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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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Esformes Reaches Plea Deal in Major Nursing Home Medicare Fraud Scheme

The Health Law Firm Blog

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.,

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CMS issues final nursing home Medicare pay rule for 2024

Modern Healthcare

Skilled nursing faciltiies will receive a higher Medicare pay bump in fiscal 2024 than proposed by the Centers for Medicare and Medicaid Services in April.

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Houston Methodist nurses use software to boost completions of advance care plans

Healthcare It News

"Koda Health has a user-friendly tool that our nursing team could use, and patients could use in the comfort of their homes with the time needed to make thoughtful decisions with their families." "With limited staffing, we also wanted to use a tool that would be both efficient and effective," she continued.

Nurses 224
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Esformes Reaches Plea Deal in Major Nursing Home Medicare Fraud Scheme

The Health Law Firm Blog

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.,

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Buyer Beware: CMS Finalizes Ownership Disclosure Requirements for Medicare Skilled Nursing Facilities and Medicaid Nursing Facilities

Hall Render

Finalized Revisions to Form CMS-855A For SNFs, the aforementioned data would be reported by completing the Form CMS-855A Medicare enrollment application (“CMS-855A” or “Form”). For NFs, the data would be reported via means prescribed by the applicable state Medicaid agency.

Nurses 40
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OIG Investigates Medicare Payments From Skilled Nursing Facilities

MedTrainer

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