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Hospitals Medicaid Nursing Homes 
HIT Consultant
AUGUST 3, 2022
My commitment to this work has led me to build innovative programs both in the community and in skilled nursing facilities, designed to provide more and better-focused care to our frail elderly. According to Bureau of Labor Statistics data 1 , the number of workers employed at nursing care facilities nationwide has declined by 15%—from 1.59
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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Modern Healthcare
NOVEMBER 7, 2022
A ruling in favor of the Health and Hospital Corp. of Marion County could affect millions of Americans who rely on federal assistance programs.
Compliancy Group
OCTOBER 28, 2024
Last November, the OIG published industry-specific compliance guidance for 2024 for several healthcare subsectors, including nursing homes and facilities. While the CPG applies to all hospitals, practices, suppliers, and other healthcare entities, the ICPGs address the salient risk factors in each specific sector.
52 
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).
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
96 
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.
Hall Render
MARCH 4, 2025
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. Medical Directors in Nursing Homes 42 CFR 483.70(g)
52 
Healthcare IT News - Telehealth
OCTOBER 5, 2022
How are hospitals and health systems turning to telehealth to address provider burnout as demand for behavioral health services mounts? It's also costly to transport elderly patients from nursing homes or assisted living facilities to clinics or hospitals and back, and then to a pharmacy. Twitter: @SiwickiHealthIT.
195 
Hanys
MARCH 25, 2022
We encourage you to urge your legislators to make these investments.
52 
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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Healthcare IT News - Telehealth
JUNE 14, 2024
A push to improve reimbursement for remote patient monitoring programs has stalled, and that could prompt health systems and hospitals to think twice about launching or expanding their platforms. The May CPT Editorial Panel meeting could prompt hospitals and health systems to think twice before launching or expanding RPM.
174 
Hall Render
FEBRUARY 25, 2025
The Centers for Medicare & Medicaid Services (CMS) has given surveyors new rules and updates to allow surveyors to assess and cite violations of the regulations on resident discharge and transfer. This includes a physicians order and a detailed explanation of why the facility can no longer meet the residents needs.
Healthcare IT News - Telehealth
MARCH 29, 2022
With a shortage of physicians to address the growing need for care, a lack of providers who accept Medicaid, and access issues due to transportation or office hour challenges, healthcare organizations are looking to technology to help bridge the gap. Addressing the increasing need for behavioral health services is a nationwide challenge.
147 
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. Certification.
97 
Compliancy Group
FEBRUARY 12, 2025
Using the ICPG to Maintain an Effective Compliance Program The Centers for Medicare & Medicaid Services (CMS) has issued participation requirements for nursing facilities in the Medicare and Medicaid programs (Requirements of Participation or ROPs). The ICP covers the areas listed below.
52 
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.
Health Law RX
SEPTEMBER 16, 2022
AHCA is sending out postcards to existing Florida Medicaid providers (Providers) alerting them to upcoming changes in the Florida Medicaid program. Providers are urged to sign into their account on the Florida Medicaid portal immediately. Medicaid Certified School Match Program Fee Schedule. Check your mailboxes.
52 
Healthcare IT News - Telehealth
APRIL 13, 2023
They are asking providers to identify cancer patients and families who may qualify as ACP program enrollees, which includes households with Medicaid recipients and other federal subsidy programs, to provide them with the information they need to connect their patients with the Gilda's Club team supporting ACP enrollment.
165 
MedTrainer
AUGUST 8, 2024
In FY2021, the Centers for Medicare and Medicaid Services ( CMS ) reported that Medicare processed more than 1.1 CMS and subject matter experts created the Hand in Hand in-service training for nurse aides to meet this requirement. Medicaid training requirements can even vary across the specific payment models within Medicaid.
93 
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.
Hanys
FEBRUARY 23, 2024
We're telling legislators to stabilize New York's hospitals and nursing homes and protect New Yorkers' access to care. Our new fact sheets explain why the final SFY 2024-2025 budget must: Close the Medicaid gap. Reject Medicaid cuts. Provide low- and no-cost relief.
Hanys
APRIL 15, 2022
billion in capital funding; additional Medicaid support for financially distressed hospitals, nursing homes and other healthcare providers; telehealth payment parity; revisions to the Medicaid global cap; and supportive funding in several areas to bolster the healthcare worker pipeline.
Healthcare IT News - Telehealth
MAY 6, 2020
They also keep patients with less severe cases out of hospitals, so preserving precious bed space for patients with severe cases. Hospitals across the nation are using connected health and RPM to great effect during the pandemic.
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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.
Hanys
JANUARY 19, 2024
As illustrated by the results of our latest joint association fiscal survey , New York's hospitals and nursing homes continue to face unrelenting fiscal and workforce challenges that threaten access to patient care. Most importantly, state lawmakers must make a multi-year commitment to close the Medicaid funding gap.
Healthcare IT Today
OCTOBER 19, 2023
In this article, I’ll show how many hospitals, payers, and other institutions are acting on that data. Of course, the staff of a clinic or hospital don’t go around looking for apartments the way they actively look for a long-term care facility.
HIPAA Journal
NOVEMBER 17, 2022
As a teenager, I volunteered in hospitals and nursing homes. That led to my serving as the Privacy Officer for the hospital beginning with the implementation of the Privacy Rule. My first professional experience in healthcare was as a licensed social worker in an acute care hospital. It’s truly amazing.
106 
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.
52 
Healthcare IT Today
APRIL 19, 2024
Devices for medication adherence, blood pressure, blood sugar, and others help patients track metrics from their homes and enable providers access to the information in real-time to manage care remotely. In this way, patients can more efficiently reach their health goals or obtain the support needed to avoid an ED visit or hospitalization.
137 
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 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.
MedTrainer
AUGUST 1, 2022
Medicare and Medicaid services are the backbone for supporting elderly and disabled Americans. Established in 1976, the Office of Inspector General (OIG) was created to fight fraud and abuse in Medicare and Medicaid. Patients commonly stay at skilled nursing facilities after their hospital visit to recover.
52 
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.
59 
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% I have worked in a nursing home facility before and I personally understand how hard it is to make that transition. He keeps me here.
107 
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.
40 
Hall Render
SEPTEMBER 22, 2023
MOBs adjacent to a hospital campus often have rents between on-campus and off-campus rates. CMS’s proposed nursing home staffing requirements will have a big impact on the industry. According to a KFF report , fewer than 1 in 5 nursing homes will meet the new requirements.
Healthcare Law Blog
DECEMBER 19, 2022
In 2021, COVID-19 immunization rates among nursing home staff quickly rose due to federal vaccine mandates for healthcare workers and long-term care facilities participating in the Federal Pharmacy Partnership for Long-Term Care Program. viii] Who We Help – Nursing Homes | qioprogram.org. pdf (federalregister.gov).
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. Enhancing program integrity in noninstitutional care settings, such as home health and hospice care.
52 
Med-Net Compliance
JULY 25, 2022
A public benefit corporation that operates a hospital located in Buffalo, New York, failed to timely provide an individual with a complete copy of his medical records. A Massachusetts nursing home failed to provide an individual’s personal representative with timely access to her son’s medical records.
59 
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.
52 
Florida Health Care Law Firm
JANUARY 20, 2022
Florida’s Medicaid program is worth $25.2 Essentially, the AHCA regulates and coordinates the Medicaid system and the healthcare providers that offer medical services through that program to Floridians, so there is sharing of healthcare data and resources across the state through the Florida Center for Health Information and Policy Analysis.
Hall Render
JANUARY 17, 2025
This CMS fact sheet is the only blanket waiver that exists for skilled nursing, home health agencies, critical access hospitals, durable medical equipment and other providers. k), allowing nursing homes to admit new residents who have not received Level 1 or Level 2 Preadmission Screening.
Hall Render
OCTOBER 18, 2024
A recent report by Moody’s forecasted hospital operating margins to stay low in 2025 due to a steep rise in health care wages and reimbursement rates that are not keeping pace with rising costs. The report indicated that salaries and benefits now comprise 53% of nonprofit hospitals’ expenses.
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