Hall Render

SEPTEMBER 22, 2023

In 2023, nursing homes have seen increased citations by surveyors for noncompliance tied to their pre-dispute, binding agreements for binding arbitration with their residents. The Arbitration Regulations revised the requirements for arbitration agreements when they are used by nursing homes to resolve disputes with their residents.

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Nursing Homes Nurses Compliance Medicaid 73

Healthcare It News

MARCH 28, 2023

A "BedSense" App provides insights into the needs of memory care and nursing home residents. A video-based patient engagement platform that can send pre-op instructions and help improve patient safety and save nurses time. A mobile application that manages team skills and ensures compliance standards.

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Med-Net Compliance

JUNE 21, 2022

The Justice Department has filed a complaint under the False Claims Act against an Ohio nursing home operator and three affiliated nursing homes for providing grossly substandard skilled nursing services between 2016 and 2018. The nursing homes are in Ohio, Pennsylvania, and Iowa.

Nursing Homes 59

Nursing Homes Nurses Hospitals 59

Healthicity

MAY 23, 2023

Depression and psychiatric conditions are relatively common in the elderly and nursing home residents. However, compliance professionals need to be aware of proper medical necessity, coding, and documentation when it comes to providing psychotherapy services for nursing home residents.

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Healthicity

JUNE 14, 2023

Compliance professionals in the nursing home sector are well aware of the many ways government agencies survey, audit, and enforce regulatory compliance. Nursing homes have seen significant enforcement over the last few years, and the U.S.

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Nursing Homes Compliance Framework Nurses Compliance 52

Healthcare IT News - Telehealth

MARCH 18, 2020

The HHS Office for Civil Rights announced on Tuesday that during the coronavirus pandemic it will use discretion when enforcing HIPAA-compliance for telehealth communications tools. WHY IT MATTERS. and Google G Suite Hangouts Meet. THE LARGER TREND.

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COVID-19 HIPAA Nursing Homes Medicare 218

Healthicity

JUNE 20, 2023

Health and Human Services Office of Inspector General (OIG) recently signaled an even stronger focus on nursing homes. The OIG plans to more closely scrutinize nursing home compliance in their work plans, audits, and oversight.

Nursing Homes 52

Nursing Homes Nurses Compliance Compliance Officers 52

Healthcare Compliance Blog

FEBRUARY 2, 2022

A New York optician has pled guilty to grand larceny for submitting false claims for optician services that he alleged were for specific nursing home residents, but which were never provided. Additionally, it is necessary that the billing office ensures that no double billing occurs by the nursing home and any consultant.

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Nursing Homes Fraud Medicaid Medicaid 59

Med-Net Compliance

SEPTEMBER 9, 2022

A large long-term care facility located in Vermont violated federal law by allowing black nurses and nurse assistants to be subjected to ongoing and egregious racial harassment, the US Equal Employment Opportunity Commission (EEOC) charged in a lawsuit. Update as needed. Stress the importance of nonretaliation.

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Nursing Homes Nurses Compliance 59

American Medical Compliance

APRIL 29, 2024

The following Abuse, Neglect, and Exploitation in Nursing Homes Training educates healthcare personnel (HCP) on how to properly recognize and prevent elderly abuse from occurring in nursing homes. This training aims to foster a safer environment for nursing home residents. AMA PRA Category 1 Credits.

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Nursing Homes Nurses Elder Abuse Compliance 52

Healthcare Law Blog

JULY 5, 2023

On June 30, 2023, the New York State Department of Health (DOH) issued a notice to nursing home operators and administrators announcing that it will begin conducting assessments on July 10, 2023 of nursing homes’ compliance with the State’s minimum staffing requirements. No less than 2.2 HPRD (out of the 3.5

Nursing Homes 52

Nursing Homes Nurses Compliance Licensing 52

Med-Net Compliance

NOVEMBER 8, 2022

On November 3, 2022, the OIG released the results of a recent inspection of a nursing home by the Texas Health and Human Services (HHS) Office of Inspector General Audit and Inspections Division (OIG Inspections). OIG inspectors recommended the facility develop a process to collect this data and post the information as required.

Nursing Homes 59

Nursing Homes Nurses US Department of Health and Human Services Licensing 59

Med-Net Compliance

OCTOBER 27, 2022

According to court documents and evidence presented at trial, the psychologist caused the submission of fraudulent Medicare claims from July 2016 through June 2019 for psychotherapy services purportedly provided to nursing home residents in Chicago and surrounding areas.

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Nursing Homes Fraud US Department of Health and Human Services Nurses 59

Med-Net Compliance

SEPTEMBER 22, 2022

They identified that 6,622 nursing homes had been cited for infection prevention and control program deficiencies as of February 26, 2020, and Medicare.gov indicated that 24 nursing homes were part of a nursing home chain. The OIG’s audit found that 23 of the 24 nursing homes had possible deficiencies.

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Healthcare Compliance Blog

MARCH 10, 2022

Complaints of resident abuse in a Michigan nursing home led to an investigation by the Michigan Office of Attorney General’s Health Care Fraud Division, working with the Michigan Sentinel Project. The investigation determined that a nurse was working at the nursing home while her license was suspended, which is a felony.

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Nursing Homes Nurses Licensing Fraud 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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Nursing Homes Nurses Licensing Medicaid 59

Med-Net Compliance

SEPTEMBER 19, 2022

A fire at a Washington nursing home displaced seventy-seven residents and drew a coordinated response from local firefighters. The post Washington State Nursing Home Fire Displaces 77 Residents appeared first on Med-Net. Crews responded to the blaze at about 5:30 p.m.

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Nursing Homes Nurses Hospitals 59

Med-Net Compliance

AUGUST 3, 2022

A Pennsylvania nursing home will pay $819,640 to settle claims that it provided medically unnecessary rehabilitation therapy to residents to maximize revenue, and without prioritizing clinical needs. The post Pennsylvania Nursing Home to Pay More than $819,000 to Resolve False Claims Act Liability appeared first on Med-Net.

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Nursing Homes Nurses Medicare Medicare 59

Med-Net Compliance

JUNE 17, 2022

The Minnesota Department of Health (MDH) assumed control of a nursing home in Pine Island due to concerns that a growing list of unpaid bills threatened critical services for residents. The post MN Department of Health Takes Control of Nursing Home to Ensure Residents’ Safety appeared first on Med-Net.

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Nursing Homes Nurses Licensing Compliance 59

Med-Net Compliance

JUNE 29, 2022

An Oklahoma nurse aide pleaded guilty to abusing a nursing home resident and was placed on a deferred sentence probation for three years under the supervision of the Oklahoma Department of Corrections. Reporting abuse, neglect, and exploitation is mandatory for all nursing facilities.

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Nursing Homes Nurses Fraud Medicaid 59

Healthcare It News

JANUARY 3, 2023

" The company says the HIPAA-compliant system can help patients avoid the skyrocketing costs of assisted living and in-home care and help address caregiver shortages, and claims the virtual caregiver offers better oversight and care coordination. Deliver dosing compliance verification to caregivers and providers. ON THE RECORD.

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Nursing Homes Telemedicine HIPAA Nurses 257

Med-Net Compliance

AUGUST 18, 2022

An Indiana provider of skilled nursing and long-term care services has agreed to pay $5,591,044.66 Discussion Points: Review your policies and procedures for operating an effective compliance and ethics program to ensure that identifying and reporting of false claims is included. The post Nursing Home Provider to Pay over $5.5M

Nursing Homes 59

Nursing Homes US Department of Health and Human Services Nurses Medicare 59

Med-Net Compliance

JULY 8, 2022

A nursing home health system has agreed to pay the United States $1.75 A nursing home health system has agreed to pay the United States $1.75 The company is a not-for-profit corporation located in Florida that oversees healthcare facilities on its campus, including a nursing home and an assisted living facility.

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Healthcare Compliance Blog

APRIL 18, 2022

A certified nurse’s aide (CNA) who was working in an Oklahoma nursing home has pled guilty to stealing money from a resident. The former CNA was sentenced to serve 30 days in jail, and ordered to surrender her nurse aide certification and to hold no employment involving care of elderly or vulnerable adults while on probation.

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Nursing Homes Nurses Fraud Medicaid 59

Med-Net Compliance

JUNE 14, 2022

An Illinois nursing home was fined $25,000 after the Illinois Department of Public Health determined it failed to implement progressive interventions to prevent falls. The resident’s nurses’ notes documented the falls. A nurse documented the fall and notified the DON and the physician.

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Nursing Homes Nurses Public Health Hospitals 59

Healthcare Compliance Blog

MARCH 16, 2022

In a March 11, 2022, release by the Northern District of Georgia’s Office of the Department of Justice, it was reported that an investigation determined a Georgia nursing home knowingly submitted claims for unreasonable, unnecessary, and unskilled services for Medicare patients. Attorney Kurt R. To avoid a “reverse false claim” (i.e.,

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Nursing Homes Nurses Overpayments Overpayment 59

American Medical Compliance

MARCH 14, 2025

By mastering these skills, providers reduce infection risks, protect residents, and ensure compliance with regulatory standards. American Medical Compliance is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education to physicians. AMA PRA Category 1 Credits.

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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).

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Healthcare Compliance Blog

JUNE 8, 2022

A Maine nursing home with a history of federal fines was listed as a special focus facility (SFF) after two residents wandered off in separate incidents last year. They were one mile from the nursing home, so police took her to the facility. In the second case, the resident was hit and killed by a motor vehicle.

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Nursing Homes Nurses Medicaid Medicaid 59

Med-Net Compliance

NOVEMBER 10, 2022

After a three-and-a-half-day trial, a jury returned a verdict for the US Equal Employment Opportunity Commission (EEOC) on behalf of a former employee of a Tennessee nursing home who had been fired after requesting intermittent leave to address her anxiety. The former employee suffered from anxiety throughout her adult life.

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Nursing Homes Nurses ADA COVID-19 59

Med-Net Compliance

OCTOBER 13, 2022

A jury found a North Dakota certified nursing aide (CNA) guilty of Aggravated Assault causing permanent impairment and Reckless Endangerment. The evidence at the trial showed that the CNA performed an improper, one-person lift of a nursing home resident which resulted in severe and painful injuries to the resident.

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Nursing Homes Nurses Fraud Medicaid 59

HIPAA Journal

DECEMBER 31, 2022

What happens if a nurse violates HIPAA Compliance Rules ? Business associates of covered entities can also be fined directly for HIPAA violations, but what about individual healthcare workers such as nurses? What happens if a nurse violates HIPAA Rules? What are the Penalties if a Nurse Violates HIPAA?

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Med-Net Compliance

AUGUST 2, 2022

The Iowa Department of Inspections and Appeals (DIA) reported that an Iowa nursing home would be fined $20,000 after a resident was inappropriately discharged and left outside for 11 hours overnight. A nurse went up to the resident and said that if he was going to be leaving, he should sign the Against Medical Advice (AMA) papers.

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Nursing Homes Nurses Compliance Hospitals 59

Med-Net Compliance

OCTOBER 11, 2022

Charges were filed against two nursing home employees who were caught on camera beating and dragging an 87-year-old resident, according to officials with the Texas City Police Department. Texas City police said they had received a complaint about an elderly male being assaulted by two caregivers at an area nursing home.

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Nursing Homes Nurses Hospitals 59

Hall Render

OCTOBER 28, 2024

The Centers for Medicare & Medicaid Services (“CMS”) is reinforcing regulatory expectations regarding nursing home residents’ rights to vote. On September 26, 2024, CMS issued a QSO Memo , “Compliance with Residents’ Rights requirement related to Nursing Home Residents’ Right to Vote.” 42 CFR §483.10(b)(1)

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Healthicity

APRIL 11, 2023

The OIG added just one item to its Work Plan in March of 2023 -- but it was a significant item relating to nursing homes.

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Healthcare Compliance Blog

FEBRUARY 4, 2022

Issue: It is the obligation of each nursing facility to protect residents from abuse, neglect, and exploitation. The post Louisiana Woman Arrested for Stealing from Nursing Home Resident appeared first on. Her bond was set at $26,000. Periodically audit resident fund accounts to ensure that no misappropriation has occurred.

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