Hall Render

OCTOBER 10, 2023

As nursing homes look for funds to allow them to improve care and train nursing home staff, Centers for Medicare & Medicaid Services (“CMS”) released QSO-23-23-NH (“CMS Memo”), which reopens and recasts the Civil Money Penalty Reinvestment Program (“CMPRP”).

Nursing Homes 40

Nursing Homes Nurses Medicaid Medicaid 40

Provider Trust

JULY 17, 2023

In our recent webinar, ProviderTrust’s Chief Compliance Officer, Donna Thiel, shared her expertise and valuable feedback from the 2023 HCCA Compliance Institute. OIG pointed to the increased instances of patient neglect abuse as well as the need for oversight within nursing homes.

Compliance 52

Compliance Nursing Homes Nurses Fraud 52

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 Additionally, this information is now publicly available on CMS’s COVID Nursing Home Data Website.

Nursing Homes 40

Nursing Homes Public Health Nurses COVID-19 40

Hall Render

JULY 5, 2023

When a patient is discharged from acute care, it is important that the acute care provider deliver accurate and appropriate patient information related to a patient’s treatment and condition in order to decrease the risk of readmission or an adverse event at the skilled nursing providers and home health agencies.

Nursing Homes 40

Nursing Homes Nurses Hospitals Medicaid 40

Hall Render

SEPTEMBER 6, 2023

On September 1, 2023, the Centers for Medicare & Medicaid Services (“CMS”) released a proposed rule (“Proposed Rule”) that calls for minimum staffing standards in long-term care facilities (“nursing homes”). The Proposed Rule was published online on September 6, 2023. HPRD for RNs and 2.45 HPRD for RNs and 2.45

Nursing Homes 40

Nursing Homes Nurses Medicaid Medicaid 40

Hall Render

APRIL 11, 2022

Last week, CMS proposed increases in Medicare rates for certain health care services, and Florida’s governor signed legislation that ensures patients of hospitals and health care facilities are allowed to have visitors. In other news, a large committee of experts issued a report on the nursing home industry that was less than flattering.

Medicare 40

Medicare Medicare Nursing Homes Nurses 40

Healthcare IT Today

AUGUST 16, 2022

On the revenue side, the Centers for Medicare & Medicaid Services (CMS) have indicated plans to cut reimbursements for home-based healthcare services by 4.2% in 2023, a move the president of one major industry group said puts “the stability of home health care…at risk.” He keeps me here.

Nursing Homes 107

Nursing Homes Nurses Licensing Medicaid 107

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.

Nursing Homes 52

Nursing Homes Medicaid Medicaid Medicare 52

HIPAA & Health IT

MAY 19, 2023

As the PHE is now expired as of May 11, 2023, it is understandable why providers consider interoperability to be (essentially) a requirement for those facilities to which they refer patients.

Nursing Homes 52

Nursing Homes Nurses Public Health Medicaid 52

HIPAA & Health IT

MAY 19, 2023

As the PHE is now expired as of May 11, 2023, it is understandable why providers consider interoperability to be (essentially) a requirement for those facilities to which they refer patients.

Nursing Homes 52

Nursing Homes Nurses Public Health Medicaid 52

Hall Render

NOVEMBER 18, 2022

On November 2, 2022, CMS announced revisions to the Calendar Year 2023 Payment Policies that impact Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare and Medicaid Provider Enrollment Policies (“CY 2023 PFS Final Rule”).

Nurses 40

Nurses Nursing Homes Medicare Medicare 40

Healthcare Law Blog

AUGUST 25, 2023

On August 21, 2023, the New York State Office of the Medicaid Inspector General (OMIG) announced updates to the Medicaid overpayment self-disclosure program, which now includes an abbreviated process for reporting and explaining overpayments that are considered routine or transactional in nature and have been already voided and adjusted.

Overpayment 52

Overpayment Overpayments Medicaid Medicaid 52

Hall Render

MAY 11, 2023

According to a Trella Health report , Medicare fee-for-service admissions at SNFs increased 5.8% The South Carolina House of Representatives unanimously voted to repeal CON regulations for most health care facilities (excluding nursing homes). However, SNF admissions still have not rebounded to pre-pandemic levels.

Nursing Homes 40

Nursing Homes Hospitals Nurses Medicare 40

Healthcare Law Blog

JUNE 22, 2023

Drug Discount Card Program (Effective October 1, 2023) The Act establishes a Drug Discount Card Program to be made available to all residents of Connecticut. Reducing Prescription Drug Costs (Effective October 1, 2023) The Act has updated the process for listing drugs that are expensive to the state.

Hospitals 52

Hospitals Nursing Homes Health Insurance Public Health 52

Hall Render

JULY 12, 2023

If a deemed hospice fails to meet the Medicare requirements or shows continued condition-level noncompliance, deemed status is generally removed and oversight is placed under the SA. Selected hospices either successfully complete the SFP program or are terminated from the Medicare program. of hospice providers reported data.

Medicare 40

Medicare Medicare Nursing Homes Fraud 40

Hall Render

NOVEMBER 25, 2024

Department of Health and Human Services (“HHS”) issued new Industry Segment-Specific Compliance Program Guidance For Nursing Facilities (“Nursing Facility ICPG”) for nursing home members of the health care compliance community. On November 20, 2024, the Office of Inspector General (“OIG”) for the U.S.

Nurses 40

Nurses Compliance Compliance Officers Medicare 40

Hall Render

DECEMBER 11, 2024

OIGs new Industry Segment-Specific Compliance Program Guidance For Nursing Facilities (Nursing Facility ICPG) for nursing home members of the health care compliance community emphasizes the importance of staff screening and exclusion checks. Information about the LEIE may be found on the OIGs Exclusions page.

Compliance 40

Compliance Licensing Nurses Medicaid 40

Healthcare Law Blog

FEBRUARY 27, 2023

On February 15, 2023, the Centers for Medicare and Medicaid Services (CMS) published a proposed rule that would require nursing homes enrolled in Medicare and Medicaid to disclose new information about their ownership and management structures. Finally, CMS proposed a number of other definitions (e.g.,

Nursing Homes 52

Nursing Homes Nurses Medicaid Medicaid 52

Hall Render

FEBRUARY 21, 2023

These proposed regulations follow through on the Biden Administration’s commitment made in the 2022 State of the Union to implement the ACA’s requirements regarding transparency in corporate ownership of nursing homes, including by collecting and publicly reporting more robust corporate ownership and operating data.

Nurses 40

Nurses Medicaid Medicaid Medicare 40

Med Law Blog

MAY 1, 2023

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”.

Nursing Homes 52

Nursing Homes Malpractice Hospitals Nurses 52

MedTrainer

JANUARY 10, 2024

It’s that time of the year to check your records for 2023 compliance deficiencies and set your organization up for success in 2024. New HD Compliance Regulations New in 2023, all DEA-registered practitioners must complete eight hours of training in accordance with the DEA Medication Access and Training Expansion Act.

Compliance 94

Compliance Fraud HIPAA Compliance Officers 94

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. Led by acting Inspector General Christi A.

Nursing Homes 52

Nursing Homes COVID-19 Fraud Medicaid 52

C&M Health Law

AUGUST 10, 2022

On July 29, 2022, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that updates Medicare payment policies and rates for skilled nursing facilities (SNFs) and enacts changes to the SNF Quality Reporting Program and the SNF Value-Based Purchasing Program beginning in FY 2023.

Medicare 52

Medicare Medicare COVID-19 Nursing Homes 52

Hall Render

NOVEMBER 6, 2024

The COVID data reporting through the National Healthcare Safety Network (“NHSN”) was first required of nursing homes in May 2020 through an interim final rule. Due to the nature of interim final rules, this requirement would have expired in May 2023.

Nursing Homes 40

Nursing Homes Nurses Medicaid Medicaid 40

AIHC

FEBRUARY 16, 2024

Lessons Learned about Consequences & Incentives Submitted by the AIHC Education Department Introduction The Office of Inspector General has released the new General Compliance Program Guidance or “GCPG” in late 2023. Add a Fishbone A very effective tool is the fishbone diagram.

Compliance 52

Compliance US Department of Health and Human Services COVID-19 Hospitals 52

AIHC

FEBRUARY 16, 2024

Lessons Learned about Consequences & Incentives Submitted by the AIHC Education Department Introduction The Office of Inspector General has released the new General Compliance Program Guidance or “GCPG” in late 2023. Add a Fishbone A very effective tool is the fishbone diagram.

Compliance 52

Compliance US Department of Health and Human Services COVID-19 Hospitals 52

Hall Render

FEBRUARY 27, 2023

On February 7, 2023, the Department of Justice (“DOJ”) announced that it recovered over $2.2 DOJ filed claims against multiple nursing homes and their management corporation for providing services that the DOJ alleged were grossly below the standard of care. While this is less than half of the previous year’s recovery of $5.6

Nursing Homes 40

Nursing Homes Fraud Medicaid Medicaid 40

MedTrainer

MAY 4, 2023

There are plenty of compliance implications for the end of the Public Health Emergency on May 11, 2023 , and an assessment is a great place to start. CMS Burden Reduction Final Rule (84 FR 51732) The Centers for Medicare & Medicaid Services (CMS) permanently extended changes made to the Burden Reduction Final Rule.

Public Health 52

Public Health Compliance COVID-19 COVID-19 Vaccine 52

Healthcare Law Blog

NOVEMBER 16, 2023

On November 17, 2023, the U.S. 1] The Final Rule also includes new definitions of “private equity company” and “real estate investment trust” for Medicare enrollment purposes for all Medicare institutional providers and suppliers. The Final Rule includes three categories of changes: 1. Data to be Provided. Timing of Reporting.

Nurses 52

Nurses Medicaid Medicaid Medicare 52

Hall Render

DECEMBER 23, 2024

The following is our summary of significant nursing home legal and regulatory developments during 2024 of interest to nursing home providers and operators. HPRD for registered nurses (RNs) and 2.45 HPRD for nurse aides. HPRD total nurse staffing requirement will be implemented with the 24/7 RN requirements.

Nursing Homes 40

Nursing Homes Nurses Compliance Medicare 40

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. Alabama to Get Inpatient Mental Health Facility in Morgan County in 2023. CALIFORNIA. Christus St.

COVID-19 40

COVID-19 Nursing Homes Nurses Hospitals 40

Hall Render

MAY 11, 2023

As skilled nursing facilities work and provide health care services after the May 11, 2023, end of the Public Health Emergency, questions and concerns about visitation at these facilities will likely continue to arise.

Nurses 40

Nurses COVID-19 COVID-19 Vaccine Nursing Homes 40

Hall Render

DECEMBER 20, 2024

for low readmissions after heart bypass Kentucky nurse pleads guilty in connection with nursing home case Norton Heart & Vascular implants Louisvilles first dual-chamber leadless pacemaker Norton West Louisville Hospital sees more than 2,500 patients in first month Signature HealthCARE Appoints Tim Lehner as New COO St.

Nursing Homes 40

Nursing Homes Nurses Hospitals Fraud 40

Hall Render

MARCH 28, 2023

On January 30, 2023, the Biden Administration announced the COVID public health emergency (“PHE”) will expire and end on May 11, 2023. There are several key areas of focus for SNFs to assess what will change and what will not change as May 11, 2023 approaches. When the PHE ends, the hotlines will be shut down.

Public Health 40

Public Health Nurses Nursing Homes COVID-19 40

Hall Render

FEBRUARY 2, 2024

NATIONAL Amazon Pharmacy, One Medical pilot program integrates medication consultations Bad news for FTC’s noncompete ban Cigna to sell Medicare business to HCSC for $3.3B 5 highest paid anesthesiologists in Washington, DC D.C.’s

Nursing Homes 40

Nursing Homes US Department of Health and Human Services Nurses Hospitals 40

Hall Render

OCTOBER 25, 2024

in 2023 100M hit by Change Healthcare breach AHA pushes for hospital-at-home changes Amazon One Medical, Cleveland Clinic partner on primary care Big systems looking ‘outside of the four walls of the hospital’ Calm Health, UnitedHealthcare form partnership: 3 notes Cigna-Humana merger talks are back on: report Doctors hate MIPS.

Nursing Homes 40

Nursing Homes Nurses Hospitals Doctors 40

Hall Render

MAY 17, 2024

Medicare fraud scheme One of Michigan’s largest insurers is altering telehealth billing. Medicare fraud scheme One of Michigan’s largest insurers is altering telehealth billing. Here’s Why. California to make $3.3 Luke’s Hospital sees record number of twin births Iowa Gov. What does it mean?

Nurses 40

Nurses Nursing Homes Hospitals Ransomware 40