Remove 2023 Remove Fraud Remove Governance Remove Nursing Homes
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CMS Proposes Minimum Staffing Requirements and Enhanced Facility Assessments for Nursing Homes

C&M Health Law

On September 1, 2023, the U.S. 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

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Spotting Financial Fraud & Exploitation of the Elderly

AIHC

Understanding Elder Abuse and Financial Exploitation Statutes The federal government, states, commonwealths, territories and the District of Columbia all have laws designed to protect older adults from elder abuse and guide the practice of adult protective services agencies, law enforcement agencies, and others.

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Highlights from the HHS-OIG 2023 Spring Semiannual Report

Provider Trust

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. Led by acting Inspector General Christi A. What is the HHS-OIG Semiannual Report to Congress?

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DOJ Recouped $2.2 Billion Under FCA in 2022

Hall Render

On February 7, 2023, the Department of Justice (“DOJ”) announced that it recovered over $2.2 The government initiated 296 FCA cases on its own last year without input of a relator, which is the highest volume of DOJ initiated cases since the 1986 FCA amendments. Health Care Fraud Actions Medicaid. COVID-10 Related Fraud.

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Private Equity: Investigation and Enforcement

Med Law Blog

In March 2023, the House Ways and Means Committee hosted an investigative hearing on “private equity’s expanded role in the US healthcare system”. 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”.

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Health Provider News

Hall Render

Vincent Parkview Health’s ASC strategy: 2 updates Indiana hospital margins lag behind nation, with some budgets in the red Report shows Indiana hospitals lost more than $700 million in income in 2023 Two Indiana Hospitals Receive a “D” in Patient Safety Franciscan Health to partner with nonprofits Beacon Health System receives $5.4M

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OIG Issues Highly Anticipated General Compliance Program Guidance

Hall Render

On November 6, 2023, the Office of Inspector General (“OIG”) for the U.S. These ICPGs will address fraud and abuse risk areas for each specific industry subsector and compliance measures that can be taken to reduce fraud and abuse risks.