HIT Consultant

APRIL 22, 2022

To make it easier for families and caregivers to evaluate the quality of nursing homes, the Center for Medicare & Medicaid Services (CMS) regularly publishes data on its “ Care Compare ” website. Last month, CMS added additional metrics to how it scores the quality of nursing homes. Staff Turnover. Why is this?

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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).

Nursing Homes 59

Nursing Homes Nurses Medicaid Medicaid 59

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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Healthcare Law Blog

DECEMBER 7, 2022

On December 5, 2022, the Department of Health and Human Services (“ HHS ”), Office of Inspector General (“ OIG ”), released their Semiannual Report to Congress for the period beginning on April 1, 2022, and ending on September 30, 2022 (the “ Semiannual Report ”). [1]. million $1.19 billion Questioned Costs $1.17 billion $2.17

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

The Health Law Firm Blog

JULY 11, 2022

Board Certified by The Florida Bar in Health Law On June 15, 2022, the U.S. Department of Justice (DOJ) announced it has sued three nursing homes in Ohio and Pennsylvania, citing their “grossly substandard skilled nursing services.” By George F. Indest III, J.D.,

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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. Areas with Significant Updates. Phase 3 Elements. Compliance and ethics.

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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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MedTrainer

AUGUST 1, 2022

Medicare and Medicaid services are the backbone for supporting elderly and disabled Americans. However, there have been many cases of individuals and parties abusing Medicare regulations for their own financial gain — and medical professionals and organizations within the healthcare industry are among them. A Look at the OIG.

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Healthcare Law Blog

DECEMBER 1, 2023

The Department of Health and Human Services (HHS) and the Department of Justice (DOJ) recently released its “Health Care Fraud and Abuse Control Program Annual Report for Fiscal Year 2022 ” (the “Report”), highlighting continued enforcement and recovery actions under the Health Care Fraud and Abuse Control Program (HCFAC).

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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

JANUARY 24, 2022

This week, a number of organizations issued Year in Review reports on M&A activity and predictions for 2022. Staffing and financial issues facing skilled nursing facilities also made headlines. We have included a summary of a number of the Year in Review articles, along with several stories on the skilled nursing industry.

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Nursing Homes Nurses COVID-19 Hospitals 40

Hall Render

OCTOBER 27, 2023

According to a recent study , physician-owned hospitals treated some of the most expensive Medicare beneficiaries at significantly lower costs compared to traditional hospitals, despite serving similar patient populations. CMS settled a record-breaking $9.29M in Stark self-referral disclosures in 2022, according to recent data from CMS.

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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 The Medicaid program was a target in 2022.

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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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Nursing Homes COVID-19 Fraud Medicaid 52

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. HHS Examines Medicare Spending and COVID-19 Tests. HHS Concerned About Quality of Nursing Homes.

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Hall Render

JUNE 10, 2022

Report: Mesa nursing home fined $500 after negligence leads to resident’s death. Police ID suspect in attack on doctor, nurses at Southern California hospital. California nurses plan for potential 2nd strike of 2022. Hands-on care requirement cuts at Florida nursing homes means more residents will die, union says.

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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 As individuals continue to live longer beyond retirement and the U.S.

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Hall Render

APRIL 22, 2022

21 top management risks in healthcare for 2022. $1B GAO investigating private equity ownership of nursing homes. This nursing home chain reported the highest COVID death rate. Report: Black Women’s Health in AR in “Critical State” Arkansas Children’s Names Jefferson, Rumpel as 2022 Marion B.

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Healthcare Compliance Blog

JANUARY 24, 2022

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.

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Hall Render

MAY 13, 2022

Alaska needs to train more nurses, but it doesn’t have enough nursing faculty to meet demand. Arizona Hospital Safety Grades 2022: The Best And Worst. training initiative for nurses, caregivers who work in long-term care facilities. California Hospital Safety Grades 2022: The Best And Worst. Ducey announces $6.5M

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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. HHS Examines Medicare Spending and COVID-19 Tests. HHS Concerned About Quality of Nursing Homes.

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

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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Hall Render

NOVEMBER 4, 2022

AMA scrutinizes lack of competition, consumer harms in Medicare Advantage plans. CMS gives nursing homes a longer leash on staff COVID-19 vaccination requirements. CMS makes big changes to Medicare Shared Savings Program. In Bethel, a homegrown solution to the state’s nursing shortage. percent in final rule.

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

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

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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Hall Render

MAY 20, 2022

HHS Announces $15M in Funding For Behavioral Healthcare In Nursing Homes. OIG: 25% of Medicare hospital patients experienced harm pre-pandemic. State Actions to Address Nursing Home Staffing During COVID-19. California aims to tighten licensing of nursing homes after pandemic exposes deadly lapses.

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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. Both of these scenarios place nursing home residents’ health and safety at risk. All appropriate staff are to be advised of the revisions within 30 days.

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HIT Consultant

FEBRUARY 23, 2024

This agreement builds on the successful results of the Value-Based Agreements Bridges and Highmark entered in January 2022 for Highmark’s Medicare Advantage members and the January 2020 Agreement for the Highmark Wholecare membership. Established in 2017 through a collaboration between Independence Health System, St.

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Nursing Homes Licensing Hospitals Nurses 52

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 HHS estimated that over 15% of payments in FY 2022 were improper.

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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

House passes reform to Medicare Advantage prior authorizations. 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

Hall Render

JANUARY 11, 2022

Facing further confusion from skilled nursing facilities and families amidst the current spike in COVID cases in the United States, the Centers for Medicare & Medicaid Services (“CMS”) released additional best practices and addressed more issues that skilled nursing providers should follow as they encounter certain visitation scenarios.

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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”). SNF revalidations are reviewed at the “moderate” screening level.

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Med Law Blog

MAY 1, 2023

Howell, Constantine Yannelis and Abhinav Gupta positing that their research shows that “PE ownership increases short term mortality of Medicare patients by 10%, in nursing homes”. In February of 2021, the National Bureau of Economic Research published a paper by Atul Gupta, Sabrina T.

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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

JULY 27, 2023

In 2022, the Biden administration announced an initiative to increase the transparency of corporate and private equity ownership and operation of nursing homes. In 2022, CMS began publishing skilled nursing facility ownership data on data.cms.gov.

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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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