The Health Law Firm Blog

MARCH 4, 2024

Board Certified by The Florida Bar in Health Law and Hartley Brooks, Law Clerk, The Health Law Firm On February 1, 2024, the District Court for the Southern District of Florida announced that Florida nursing home mogul Phillip Esformes had reached a plea deal on pending conspiracy [.] Indest III, J.D.,

Nursing Homes 52

Nursing Homes Nurses Fraud Medicare 52

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.

Nurses 52

Nurses Medicare Medicare Nursing Homes 52

Fierce Healthcare

NOVEMBER 23, 2021

Private-equity-acquired nursing homes have worse resident outcomes, higher Medicare costs, study finds. Tue, 11/23/2021 - 15:53.

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Nursing Homes Nurses Medicare Medicare 104

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

Medicare 93

Medicare Medicare Nursing Homes Medicaid 93

Bill of Health

OCTOBER 19, 2023

Advanced practice providers, such as Advanced Practice Nurses (APRNs) and Physician Assistants (PAs), are helping to fill that void. There are approximately 370,000 nurse practitioners that are licensed in the United States, and that number is growing. By Stephen Wood The number of physicians in the U.S. annually.

Nurses 274

Nurses Medicare Medicare Medicaid 274

HIT Consultant

AUGUST 6, 2023

Joel Landau, founder and chairman of The Allure Group Nursing homes have embraced technology, especially during the COVID-19 pandemic, to help seniors, staff, and clinicians better communicate with one another and for residents to stay in touch with loved ones. Nursing homes are evolving. percent of U.S.

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Nursing Homes Nurses Medicare Medicare 92

Fierce Healthcare

NOVEMBER 15, 2023

The Centers for Medicare & Medicaid Services (CMS) has finalized a rule that will require more transparency into nursing home ownership. | The Centers for Medicare & Medicaid Services has finalized a rule that will require more transparency into nursing home ownership.

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Nursing Homes Nurses Medicaid Medicaid 62

Healthcare IT News - Telehealth

MARCH 12, 2020

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.

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Nursing Homes Nurses Medicare Medicare 183

C&M Health Law

SEPTEMBER 11, 2023

Department of Health and Human Services, through the Centers for Medicare & Medicaid Services (“CMS”) issued a much anticipated and contested proposed rule that seeks to establish minimum staffing level requirements for nursing homes. hours of nursing staff per resident per day, or 3.0 HPRD from nurse aids (NAs). [2]

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Nursing Homes Nurses Medicaid Medicaid 98

Fierce Healthcare

JULY 31, 2023

In what the Centers for Medicare and Medicaid Services (CMS) today described as a “parity adjustment recalibration,” the agency said it will

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Nursing Homes Medicare Medicare Nurses 98

Fierce Healthcare

JANUARY 28, 2022

Medicare patients win the right to appeal gap in nursing home coverage. Fri, 01/28/2022 - 10:59.

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Nursing Homes Nurses Medicare Medicare 87

Healthcare IT News - Telehealth

NOVEMBER 8, 2021

National Nurses United and the California Nurses Association released a joint statement this past week criticizing Kaiser Permanente's aims to expand advanced hospital services into patients' homes. "Nurses, more than any other healthcare staff, spend the most time with patients," said the unions in the statement.

Nurses 180

Nurses Patient Satisfaction COVID-19 Hospitals 180

Modern Healthcare

FEBRUARY 13, 2023

The Centers for Medicare and Medicaid Services published a proposed rule that aims to promote transparency in the often opaque realm of nursing home ownership.

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Nursing Homes Nurses Medicaid Medicaid 81

The Health Law Firm Blog

JULY 26, 2023

Board Certified by The Florida Bar in Health Law Many healthcare professionals are unaware of the adverse long-term collateral effects of Medicare revocation or exclusion on their careers and future employment. However, if you are a physician, dentist, nurse, mental health counselor, psychologist, pharmacist, physician assistant, nurse [.]

Medicare 52

Medicare Medicare Nurses Overpayments 52

Hall Render

SEPTEMBER 22, 2023

In 2023, nursing homes have seen increased citations by surveyors for noncompliance tied to their pre-dispute, binding agreements for binding arbitration with their residents. The Arbitration Regulations revised the requirements for arbitration agreements when they are used by nursing homes to resolve disputes with their residents.

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Nursing Homes Nurses Compliance Medicaid 73

Healthcare IT News - Telehealth

JUNE 12, 2020

introduced new legislation this week that would provide for permanent Medicare payments for telehealth services at federally qualified health centers and rural health clinics. Butterfield, D-North Carolina, and Glenn Thompson, R-Pa., " WHY IT MATTERS.

Medicare 206

Medicare Medicare Nursing Homes Medicaid 206

The Health Law Firm Blog

JUNE 27, 2023

Board Certified by The Florida Bar in Health Law Many healthcare professionals are unaware of the adverse long-term collateral effects of Medicare revocation or exclusion on their careers and future employment. However, if you are a physician, dentist, nurse, mental health counselor, psychologist, pharmacist, physician assistant, nurse [.]

Medicare 52

Medicare Medicare Nurses Overpayments 52

The Health Law Firm Blog

JUNE 9, 2023

Board Certified by The Florida Bar in Health Law Many healthcare professionals are unaware of the adverse long-term collateral effects of Medicare revocation or exclusion on their careers and future employment. However, if you are a physician, dentist, nurse, mental health counselor, psychologist, pharmacist, physician assistant, nurse [.]

Medicare 52

Medicare Medicare Nurses Overpayments 52

The Health Law Firm Blog

MAY 17, 2023

Board Certified by The Florida Bar in Health Law Many healthcare professionals are unaware of the adverse long-term collateral effects of Medicare revocation or exclusion on their careers and future employment. However, if you are a physician, dentist, nurse, mental health counselor, psychologist, pharmacist, physician assistant, nurse [.]

Medicare 52

Medicare Medicare Nurses Overpayments 52

Electronic Health Reporter

JANUARY 17, 2019

The Patient Driven Payment Model (PDPM) is more than just a new name attached to Medicare payment reform. The shift from Resource Utilization Group (RUG) IV to PDPM moves the skilled nursing reimbursement model away from therapy provision as its main driver. Instead, payment will be determined […].

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Nurses Medicare Medicare 184

Medisys Compliance

OCTOBER 1, 2022

Navigating through the complex medicare guidelines can be a complex and overwhelming task, however, here is the good news, the entire process is merely about using the right CPT codes. However, one needs to be careful while billing as Medicare follows strict rules and regulations for time increments. The Concept of Medicare Coverage.

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Medicare Medicare Medical Billing Outsourcing Medical Billing 98

The Health Law Firm

AUGUST 22, 2023

Board Certified by The Florida Bar in Health Law Many healthcare professionals are unaware of the adverse long-term collateral effects of Medicare revocation or exclusion on their careers and future employment. Lasting Consequences of Medicare Revocation. Indest III, J.D.,

Medicare 52

Medicare Medicare Licensing Nurses 52

McBrayer Law Blog

OCTOBER 18, 2021

More > Tags: Centers for Medicare & Medicaid Services , Civil Penalties , CMS , Healthcare Providers , Long-Term Care , Long-Term Care Facilities , Medicare. For reference, the 2017 Guidance can be found here. The accompanying CMP Analytic Tool can be found here.)

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Nursing Homes Nurses Medicaid Medicaid 96

The Health Law Firm Blog

MARCH 25, 2024

Board Certified by The Florida Bar in Health Law and Hartley Brooks, Law Clerk, The Health Law Firm On November 2, 2023, the Centers for Medicare and Medicaid Services (CMS) issued a final rule that decreased overall payment rates for services provided under the Physician Fee Schedule [.] By George F. Indest III, J.D.,

Medicare 52

Medicare Medicare Medicaid Medicaid 52

HIPAA Journal

DECEMBER 26, 2022

Generally, HIPAA compliance for nurses is considered to mean adhering to policies and procedures developed by an organization’s HIPAA Privacy Officer and applying the best practices of security awareness training provided by an organization’s HIPAA Security Officer. The Primary Issue with HIPAA Training for Nurses.

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HIPAA Nurses Compliance FDA 57

Hall Render

SEPTEMBER 28, 2023

Department of Health and Human Services found that most skilled nursing facilities (“nursing homes”) in Georgia that it surveyed are not correctly complying with life safety requirements or emergency preparedness requirements. The Office of Inspector General (“OIG”) of the U.S. OIG found 155 deficiencies.

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Nursing Homes Nurses COVID-19 Medicaid 40

Healthcare Law Blog

MAY 22, 2023

With the Medicare Comprehensive Error Rate Testing program projected error rate for skilled nursing facilities (SNFs) showing a significant increase in 2022 (15.1%, up from 7.9%

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Hall Render

NOVEMBER 29, 2023

On November 2, 2023, the Centers for Medicare & Medicaid Services (“CMS”) issued the 2024 Medicare Physician Fee Schedule Final Rule (“Final Rule”) for calendar year (“CY”) 2024. Standards for benchmarking and data completeness for the Medicare CQM collection type will mirror the MIPS benchmarking and scoring policies.

Medicare 40

Medicare Medicare Nurses Payment Systems 40

Healthcare Law Blog

AUGUST 11, 2023

On July 13, 2023, the Centers for Medicare & Medicaid Services (“CMS”) issued its proposed rule (the “Proposed Rule”) for the 2024 Medicare Physician Fee Schedule (“PFS”). CMS projects that the Proposed Rule will lead to growth in the Medicare Shared Savings Program (“MSSP”).

Medicare 52

Medicare Medicare Nurses Medicaid 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.

Medicare 59

Medicare Medicare Overpayments Overpayment 59

Med-Net Compliance

OCTOBER 27, 2022

A federal jury convicted a licensed Illinois psychologist of defrauding Medicare over the course of several years by causing the submission of fraudulent claims for psychotherapy services he never provided. Issue: It is illegal to submit claims for payment to Medicare or Medicaid that you know or should know are false or fraudulent.

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Nursing Homes Fraud US Department of Health and Human Services Nurses 59

HIT Consultant

SEPTEMBER 2, 2021

What You Should Know: – The American Nurses Association (ANA) , representing the interests of the nation’s 4.2 million nurses, urges the U.S. Department of Health and Human Services (HHS) to declare the current and unsustainable nurse staffing shortage facing our country a national crisis. ”

Nurses 87

Nurses COVID-19 Vaccine COVID-19 Medicaid 87

HIT Consultant

JANUARY 18, 2023

– Reimbursable through Medicare and many commercial plans, Ornish Lifestyle Medicine by Sharecare is the first and only ICR program scientifically proven in randomized controlled trials to often reverse the progression of coronary heart disease and many other chronic conditions, without drugs or surgery.

Medicare 97

Medicare Medicare Nurses 97

Med-Net Compliance

AUGUST 18, 2022

An Indiana provider of skilled nursing and long-term care services has agreed to pay $5,591,044.66 to resolve allegations that it violated the False Claims Act by submitting false claims to the Medicare program. The complaint alleged that the provider had engaged in conduct to defraud the Medicare program. to the United States.

Nursing Homes 59

Nursing Homes US Department of Health and Human Services Nurses Medicare 59

HIT Consultant

NOVEMBER 16, 2022

Nursing facilities have evolved from rest homes to medical facilities over the last 20 years. Even with a shift to providing higher-intensity care in people’s homes, the demand for nursing facility-level care is slated to double. Seema Verma, former CMS Administrator. Fortunately, telehealth can help fill these gaps.

Nurses 52

Nurses Telemedicine Patient Satisfaction Medicare 52

Healthcare It News

APRIL 5, 2024

Based on its initial investigation, the following information may have been accessed by hackers: name, address, birth date, email, telephone number, marital status, Aboriginal status, Medicare number, referring doctor, and type of diabetes.

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COVID-19 Medicare Medicare Hospitals 245

Med-Net Compliance

AUGUST 16, 2022

Five individuals and two for-profit skilled nursing facilities (SNFs) in Pennsylvania were indicted on charges of conspiracy to defraud the United States and related healthcare fraud charges. Billing Medicare or Medicaid for services that were not provided is fraudulent activity that is often punishable by fines and imprisonment.

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Fraud Nurses Medicaid Medicaid 59