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Updated Compliance Program Guidance for Nursing Facilities

Compliancy Group

Nursing facilities should: Conduct Regular Reviews and Audits: Regular reviews and audits of billing and coding practices help ensure compliance with Medicare and Medicaid program rules and prevent overpayments or fraudulent claims.

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Posthospital SNF Care in Indiana Generally Met Medicare Level-of-Care Requirements

Healthcare Compliance Blog

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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Weekly Health Care Real Estate Briefing: Hospital Bond Issues Down 57% | CMS Increases Payments to SNFs | New Podcast on Timeshare Arrangements | MN Hospital Deploys 24 Robots

Hall Render

In its latest capital markets update, H2C noted that July nonprofit hospital bond issuance was down 57% year-over-year and down 52% year-to-date (compared to January through June 2022). Essentia Health (Duluth, MN) held a ribbon-cutting ceremony to celebrate the opening of its $900 million replacement hospital in Duluth.

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OIG Issues Highly Anticipated Industry Segment-Specific Compliance Program Guidance for Nursing Facilities

Hall Render

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. On November 20, 2024, the Office of Inspector General (“OIG”) for the U.S.

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Health Provider News

Hall Render

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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Health Provider News

Hall Render

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.’

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Health Provider News – October 7, 2022

Hall Render

After court ruling for AHA in 340B case, HHS says it will start adjusting payment rates for certain 340B hospitals within approximately two weeks. Congress gives rural hospitals a reprieve, for now. Hospital leaders meet at White House to talk ‘twindemic’ strategies. Is the doctor’s office heading for extinction?