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Medicaid enrollment increased from 2018 to 2019 by nearly three percent, and in 2022, Medicaid provided services for 89 million people while Medicare serviced 65,103,807 people. Some of the most vulnerable individuals in the US population, including millions of...
Anyone working in the healthcare industry should already understand the importance of regulatory compliance. Aligning your practice with current laws and regulations keeps patients safe and protects you from legal issues. Compliance issues can occur even when...
In Texas, the Texas Department of Aging and Disabilities licenses senior care facilities. Having a license allows these facilities to continue to operate and provide care to the people who need it. However, certain circumstances can cause a nursing home to lose its...
Medical licensing occurs at the state level, with each state establishing its own licensing requirements for practitioners and medical personnel like nurses. Recent interest in telehealth impacted state licensing requirements, with many states modifying their...
Medical practices have a responsibility to regulate and monitor compliance among staff. Issues can arise in patient care and administration. However, with an efficient compliance plan, your practice can be proactive and address potential problems quickly. Education...
People trust that healthcare facilities such as nursing homes will keep the best interests of their residents in mind. However, it is unfortunate that a tiny minority of people who work with older residents commit medicare fraud and abuse. Due to these rare...
As a medical practitioner, you likely understand the severe consequences of committing Medicaid fraud. Even if you would never defraud your patients, though, the presence of fraudulent behavior elsewhere at your practice could have implications on your own license and...
As a practiced medical professional, nothing can be more dismaying than the possibility of losing your license over a single incident. Whether due to circumstances outside of your control or a momentary lapse in judgment, certain situations can put your medical...
In order to combat healthcare fraud and abuse, the Stark Law outlines what healthcare providers can and cannot do when it comes to referrals for particular health services paid for by Medicare and Medicaid. Violations of the Stark Law carry severe penalties, even if a...
Most doctors and medical facilities have missions that focus on healing patients. Therefore, many accept Medicare and Medicaid insurance. Because these are federal and state health insurance programs, some doctors, clinics and hospitals have experienced challenges...