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Medicare Patients Win the Right to Appeal Gap in Nursing Home Coverage

Kaiser Health News

A three-judge federal appeals court panel in Connecticut has likely ended an 11-year fight against a frustrating and confusing rule that left hundreds of thousands of Medicare beneficiaries without coverage for nursing home care, and no way to challenge a denial. But it can have serious repercussions.

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Providers react to Medicare payment proposed rules

Modern Healthcare

Nursing homes, rehab providers and psychiatric hospitals urged the Centers for Medicare and Medicaid Services to account for economic conditions in fiscal 2024 rates

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OIG Enhances Focus on Potentially Preventable Hospitalizations of Nursing Home Residents

Med-Net Compliance

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).

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Changing Hands, Not Washing Them: CMS’ First Report on Nursing Home M&A Data

C&M Health Law

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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Bipartisan bills in House, Senate seek to increase telehealth in nursing homes

Healthcare IT News - Telehealth

The Reducing Unnecessary Senior Hospitalizations (RUSH) Act of 2020, bipartisan legislation introduced in both the House and Senate, aims to enable more widespread use of telehealth in skilled nursing facilities. WHY IT MATTERS. The RUSH Act – introduced in companion bills from Sens. THE LARGER TREND. THE LARGER TREND.

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Maine Nursing Home Placed on Federal Special Focus List

Healthcare Compliance Blog

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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Weekly Health Care Real Estate Briefing: Physician-Owned Hospitals May Lower Costs to Medicare Program | Challenges to Hospital Tax Exemptions | Record Stark Law Settlements

Hall Render

According to a recent study , physician-owned hospitals treated some of the most expensive Medicare beneficiaries at significantly lower costs compared to traditional hospitals, despite serving similar patient populations. In the broader nursing home industry, 19% meet such minimum staffing benchmarks.