Healthcare Compliance Blog

JANUARY 18, 2022

On January 7, 2022, the Centers for Medicare & Medicaid Services (CMS) published a memorandum stating that nursing home staff turnover and weekend staffing will be posted on the Medicare.gov Care Compare public website. The QSO memorandum can be accessed at: QSO-22-08-NH (cms.gov).

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Med-Net Compliance

AUGUST 1, 2022

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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Hall Render

JUNE 30, 2022

The Centers for Medicare & Medicaid Services (“CMS”) has given surveyors new rules and updates to allow surveyors to add extra attention and increase oversight in nursing homes regarding the quality of care and quality of life for residents. Compliance and ethics. Areas with Significant Updates. Phase 3 Elements.

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Healthcare Law Blog

OCTOBER 27, 2022

On October 21, 2022, the Centers for Medicare and Medicaid Services (CMS) announced changes to its Special Focus Facility (SFF) program, including new steps to address nursing home facilities that fail to graduate from the SFF program in a timely manner, or “yo-yo” back into non-compliance after graduating from the SFF program.

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Hall Render

MAY 2, 2023

For this alert, “nursing homes” refers to skilled nursing facilities (often known as “SNFs”). In 2020, CMS revised the nursing home infection control regulations at 42 CFR § 483.80 In the CY 2022 Rule, CMS set December 31, 2024, as a termination date for most COVID SNF notification requirements.

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Nursing Homes Public Health Nurses COVID-19 40

Hall Render

FEBRUARY 27, 2023

billion in False Claims Act (“FCA”) related settlements and judgments in the federal fiscal year 2022. Whistleblowers continue to be one of the federal government’s greatest assets in FCA cases, as whistleblowers filed 652 qui tam suits in 2022 with recovery totaling $1.9 Health Care Fraud Actions Medicaid. Standard of Care.

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Hall Render

JANUARY 18, 2022

Amidst a nationwide nursing and skilled nursing facility staffing crisis, the Centers for Medicare & Medicaid Services (“CMS”) announced that additional information regarding nursing home staff numbers will be added to the January 2022 CMS Care Compare website. Weekend Staff.

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American Medical Compliance

AUGUST 1, 2022

In Spring 2022’s Semiannual Report to Congress (SAR), the Department of Health and Human Services’ Office of Inspector General (HHS-OIG) reported that nearly $3 billion had been misspent on Medicare and Medicaid services. This includes recommending compliance programs or trainings for staff. Get Certified.

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Provider Trust

AUGUST 9, 2023

The Department of Health and Human Services (HHS) Office of Inspector General (OIG) has released its latest 2023 Spring Semiannual Report to Congress, providing a comprehensive overview of its activities from October 2022 to March 2023. Residents First: Nursing homes should ensure they are promoting high-quality care for their residents.

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Med-Net Compliance

OCTOBER 25, 2022

On October 21, 2022, the Centers for Medicare & Medicaid Services (CMS) published revisions to the Special Focus Facility (SFF) program , effective immediately. According to CMS, while the SFF program has helped facilities improve their compliance and quality, there are some facilities that have not seen the same results.

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American Medical Compliance

AUGUST 1, 2022

In Spring 2022’s Semiannual Report to Congress (SAR), the Department of Health and Human Services’ Office of Inspector General (HHS-OIG) reported that nearly $3 billion had been misspent on Medicare and Medicaid services. This includes recommending compliance programs or trainings for staff. Get Certified.

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US Department of Health and Human Services COVID-19 Nursing Homes Medicare 52

Healthcare Law Blog

NOVEMBER 2, 2023

According to the Congressional Research Service, which analyzed data from the Centers for Medicare & Medicaid Services (“CMS”) National Health Expenditure Accounts (“NHEA”) on the personal health expenditures for LTSS by payer, in 2021, an estimated $467.4 billion was spent on LTSS. This represents 13.2% of LTSS spending. [5]

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Healthcare Compliance Blog

MAY 18, 2022

The program is funded by the Centers for Medicare & Medicaid Services (CMS), and will establish a Center of Excellence for Building Capacity in Nursing Facilities to Care for Residents with Behavioral Health Conditions (Center for Excellence).

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Nursing Homes Nurses Health Services Administration Medicaid 59

Hall Render

JUNE 10, 2022

As skilled nursing ‘teeters,’ leaders look to DC for help on pay rule and more. CMS updates Medicaid eligibility standards. These are the compliance issues providers should be preparing for, post-PHE. Report: Mesa nursing home fined $500 after negligence leads to resident’s death.

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New Jersey Healthcare Blog

NOVEMBER 8, 2022

In October 2022, Centers for Medicare & Medicaid Services (CMS) made some significant changes to the Special Focus Facility (SFF) program that raise the bar for completion of the program and that increases enforcement actions for nursing homes that fail to demonstrate improvement.

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Provider Trust

JANUARY 25, 2024

Ensuring the Financial Integrity of HHS Programs In fiscal year (FY) 2022, improper payments within healthcare programs like Medicare, Medicaid, and Children’s Health Insurance Program (CHIP) were estimated at a staggering $131.6 With Medicaid, the challenges are equally formidable.

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Healthcare Law Blog

DECEMBER 19, 2022

In 2021, COVID-19 immunization rates among nursing home staff quickly rose due to federal vaccine mandates for healthcare workers and long-term care facilities participating in the Federal Pharmacy Partnership for Long-Term Care Program. v] Fact Sheet: COVID-19 Test to Treat (March 29, 2022) (hhs.gov). [vi] vi] [link].

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Hall Render

SEPTEMBER 16, 2022

Full 4th Circuit to tackle Medicaid fraud standard under False Claims Act. On Average, Two Nurses Are Assaulted Every Hour, New Press Ganey Analysis Finds. Iowa nurse fired for incorrectly administering monkeypox shots. Lawsuit seeks to unmask nursing home owners who ‘defrauded’ creditors. Locals are skeptical.

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US Department of Health and Human Services COVID-19 Nurses Nursing Homes 40

Healthcare Law Today

DECEMBER 8, 2022

On November 28, 2022, the Centers for Medicare & Medicaid Services (CMS) Center for Clinical Standards and Quality issued a memorandum to State Survey Agency Directors stating that hospitals risk Condition of Participation (CoP) violations for failure to adequately respond to and prevent incidents of workplace violence.

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Hall Render

NOVEMBER 18, 2022

CMS intends to increase its oversight and scrutiny of changes of ownership (“CHOWs”) and operator disclosures for skilled nursing facilities. The changes in CY 2023 PFS Final Rule included changes that impact skilled nursing facilities (“SNFs”). The NSVC will perform the site visit.

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Hall Render

JANUARY 31, 2022

The Centers for Medicare & Medicaid Services (“CMS”) has armed surveyors with detailed instructions on how to survey skilled nursing facilities for compliance with the CMS staff vaccine requirements.

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Hall Render

FEBRUARY 18, 2022

Only 14% of Hospitals Met Price Transparency Rule Compliance. Aspen University investigation: Students vent frustration amid nursing board probe into private college. ‘I feel extorted:’ Former FMC nurses told to pay $5K after being fired for refusing vaccine. Nursing home staffing changes backed.

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Hall Render

AUGUST 19, 2022

Nursing homes and long-term care facilities face increased turnover, look to new solution to attract workers. Rat infestation closes Veteran Affairs nursing home in Arizona. Deadline to Close Nursing Home Extended by 2 Months. Valley nursing home workers calling for increased pay and staffing.

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COVID-19 Nursing Homes US Department of Health and Human Services Nurses 40

Med-Net Compliance

NOVEMBER 1, 2022

South Carolina Attorney General Alan Wilson announced that his office’s Medicaid Fraud Control Unit (SCMFCU) arrested a 37-year-old woman for allegedly practicing medicine as a registered nurse without a license at seven nursing and assisted living facilities in Anderson, Greenville, and Pickens counties.

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Hall Render

MARCH 3, 2023

NATIONAL 14 rural senators push CMS to extend low-wage hospitals’ payment bump in FY2024 American Hospital Association voices support for telehealth expansion bill Behavioral health market to hit $262B by 2029 Biden administration moves to establish ‘guardrails’ for telehealth prescriptions CMS Officials Confirm End of PHE Nursing (..)

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Nursing Homes COVID-19 Nurses Hospitals 40

Hall Render

SEPTEMBER 23, 2022

Healthcare Compliance Will Be a Challenge in Post-PHE World. House report attacks, nursing homes fight back over allegations of deficient staffing, care and safe practices as pandemic hit. The Top Doctors Making a Difference in Delaware in 2022. Kansas nursing homes are closing because they can’t find enough workers.

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Hall Render

MARCH 8, 2022

On March 1, 2022, President Biden outlined his plan to increase the quality of patient care, resident safety, regulations, fines and ownership transparency in skilled nursing care during his State of the Union address. million people live in over 15,500 Medicare and Medicaid-certified nursing homes.

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Hall Render

MARCH 31, 2023

in 2022, survey finds Senate votes to end COVID-19 national emergency Why are 600+ rural hospitals at risk of closing? in 2022, survey finds Senate votes to end COVID-19 national emergency Why are 600+ rural hospitals at risk of closing? buys industrial property in Rancho Cordova for $5.12

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US Department of Health and Human Services Nursing Homes Nurses COVID-19 40

Med-Net Compliance

OCTOBER 3, 2022

On September 23, 2022, the Centers for Medicare & Medicaid Services (CMS) released revised guidance for the August 25, 2020, interim final rule that established long-term care (LTC) facility testing requirements for staff and residents.

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Hall Render

JANUARY 6, 2022

Note: This article has been revised to include information on the Group 2 states as of January 18, 2022. Phased Approach of Compliance. Background. Currently Excluded State. CMS enforcement will occur in the states where there is not an injunction in place. The regulations and QSO Memos guidance do not apply to Texas at this time.

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Health Law Advisor

APRIL 8, 2022

On April 7, 2022, the Centers for Medicare and Medicaid Services (CMS) issued guidance terminating numerous blanket waivers applicable to skilled nursing facilities (SNFs), inpatient hospices, intermediate care facilities for individuals with intellectual disabilities (ICF/IIDs), and end stage renal disease (ESRD) facilities.

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Hall Render

MAY 19, 2023

operating loss in Q2 As RI legislators near session’s end, compromise on expensive proposals looks inevitable ‘It is wrong’: Charlesgate workers ask state to keep nursing home open. Chicago system names COO CommonSpirit’s operating losses swell, sparking job cuts Illinois hospital agrees to pay $12.5

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Hall Render

AUGUST 26, 2022

AHA files reply brief as district court considers 340B payment remedy for the remainder of 2022. CMS bulletin presses states on Medicaid nursing home spending. CMS informational bulletin urges steps for improving health outcomes in nursing homes. CMS proposes mandatory Medicaid, CHIP quality reporting.

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Healthcare Compliance Blog

MARCH 3, 2022

On February 28, 2022, President Biden announced a set of reforms designed to improve the safety and quality of nursing home care, hold nursing homes accountable for the care that they provide, and make the quality of care and facility ownership more transparent.

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Hall Render

DECEMBER 29, 2023

NATIONAL 4 largest healthcare data breaches of 2023 Anesthesia practices sue CMS over reimbursement method Antitrust enforcements hit a high in 2022, with health deals impacted ASCs face leadership exodus CMS floats appeals process over observational stays CMS proposes additional Medicare appeals processes FTC eyes healthcare mergers, report shows (..)

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Hall Render

FEBRUARY 24, 2023

Dunleavy adds $9M to budget to address food stamp, Medicaid backlog New study provides snapshot of increase in maternal deaths in Alaska Mental Health Trust Grants $1.6M Dunleavy adds $9M to budget to address food stamp, Medicaid backlog New study provides snapshot of increase in maternal deaths in Alaska Mental Health Trust Grants $1.6M

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Hall Render

JANUARY 27, 2023

West Springs Hospital found in ‘full compliance’ after state audit Parkview Health System finalizes merger agreement with UCHealth COVID, flu and RSV hospitalizations keep falling in Colorado Post-pandemic telehealth visits remain high in Colorado ‘This is a great community,’ Centura-St. But will consumers actually benefit?

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