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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Nurses Medicare Medicare Nursing Homes 52

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.

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Nursing Homes Nurses Hospitals Medicaid 40

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. Jeremy.Booth@c….

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Nursing Homes Nurses Compliance Medicare 51

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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Medicare Medicare Overpayments Overpayment 59

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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Hospitals Nurses Nursing Homes Medicaid 111

Healthcare It News

MARCH 4, 2022

On another note, there has been a continued shift in referral patterns to home health. Patients are increasingly opting to recover in the home instead of a hospital or rehab facility, which requires care coordination. Medicare spends nearly $60 billion on post-acute care annually. This is hard to do.

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Nursing Homes Nurses Hospitals Medicare 201

Healthcare It News

JUNE 28, 2022

The question is: How will hospitals provide more robust, timely and cost-efficient care moving forward? In the past, health systems expected consumers to come to them, delivering care in hospitals and clinics. Seniors want to avoid costly nursing homes and will need help living independently. Please explain.

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Nursing Homes Hospitals Nurses Medicare 311

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.

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Compliance Officers Compliance Medicare Medicare 52

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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COVID-19 Elder Care Nursing Homes Nurses 167

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. In theory, all this care could be delivered in seniors’ homes and communities. Recall that the first COVID-19 outbreak in the U.S.

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Nursing Homes Nurses COVID-19 Medicaid 130

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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Governance Compliance Nursing Homes Medicaid 52

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. Certification. Accreditation.

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Medicaid Medicaid Medicare Medicare 97

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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Medicaid Medicaid Medicare Medicare 75

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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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 As individuals continue to live longer beyond retirement and the U.S.

Nursing Homes 52

Nursing Homes Medicaid Medicaid Medicare 52

Hall Render

APRIL 11, 2022

Last week, CMS proposed increases in Medicare rates for certain health care services, and Florida’s governor signed legislation that ensures patients of hospitals and health care facilities are allowed to have visitors. The nursing home industry can’t seem to catch a break. per RACmonitor. Real Estate Index Up 19.6%

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Medicare Medicare Nursing Homes Nurses 40

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

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HIT Consultant

FEBRUARY 23, 2024

This agreement builds on the successful results of the Value-Based Agreements Bridges and Highmark entered in January 2022 for Highmark’s Medicare Advantage members and the January 2020 Agreement for the Highmark Wholecare membership. News and World Report’s High Performing Hospitals and Best Regional Hospitals, among others.

Nursing Homes 52

Nursing Homes Licensing Hospitals Nurses 52

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: (..)

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Nursing Homes Nurses Hospitals Medicaid 40

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.

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COVID-19 Fraud Telemedicine Medicaid 52

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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COVID-19 Hospitals Medicaid Medicaid 40

Hall Render

JANUARY 24, 2022

We have included a summary of a number of the Year in Review articles, along with several stories on the skilled nursing industry. The American Hospital Association is asking Congress to add $25B to the provider relief fund to help hospitals respond to recent COVID-19 surges per Becker’s Healthcare.

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Nursing Homes Nurses COVID-19 Hospitals 40

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 Managed care now covers more than half of Medicare enrollees and over 80% of Medicaid enrollees.

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Fraud Medicaid Medicaid Medicare 52

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).

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COVID-19 Vaccine COVID-19 Nursing Homes Nurses 52

HIT Consultant

NOVEMBER 16, 2022

Even with a shift to providing higher-intensity care in people’s homes, the demand for nursing facility-level care is slated to double. Meanwhile, there are significant workforce challenges that prohibit nursing home patients from getting the medical care they need. Fortunately, telehealth can help fill these gaps.

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Nurses Telemedicine Patient Satisfaction Medicare 52

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.

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COVID-19 Vaccine COVID-19 Nursing Homes Medicaid 52

Hall Render

JUNE 10, 2022

Lawmakers introduce bill criminalizing violence, threats against hospital employees. Most hospitals failing price transparency rule. Nurses lobby for ‘RaDonda’s Law’ Physician compensation now above pre-pandemic levels. Shooting at Tulsa hospital exposes vulnerability of health care facilities.

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COVID-19 Nursing Homes Nurses Hospitals 40

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.

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Licensing Telemedicine Hospitals Nursing Homes 160

Med Law Blog

MAY 1, 2023

Similar issues were raised with respect to the private equity acquisition of Hahnemann Hospital. In the article entitled “The Death of Hahnemann Hospital” published in the New Yorker magazine in May 2021. Christopher’s Hospital, to American Academic Health System, which then closed Hahnemann Hospital in June of 2019.

Nursing Homes 52

Nursing Homes Malpractice Hospitals Nurses 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.

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Telemedicine COVID-19 Nurses Nursing Homes 133

Healthcare IT News - Telehealth

APRIL 30, 2019

The skilled nursing sector has undergone a major transition over the past ten years. Because of shifting demographics and the challenges they place on hospitals, skilled nursing facilities are receiving patients who are struggling with more significant health concerns than in the past. MARKETPLACE.

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Telemedicine Nurses Nursing Homes Hospitals 153

Hall Render

JUNE 30, 2023

for physician referral scheme In Los Angeles, hospital CEO pay could be capped Kaiser Permanente ratings affirmed amid healthy financial profile Nurses vote ‘no confidence’ in California hospital administration, board Nursing facility, management company settle physician kickback allegations for $3.8M

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes Nurses Hospitals 40

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.

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Department of Veterans Affairs Nursing Homes Health Outcomes Hospitals 114

Pharmacy Law Blog

FEBRUARY 13, 2018

On November 22, 2017, a Florida woman who was accused of a $45 million Medicare fraud, received a six-and-a-half-year prison sentence, following a 2016 U.S. Prior to her guilty plea, she was accused of Medicare fraud and Anti-Kickback Statute violations allegedly through paying patients. By George F. Indest III, J.D.,

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Fraud Medicare Medicare Governance 40

Hall Render

JULY 28, 2023

million for rural hospital expansion Hospices in Arizona & other states receive scrutiny over concerns of fraud, waste & abuse Phoenix Children’s Building New 44,000-Square Foot Level IV Neonatal Intensive Care Unit Firefighters oppose Banner’s planned $400M hospital There’s a growing nurse shortage in Arizona.

US Department of Health and Human Services 40

US Department of Health and Human Services Nurses Nursing Homes Hospitals 40

Hall Render

APRIL 22, 2022

3 hacker gangs targeting hospitals. GAO investigating private equity ownership of nursing homes. Hospitals to receive a proposed 3.2% This nursing home chain reported the highest COVID death rate. Mask mandate ruling was ‘irresponsibly abrupt,’ hospital exec says. HHS is giving $226.5

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COVID-19 Nursing Homes US Department of Health and Human Services Nurses 40

Hall Render

NOVEMBER 4, 2022

AMA scrutinizes lack of competition, consumer harms in Medicare Advantage plans. CMS gives nursing homes a longer leash on staff COVID-19 vaccination requirements. CMS makes big changes to Medicare Shared Savings Program. Rural hospitals plan to reject Congress’ program. CMS bumps ASC payments to 3.8

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US Department of Health and Human Services COVID-19 Nurses Nursing Homes 40