Providers react to Medicare payment proposed rules
Modern Healthcare
JULY 3, 2023
Nursing homes, rehab providers and psychiatric hospitals urged the Centers for Medicare and Medicaid Services to account for economic conditions in fiscal 2024 rates
Hospitals Medicaid Medicare Nursing Homes 
Changing Hands, Not Washing Them: CMS’ First Report on Nursing Home M&A Data
C&M Health Law
MAY 11, 2022
Last week, the Centers for Medicare & Medicaid Services (CMS) released data —for the first time—reporting on mergers, acquisitions, consolidations, and changes of ownership of Medicare enrolled hospitals and nursing homes over the past six years.
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OIG Enhances Focus on Potentially Preventable Hospitalizations of Nursing Home Residents
Med-Net Compliance
OCTOBER 26, 2022
The US Department of Health and Human Services (HHS) Office of Inspector General (OIG) has announced that they will be enhancing their focus on potentially preventable hospitalizations of Medicare-eligible skilled nursing facility (SNF) residents. and 42 CFR § 483.25).
Medicare & Medicaid Facilities Are Put On Notice: Employees Must Be Vaccinated
Health Law RX
SEPTEMBER 14, 2021
Medicare and Medicaid certified facilities will be required to ensure that their employees are vaccinated for COVID-19, the Centers for Medicare & Medicaid Services (CMS) announced on September 9, 2021. The Interim Final Rule will apply to any healthcare facility receiving Medicare or Medicaid reimbursement.
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Maine Nursing Home Placed on Federal Special Focus List
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.
OIG Investigates Medicare Payments From Skilled Nursing Facilities
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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Nursing Home Update: CMS Unwinds Vaccine Mandate and More Regulations as Public Health Emergency End Nears
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.
What Is Involved With a Healthcare CMS Inspection?
MedTrainer
SEPTEMBER 20, 2023
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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Nursing Home Update: CMS Updates and Expands Surveyor Guidance for Nursing Homes for Phase 2 and 3 Requirements of Participation – Key Areas and Timeline
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.
Posthospital SNF Care in Indiana Generally Met Medicare Level-of-Care Requirements
Healthcare Compliance Blog
APRIL 14, 2022
The Office of Inspector General (OIG) released their findings of an audit they conducted to determine if hospital admissions of Indiana skilled nursing facility (SNF) residents who are enrolled in both Medicare and Medicaid (dually eligible beneficiaries) were potentially avoidable, and if level-of-care requirements for Medicare were met.
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Post-Acute Update: CMS Gives Nursing Homes and Home Health Agencies an Admission Playbook
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.
Government Requirements for Healthcare Facility Compliance
MedTrainer
JANUARY 30, 2024
Compliance is Mandatory for Federal Programs One constant is that organizations and facilities that participate in federal healthcare programs, such as Medicare and Medicaid, must have a compliance program. Nursing Homes: Skilled nursing facilities, long-term care facilities, and other types of nursing homes.
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Struggles Over Care Will Shape the Future of Work
Bill of Health
MARCH 16, 2022
spread between nursing homes. These facilities, like most nursing homes, are for-profit businesses that pad their margins by cutting labor costs. As in nursing homes, homecare understaffing pre-dated , but was intensified by , the pandemic. Recall that the first COVID-19 outbreak in the U.S.
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Workplace Violence: CMS Warns of Violations of Hospital Conditions of Participation
Healthcare Law Today
DECEMBER 8, 2022
Workplace violence has become one of the key management challenges and sources of enterprise risk for hospitals over the past several years. a patient who was acting out and shot in his hospital room by off-duty police officers following the failure of hospital staff to perform appropriate assessment and de-escalation of the patient.
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The PACE Solution to Increasing Demands for Long-Term Services and Supports in the U.S.
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 billion was spent on LTSS. This represents 13.2% of LTSS spending. [5]
Health Provider News
Hall Render
MAY 10, 2024
Million CALIFORNIA California hospital dismisses CEO California physician pleads guilty to $2.5M Million CALIFORNIA California hospital dismisses CEO California physician pleads guilty to $2.5M Million CALIFORNIA California hospital dismisses CEO California physician pleads guilty to $2.5M million expansion ‘Very, very unusual.’
Health Provider News
Hall Render
APRIL 26, 2024
NATIONAL 5 numbers on the rise of Stark law violations 3 takeaways on the new federal data privacy proposal after its first public showcase 80% of Change Healthcare restored after cyberattack Authentication failure blamed for Change Healthcare ransomware attack Biden administration issues new rule to protect privacy of those seeking reproductive health (..)
Ensuring Safety and Quality in America’s Nursing Homes
CMS.gov
APRIL 15, 2019
Ensuring Safety and Quality in America’s Nursing Homes. Administrator, Centers for Medicare & Medicaid Services. Nursing facilities. This duty is especially important when it comes to the care provided for some of the most vulnerable in our society, Americans residing in nursing homes. Seema Verma.
$900 Million Increase in Medicare Part A Payments One of Many Medicare Changes for SNFs in FY 2023
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. Staffing Levels.
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Hall Render
MAY 17, 2024
NATIONAL A deep dive into health system and health plan Q1 earnings Amazon building ‘modern pharmacy’ of the future: Medical Officer Breaking down the FTC noncompete ban, its impact on healthcare CISA, HHS warn healthcare of Black Basta ransomware attacks CMS extends Medicaid waivers to 2025 Could providers be liable in Change outage?
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Handling an OIG Audit with Confidence: Focus Areas for 2024
Compliancy Group
APRIL 17, 2024
Office of Inspector General (OIG) in the Department of Health and Human Services (DHHS) oversees efforts in the healthcare sector to identify, reduce, and prevent incidents of fraud, waste, and abuse of funds from programs like Medicare. Medicare Advantage (M.A.): and cybersecurity threats. Organizations using M.A.
Health Provider News
Hall Render
MARCH 22, 2024
NATIONAL 79 percent have positive outlook for senior living and care: NIC 12 key legal issues impacting health systems AHA: 94% of hospitals financially impacted by Change Healthcare’s cyberattack A conversation about the HHS plan on AI in health care A new kind of hospital is coming to rural America.
2024 HHS-OIG Top Areas of Focus
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 With Medicaid, the challenges are equally formidable.
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OCR will ease restrictions on telehealth tech during COVID-19
Healthcare IT News - Telehealth
MARCH 18, 2020
Telehealth is in the spotlight as the coronavirus crisis unfolds, offering an essential link between patients and physicians while removing the need to travel to overburdened hospitals. ON THE RECORD.
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NYC elder care provider using FCC funds for telehealth, protecting seniors from COVID-19
Healthcare IT News - Telehealth
AUGUST 25, 2020
” Because residents will have the opportunity to receive primary care services in a safer environment through telehealth, Parker will contribute to public health goals of reducing the spread of COVID-19 while reducing excess burden on the hospital systems throughout New York City that may be overwhelmed with COVID-19 patients.
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HHS & DOJ FY 2022 Enforcement Targeted Fraud in COVID-19, Telemedicine, Opioid and Prescription Drugs, and Substance Use Treatment Centers, Among Other Initiatives
Healthcare Law Blog
DECEMBER 1, 2023
HHS-OIG conducted investigations resulting in 661 criminal actions against individuals related to Medicare and Medicaid, as well as 726 civil actions, including false claims, unjust-enrichment lawsuits, and civil monetary penalty settlements.
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Hall Render
APRIL 12, 2024
to Develop Wearable Blood Loss Detector An Academic Lifeline for Rural Hospitals CHI St. to Develop Wearable Blood Loss Detector An Academic Lifeline for Rural Hospitals CHI St.
Health Provider News
Hall Render
DECEMBER 29, 2023
NATIONAL 4 largest healthcare data breaches of 2023 Anesthesia practices sue CMS over reimbursement method Antitrust enforcements hit a high in 2022, with health deals impacted ASCs face leadership exodus CMS floats appeals process over observational stays CMS proposes additional Medicare appeals processes FTC eyes healthcare mergers, report shows (..)
Health Provider News
Hall Render
APRIL 19, 2024
to Study Treatments for Vascular Abnormalities Federal Appeals Court Hears Arguments on Nation’s First Ban on Gender-affirming Care for Minors Jason Demke Hired as COO at Mercy Hospital Fort Smit Pulaski Tech Awarded $5.7M
Health Provider News
Hall Render
MARCH 1, 2024
in 2023 income Ransomware group leader told hackers to attack hospitals, FBI, HHS say The 23 health systems pushing Congress to act on virtual care Three examples of how AI is going to change medicine U.S. R1 RCM posts $3.3M R1 RCM posts $3.3M R1 RCM posts $3.3M R1 RCM posts $3.3M R1 RCM posts $3.3M R1 RCM posts $3.3M
Health Provider News
Hall Render
MARCH 15, 2024
NATIONAL 3 things to expect from the pharmaceutical supply chain in 2024 Absence of AI hospital rules worries nurses American Academy of Dermatology votes to keep its diversity policies after anti-DEI proposal Are digital health partnerships replacing M&A? From -6.8%
Health Provider News
Hall Render
FEBRUARY 23, 2024
NATIONAL 382 rural hospitals cut chemotherapy, breakdown by state 1 year after Amazon-One Medical deal finalized: What’s happened since ACOs want increased participation of long-term and post-acute care providers ‘Behind the times’: DC tries to catch up with AI’s use in health care CMS finalizes DSH payment cuts for some safety-net hospitals: (..)
Health Provider News
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
Health Provider News
Hall Render
DECEMBER 22, 2023
Million in Retaliation Suit John Muir, Tenet scrap hospital deal after FTC challenge Kaiser to lay off 79 administrative employees Leaning toward big wins in schizophrenia and vaccines, venture group raises new fund of $389 million Madera hospital creditors want to be paid, including CEO. health care spending hits $4.5
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
JANUARY 13, 2022
The Centers for Medicare and Medicaid Services (“ CMS ”) has also taken recent action to implement a COVID-19 vaccine mandate. In November 2021, CMS issued an Interim Final Rule (“ IFR ”) that would require facilities receiving Medicare and Medicaid funding to ensure that their staff are vaccinated against COVID-19.
Health Provider News
Hall Render
JANUARY 12, 2024
NATIONAL 60% of health systems considering ASC joint ventures 9% of hospitals had ‘vulnerable’ cash on hand levels in 2022 $3.7B
Lessons from the COVID-19 Pandemic: Planning for Disaster Preparedness and Emergency Management in Hospitals
Health Care Law Brief
OCTOBER 27, 2021
Perhaps most importantly, we have learned that hospitals’ pre-COVID emergency management and disaster preparedness plans were insufficient to handle the scale, intensity, and duration of a health disaster like COVID-19. All hospitals everywhere were strapped for resources. The expansion of telehealth is a primary example of this.
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Health Provider News
Hall Render
DECEMBER 8, 2023
health care Skilled nursing providers embrace bill nixing staff mandate, despite uncertain fate US News to begin rating ASCs ALABAMA Birmingham business lands pharmacy contract with Louisiana hospital Madison Co. NATIONAL 8.5M NATIONAL 8.5M NATIONAL 8.5M NATIONAL 8.5M NATIONAL 8.5M NATIONAL 8.5M
Health Provider News
Hall Render
JUNE 16, 2023
Artificial Intelligence Poses Threat to Patient Privacy Bill for Rural Hospital Cyber Skills Passes Senate Committee Chemotherapy shortages push cancer centers toward crisis CMS estimates national spending on hospital care grew just 0.8% What are they doing to address it?
Key Areas of Focus for Skilled Nursing Facilities as the Public Health Emergency Ends
Hall Render
MARCH 28, 2023
The end of the PHE has a significant impact on skilled nursing facilities (“SNFs”) as it ends the remaining regulatory blanket waivers, revisits resident Medicaid eligibility and changes many COVID regulations that were issued during the PHE. Three-Day Prior Hospitalization/Qualifying Hospital Stay. Expedited Enrollment.
Health Provider News
Hall Render
FEBRUARY 9, 2024
NATIONAL AHA, others urge Supreme Court to review challenge to HHS interpretation of DSH formula AHA: Anti-hospital Group Misleads on Site-neutral Impact on Rural Access to Care AHA: New Error-Ridden 340B Study Misses the Mark Amazon to lay off hundreds in healthcare division At inaugural food-as-medicine summit, HHS announces partnerships to bolster (..)
Health Provider News
Hall Render
JANUARY 5, 2024
Wade; expected to remain big issue in 2024 races Most nursing home residents in Arizona still haven’t gotten their COVID-19 booster COVID-19 hospitalizations are up in Arizona and around the U.S.
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Health Provider News
Hall Render
FEBRUARY 16, 2024
CALIFORNIA 8 ASCs opening in Florida, California and New York A bankrupt California hospital left a health care desert. CALIFORNIA 8 ASCs opening in Florida, California and New York A bankrupt California hospital left a health care desert.
Health Provider News
Hall Render
SEPTEMBER 29, 2023
in Stark law self disclosures: 3 things to know CMS’ staffing proposal will cost nursing homes $6.8B in Stark law self disclosures: 3 things to know CMS’ staffing proposal will cost nursing homes $6.8B in Stark law self disclosures: 3 things to know CMS’ staffing proposal will cost nursing homes $6.8B
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