Healthcare Compliance Blog

APRIL 14, 2022

Research by the Centers for Medicare & Medicaid Services (CMS) has found that many hospital admissions of dually eligible nursing home residents could have been avoided because the condition could have been prevented or treated outside of an inpatient hospital setting. To avoid a “reverse false claim” (i.e.,

Medicare 59

Medicare Medicare Overpayments Overpayment 59

Hall Render

AUGUST 4, 2023

CMS described the increase as a “parity adjustment recalibration,” noting that it had previously overestimated overpayments to nursing homes, which resulted in an unintended reduction in reimbursement in 2023. The hospital was part of a high-profile ASC CON denial in 2018, which it described as a setback for patients.

Hospitals 40

Hospitals Overpayments Overpayment Nursing Homes 40

Hall Render

FEBRUARY 23, 2024

Acquisition of BCBSLA Paused a Second Time It was the biggest health care deal in Louisiana history. Michael Ross of Northern Light Health Northern Light Health asks ‘How Are You?’ ’ and highlights community partnerships in newly released Annual Report MARYLAND Baltimore jury awards $1.5M

Nursing Homes 40

Nursing Homes Nurses Hospitals Medicaid 40