article thumbnail

Medicare Patients Win the Right to Appeal Gap in Nursing Home Coverage

Kaiser Health News

A three-judge federal appeals court panel in Connecticut has likely ended an 11-year fight against a frustrating and confusing rule that left hundreds of thousands of Medicare beneficiaries without coverage for nursing home care, and no way to challenge a denial.

article thumbnail

Private-equity-acquired nursing homes have worse resident outcomes, higher Medicare costs, study finds

Fierce Healthcare

Private-equity-acquired nursing homes have worse resident outcomes, higher Medicare costs, study finds. Tue, 11/23/2021 - 15:53.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Texas OIG Inspectors Discover Errors in Reported Nursing Home Staff Hours

Med-Net Compliance

On November 3, 2022, the OIG released the results of a recent inspection of a nursing home by the Texas Health and Human Services (HHS) Office of Inspector General Audit and Inspections Division (OIG Inspections).

article thumbnail

OIG Shines a Spotlight on Nursing Homes, Opioid Misuse, and Health Equity in the FY2022 Semiannual Report

Healthcare Law Blog

In addition, the Semiannual Report included a summary chart of OIG reports issued, expected recoveries, and criminal and civil actions, which is copied below in comparison to the same numbers from the parallel period in 2021: [2]. 2] See Semiannual Report to Congress—April 1, 2021, Through September 30, 2021 (hhs.gov). [3]

article thumbnail

HHS-OIG Issues Exclusion Notice to Owner of Seven Louisiana Nursing Homes

Healthcare Compliance Blog

The Department of Health and Human Services (HHS) Office of Inspector General (OIG) has excluded a Louisiana man from participation in federal healthcare programs due to his ownership interest in seven Louisiana nursing homes that OIG previously excluded. As a result, OIG has excluded the nursing homes and their owner.

article thumbnail

Policy Reversal Means Return of Per Day Fines for Nursing Homes

McBrayer Law Blog

More > Tags: Centers for Medicare & Medicaid Services , Civil Penalties , CMS , Healthcare Providers , Long-Term Care , Long-Term Care Facilities , Medicare. For reference, the 2017 Guidance can be found here. The accompanying CMP Analytic Tool can be found here.)

article thumbnail

Massachusetts Medicaid Fraud Division Recovers Over $55 Million in 2021

Healthcare Compliance Blog

On January 19, 2022, the Massachusetts Medicaid Fraud Division announced that in calendar year 2021, more than $55 million was recovered from individuals and entities who defrauded the state. The Medicaid Fraud Division also prioritizes the physical and financial security of residents who reside in Massachusetts nursing homes.

Fraud 59