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Nursing Home Update: CMS Recasts the Civil Money Penalty Reinvestment Program 

Hall Render

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”).

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Nursing Home Update: CMS Unwinds Vaccine Mandate and More Regulations as Public Health Emergency End Nears

Hall Render

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.

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Compliance Implications for the End of the Federal Public Health Emergency (PHE)

MedTrainer

The end of the federal Public Health Emergency (PHE) will reinstate regulations that have been absent for years… and many healthcare workers have never had to follow. 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.

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What Is Involved With a Healthcare CMS Inspection?

MedTrainer

Examples of covered entities include health plans, clearinghouses, and certain health care providers including but not limited to: doctors, clinics, psychologists, dentists, chiropractors, nursing homes, and pharmacies. There are a number of laws built to fight against Medicare/Medicaid noncompliance and fraud.

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Highlights from the HHS-OIG 2023 Spring Semiannual Report

Provider Trust

Through collaborative efforts with partners such as the Department of Justice (DOJ), Medicaid Fraud Control Units (MFCUs), and various federal, state, and local law enforcement agencies, the OIG employs a comprehensive and data-driven approach to detect, investigate, and prosecute instances of fraud.

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The Supreme Court Blocks a COVID-19 Vaccine Mandate for 84-Million Workers, but Upholds a COVID-19 Vaccine Mandate for Healthcare Workers

Health Law Attorney

The Supreme Court determined that allowing OSHA to impose such a mandate would expand its authority by allowing it to set broad public health measures, which it is not authorized to set. The Centers for Medicare and Medicaid Services (“ CMS ”) has also taken recent action to implement a COVID-19 vaccine mandate.

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2024 HHS-OIG Top Areas of Focus

Provider Trust

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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