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CMS Proposes Minimum Staffing Requirements and Enhanced Facility Assessments for Nursing Homes

C&M Health Law

Department of Health and Human Services, through the Centers for Medicare & Medicaid Services (“CMS”) issued a much anticipated and contested proposed rule that seeks to establish minimum staffing level requirements for nursing homes. hours of nursing staff per resident per day, or 3.0 HPRD from nurse aids (NAs). [2]

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Biden Pledges Better Nursing Home Care, but He Likely Won’t Fast-Track It

Kaiser Health News

President Joe Biden’s top Medicare official suggested Wednesday that forthcoming rules to bolster nursing home staffing won’t be issued under a mechanism, known as interim final rules, that would allow regulations to take effect more or less immediately. 30, amounting to at least 23% of all U.S. ” .

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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).

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Nursing Home Psychologist Convicted of Healthcare Fraud Scheme

Med-Net Compliance

A federal jury convicted a licensed Illinois psychologist of defrauding Medicare over the course of several years by causing the submission of fraudulent claims for psychotherapy services he never provided. Issue: It is illegal to submit claims for payment to Medicare or Medicaid that you know or should know are false or fraudulent.

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Trump administration expands Medicare telehealth benefits for COVID-19 fight

Healthcare IT News - Telehealth

As promised , the Centers for Medicare and Medicaid Services has expanded its Medicare telehealth coverage during the coronavirus crisis, enabling more patients to get virtual care services from their doctors without having to travel to a healthcare facility. Medicare coinsurance and deductibles still apply. WHY IT MATTERS.

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CMS Enhances Nursing Home Rating System with Staffing and Turnover Data

Med-Net Compliance

The Centers for Medicare & Medicaid Services launched its enhanced Nursing Home Five-Star Quality Rating System which integrates data nursing homes report on their weekend staffing rates for nurses and information on annual turnover among nurses and administrators. Ratings are updated quarterly.

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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.