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Tag Archives: NEWS

Legal and regulatory news roundup


Find out what’s happening in the world of federal healthcare regulations by reviewing some recent headlines from across the country.


EMTALA violations declining

The number of U.S. hospitals cited for violating the Emergency Medical Treatment and Active Labor Act (EMTALA) has decreased over a 10-year period, according to a study published in the Annals of Emergency Medicine. Researchers analyzed a list from CMS of EMTALA investigations conducted from 2005?2014 and found that the percentage of U.S. hospitals cited for violations citations decreased from 5.3% to 3.2%. The percentage of hospitals investigated also declined during this period from 10.8% to 7.2%.

EMTALA aims to prevent the practice of discharging or transferring patients to other hospitals before stabilizing treatment is provided for emergency medical conditions. It requires hospital emergency departments to provide medical screening examinations to patients seeking medical treatment regardless of their ability to pay, citizenship, or legal status.


Stark Law, EMTALA violation penalty amounts increase

Due to several years of inflation, the U.S. Department of Health and Human Services recently issued an interim final rule that calls for steeper maximum penalties for violating federal regulations, including EMTALA and the Stark Law.

For hospitals with more than 100 beds, the maximum penalty for an EMTALA violation is $ 103,139, up from the previous maximum of $ 50,000 set in 1987. For hospitals with less than 100 beds, the maximum penalty is $ 51,570, up from $ 25,000.

Circumventing the Stark Law’s self-referral restriction can now result in a maximum penalty of more than $ 159,000, up from previous maximum of $ 100,000 set in 1994. Submitting claims in violation of the Stark Law can result in a penalty of nearly $ 24,000, up from $ 15,000.


Home health agency owner sentenced for healthcare fraud, kickbacks

Khaled Elbeblawy, the former owner and manager of three home health agencies in the Miami area, will spend 20 years in prison for his role in a scheme that fraudulently billed Medicare for millions of dollars.

Elbeblawy was sentenced to prison and ordered to pay more than $ 36 million in restitutions following his conviction in January of one count of conspiracy to commit healthcare fraud and wire fraud and one count of conspiracy to defraud the United States and pay healthcare kickbacks. According to evidence presented at trial, from 2006?2013, Elbeblawy and his co-conspirators claimed to have provided medically necessary home health services to Medicare beneficiaries through the three agencies: Willsand Home Health Agency Inc., JEM Home Health Care LLC, and Healthy Choice Home Services Inc. In reality, those services were either medically unnecessary or never provided. The conspirators also paid kickbacks to physicians, patient recruiters, and staffing groups for referrals of beneficiaries.

In all, Elbeblawy and his co-conspirators submitted $ 57 million in false or fraudulent claims and received approximately $ 40 million in payments. In 2012, Eulises Escalona, a former owner of Willsand and JEM, pled guilty to one count of conspiracy to commit healthcare fraud and was sentenced to 10 years in prison. Cynthia Vilches, former co-owner of Healthy Choice, also pled guilty to one count of conspiracy to commit healthcare fraud and is awaiting sentencing.

Healthcare systems calls for dismissal of antitrust lawsuit

Carolinas HealthCare System (CHS) has argued that the joint antitrust lawsuit filed against it by the U.S. Justice Department and the North Carolina Attorney General’s office has no basis. According to the Charlotte Observer, the lawsuit alleges CHS uses its size to drive up prices to prevent competition. CHS operates 10 hospitals in the Charlotte area. Its closest competitor, Novant Health, operates five.

The lawsuit alleges CHS uses its clout to encourage health insurers to steer patients away from other lower-priced hospitals and toward CHS hospitals.

In asking for a dismissal, CHS has said the lawsuit has failed to allege any actual competitive harm to the marketplace. – Credentialing and Peer Review Legal Insider

Exciting updates: More content, tools, and news at your fingertips!

The challenges healthcare professionals tackle each day don’t wait for solutions, and neither should you. That’s why Briefings on HIPAA is transitioning to a more frequent and robust publishing model this winter and expanding into a Revenue Cycle Advisor membership. – Briefings on HIPAA


Sweat suits
A sweat suit is commonly associated with sports. But it can be also used in different occasions. A sweat suit is nothing but a simple suit which is made up of a thick material. It is usually made of cotton and polyester. As these suits are worn during physical exercise, the term ‘sweat’ comes along with it. The popularity of these swim suits has started during 70’s and 80’s and still continues intact. And these sweat suits can be used as slim suites. People who are wearing sweat suits are working out in a nylon jumper with the goal being to sweat profusely. While sweating, many toxins will be removed from our body. An example of a sweat suit that can be used to reduce weight is sauna sweat suits. Sauna sweat suits are designed to suit the needs of fitness trainees and for people who are engaged in body building. The results of sauna sweat suit is said to be rapid.
Nurse uniform
A nurse uniform is compulsory for nurse; this is for their hygiene and for their proper identification. The traditional nurse uniform consists of a dress, apron and cap. But nowadays, a lot of variants are there, but the basic style has remained recognizable. The first nurse uniforms were derived from nun’s habit. One of the Florence Nightingale’s students, Miss VanRensealer has designed the original nurse uniform for the first time for the students at Miss Nightingale’s school of nursing. The clothing consists of mainly blue outfit.
Medical scrubs
Medical scrubs are the shirts and trousers or gowns worn by nurses, surgeons and other operating personnel for “scrubbing in” for surgery. Scrubs are designed to be simple with minimal places for dirt to hide, easy to launder and cheap to replace if damaged or stained. The wearing of scrubs has been extended outside of surgical room in many hospitals. Nowadays, any medical uniform consisting of a short-sleeve shirt and pants is known as “Scrubs”. Scrubs may also include a waist-length long sleeved jacket with no lapels and stockinette cuffs known as warm-up jackets. Scrubs worn in surgery are always colored solid light green, light blue or a light-green blue shade; also some medical centers have switched to pink as a theft different. Surgical scrubs are rarely owned by the wearer, due to concerns about home laundering and sterility issues, these scrubs are usually hospital owned or hospital-leased through commercial linen service.
Non-surgical scrubs comes in wider variety of colors, patterns, ranging from official issue garments to custom made whether by commercial uniform companies or by home-sewing using commercially available printed patterns. Some hospitals use scrub color to differentiate between patient care personnel, unlicensed assistive personnel, and non-patient care support staff. Hospital may also extend the practice to differentiate non-staff members/visitors. Scrubs featuring cartoon characters and cheerful prints are common in pediatrician’s office and children’s hospitals, while prints for various holidays can be seen throughout the year. Some scrubs are seen in custom colors too.

Nursing scrubs of all types and colors are available on our website, order complete nursing uniforms for your hospital.

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