoP’s
By ShirleyAnn Janulewicz RN, BSN, PHN As per a webinar I
SNF Emergency Preparedness: Training and Testing
Once a skilled or long-term nursing facility has an Emergency
Attorney General Announces Jail Time for Home Health Care Agency Owner Convicted of Wage Theft
Healthcare Compliance Perspective: Violation of wage and hour laws potentially create
Skilled Nursing Facility Disaster Preparedness – Survive Financially and Physically
At least 25 percent of all businesses that close due
Attorney General Announces Jail Time for Home Health Care Agency Owner Convicted of Wage Theft
Healthcare Compliance Perspective: Compliance Officers must ensure that Human Resources and
Massachusetts Nursing Home Required to Pay $350,000 in Elopement Case
In a settlement one-week prior to trial, a nursing home
SNF Emergency Preparedness: “All-Hazards” Planning Requirements
On November 15, 2017, the Emergency Preparedness Requirements for Medicare
Resident Injured when Care Plan Not Followed
A resident reported pain in her shoulder. Bruising was present,
78 Year-Old-Woman Missing Since August 24 from Bethlehem Nursing Home Found September 19 in Allentown
Last August, a woman with Alzheimer’s disease was reported missing
Two Shootings in Two Hospitals Emphasize Emergency Preparedness Need
By: Louise Lindsey, B.S., M.A., D.Div. Editor Last week, there were
State Imposes Admissions Freeze After Inspections Find Problems at Massachusetts Nursing Home
Compliance Perspective: It is the Compliance Officer's responsibility when a
86-Year-Old Man with Dementia in Massachusetts Nursing Home Allegedly Killed by Roommate
Healthcare Compliance Perspective: Prompt response and corrective action is required when
Nursing Home Workers Often Fail to Change Medical Gloves
The September 2017, issue of the American Journal of Infection
Lawsuit against Nursing Home by Families and Residents Alleging Powerful Drugs Prescribed without Consent Is Settled
Compliance Perspective: Deliberately ignoring or failing to obtain a resident's or
Massachusetts Parties Reach Settlement in Wrongful Termination/Retaliation Suit Against Nursing Home
A woman who worked as a CNA, accused her employer,
Former Caregivers at Michigan Vets Home Charged for Not Doing Room Checks, Falsifying Information
Healthcare Compliance Perspective: False documentation creates harm on multiple levels -
Becoming a Special Focus Facility is not a Cause for Celebration!
Becoming a Special Focus Facility is not a Cause for
Number of nursing home fines in Pennsylvania jump since 2014, total $774,750 so far this year
Healthcare Compliance Perspective: The Office of Inspector General developed new approaches
Becoming a Special Focus Facility is not a Cause for Celebration!
By: Betty Frandsen, MHA, RN, NHA, CDONA, FACDONA, C-NE, IP-BC
California issues most severe penalty possible to Bakersfield skilled-nursing facility
Healthcare Compliance Perspective: An effective Compliance and Ethics Program to a
Preventing Abuse and Fraud with Antibiotic Stewardship Programs
Preventing Abuse and Fraud with Antibiotic Stewardship Programs By: Betty Frandsen, MHA,
CMS Emergency Preparedness Rule Implementation Deadline Is Fast Approaching
CMS Emergency Preparedness Rule Implementation Deadline Is Fast Approaching By: Louise
Marijuana in the Skilled Nursing Facility Environment
By: David S. Barmak, JD, CEO More states in the United
Case Study: Resident Smoking
Resident smoking is a high-risk area. When staff are required
Healthcare Fraud: A Safe and Profitable Return on Criminal Investment
Healthcare Fraud: A Safe and Profitable Return on Criminal Investment By:
News & Views Volume 2. Issue 3.
Med-Net Concepts, LLC Introduces New Blog: A Valuable Resource For
News & Views Volume 2. Issue 2.
The Reality of the Nursing Home Admission Process By: David
News & Views Volume 2. Issue 1.
Negligence in Long Term Care: Avoiding Potential Liability By: Betty Frandsen,
News & Views Volume 1. Issue 2.
Is There Ever Enough Pepper? By: Rona Wiedmayer, MA., CCC-SLP, President,
