Healthcare Law Blog

FEBRUARY 27, 2023

On February 15, 2023, the Centers for Medicare and Medicaid Services (CMS) published a proposed rule that would require nursing homes enrolled in Medicare and Medicaid to disclose new information about their ownership and management structures. Finally, CMS proposed a number of other definitions (e.g.,

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C&M Health Law

MAY 11, 2022

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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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.

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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.

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Med-Net Compliance

AUGUST 3, 2022

A Pennsylvania nursing home will pay $819,640 to settle claims that it provided medically unnecessary rehabilitation therapy to residents to maximize revenue, and without prioritizing clinical needs. overbilled federal healthcare programs such as Medicare for therapy services provided; (b)?billed

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Bill of Health

SEPTEMBER 9, 2022

patchwork ” system of incarceration, ultimately fall far short of the extensive regulatory framework governing Medicare/Medicaid, which shapes health care for over 83 million people in the U.S. But the Centers for Medicare and Medicaid Services (CMS) do much more than simply administer financial payments for services.

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Med-Net Compliance

NOVEMBER 8, 2022

On November 3, 2022, the OIG released the results of a recent inspection of a nursing home by the Texas Health and Human Services (HHS) Office of Inspector General Audit and Inspections Division (OIG Inspections).

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Med-Net Compliance

OCTOBER 4, 2022

On September 23, 2022, the Centers for Medicare & Medicaid Services (CMS) issued revised COVID-19 nursing home visitation guidance. Nursing homes should use the community transmission level metric, not the community level metric. The revision provides updated guidance for face coverings and masks during visits.

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Med-Net Compliance

AUGUST 4, 2022

The Office of Inspector General (OIG) conducted an audit and found that selected nursing homes may not have complied with federal requirements for infection prevention and control and emergency preparedness. Specifically, 28 of 39 nursing homes they audited had possible deficiencies.

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Healthcare Compliance Blog

MARCH 16, 2022

In a March 11, 2022, release by the Northern District of Georgia’s Office of the Department of Justice, it was reported that an investigation determined a Georgia nursing home knowingly submitted claims for unreasonable, unnecessary, and unskilled services for Medicare patients. Attorney Kurt R.

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Med-Net Compliance

SEPTEMBER 22, 2022

They identified that 6,622 nursing homes had been cited for infection prevention and control program deficiencies as of February 26, 2020, and Medicare.gov indicated that 24 nursing homes were part of a nursing home chain. The OIG’s audit found that 23 of the 24 nursing homes had possible deficiencies.

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Healthcare IT News - Telehealth

MARCH 12, 2020

Adrian Smith, R-Nebraska, and Ann Kuster, D-New Hampshire – would allow Medicare to enter into voluntary, value-based arrangements with medical groups to provide acute care to patients in skilled nursing facilities using a combination of telehealth and on-site staff. The RUSH Act – introduced in companion bills from Sens.

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The Health Law Firm

JULY 28, 2022

., Board Certified by The Florida Bar in Health Law On June 15, 2022, the US Department of Justice (DOJ) announced it has sued three nursing homes in Ohio and Pennsylvania, citing their “grossly substandard skilled nursing services.”

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Med-Net Compliance

AUGUST 1, 2022

The Centers for Medicare & Medicaid Services launched its enhanced Nursing Home Five-Star Quality Rating System which integrates data nursing homes report on their weekend staffing rates for nurses and information on annual turnover among nurses and administrators. Ratings are updated quarterly.

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Healthcare Law Blog

DECEMBER 7, 2022

Leveraging Oversight to Better Protect Nursing Homes – In the introduction to this Semiannual Report, Grimm indicated that “providing quality and safety of care in the more than 15,000 Medicare- and Medicaid-certified nursing homes nationwide” is a “top priority” moving forward.

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HIT Consultant

APRIL 22, 2022

To make it easier for families and caregivers to evaluate the quality of nursing homes, the Center for Medicare & Medicaid Services (CMS) regularly publishes data on its “ Care Compare ” website. Last month, CMS added additional metrics to how it scores the quality of nursing homes. Staff Turnover. Why is this?

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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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Hall Render

MAY 2, 2023

For this alert, “nursing homes” refers to skilled nursing facilities (often known as “SNFs”). In 2020, CMS revised the nursing home infection control regulations at 42 CFR § 483.80 Additionally, this information is now publicly available on CMS’s COVID Nursing Home Data Website.

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Healthcare Compliance Blog

MAY 25, 2022

The Department of Health and Human Services (HHS) Office of Inspector General (OIG) has excluded a Louisiana man from participation in federal healthcare programs due to his ownership interest in seven Louisiana nursing homes that OIG previously excluded. As a result, OIG has excluded the nursing homes and their owner.

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Healthcare Compliance Blog

JUNE 8, 2022

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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Med-Net Compliance

OCTOBER 26, 2022

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. Audit resident care plans to ensure they are regularly followed and updated as needed.

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Healthcare Compliance Blog

JANUARY 18, 2022

On January 7, 2022, the Centers for Medicare & Medicaid Services (CMS) published a memorandum stating that nursing home staff turnover and weekend staffing will be posted on the Medicare.gov Care Compare public website. The QSO memorandum can be accessed at: QSO-22-08-NH (cms.gov).

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Healthcare Law Blog

OCTOBER 27, 2022

On October 21, 2022, the Centers for Medicare and Medicaid Services (CMS) announced changes to its Special Focus Facility (SFF) program, including new steps to address nursing home facilities that fail to graduate from the SFF program in a timely manner, or “yo-yo” back into non-compliance after graduating from the SFF program.

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Healthcare Compliance Blog

FEBRUARY 8, 2022

The United States has filed a lawsuit against an Alabama psychiatrist for improper prescribing of Nuedexta to nursing home residents. The complaint alleges that an Alabama psychiatrist caused the submission to Medicare and Medicaid of false and fraudulent claims for the prescription drug Nuedexta.

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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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Healthcare Compliance Blog

MARCH 3, 2022

On February 28, 2022, President Biden announced a set of reforms designed to improve the safety and quality of nursing home care, hold nursing homes accountable for the care that they provide, and make the quality of care and facility ownership more transparent.

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Hall Render

MARCH 8, 2022

million people live in over 15,500 Medicare and Medicaid-certified nursing homes. Establish a Minimum Nursing Home Staffing Requirement. CMS plans to propose minimum standards for staffing adequacy that nursing homes must meet. Provide Technical Assistance to Nursing Homes to Help them Improve.

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C&M Health Law

AUGUST 10, 2022

On July 29, 2022, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that updates Medicare payment policies and rates for skilled nursing facilities (SNFs) and enacts changes to the SNF Quality Reporting Program and the SNF Value-Based Purchasing Program beginning in FY 2023. Staffing Levels.

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The Health Law Firm Blog

JULY 11, 2022

Department of Justice (DOJ) announced it has sued three nursing homes in Ohio and Pennsylvania, citing their “grossly substandard skilled nursing services.” By George F. Indest III, J.D., Board Certified by The Florida Bar in Health Law On June 15, 2022, the U.S.

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Hall Render

JUNE 30, 2022

The Centers for Medicare & Medicaid Services (“CMS”) has given surveyors new rules and updates to allow surveyors to add extra attention and increase oversight in nursing homes regarding the quality of care and quality of life for residents.

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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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Hall Render

FEBRUARY 21, 2023

These proposed regulations follow through on the Biden Administration’s commitment made in the 2022 State of the Union to implement the ACA’s requirements regarding transparency in corporate ownership of nursing homes, including by collecting and publicly reporting more robust corporate ownership and operating data.

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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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The Health Law Firm

NOVEMBER 6, 2017

Board Certified by The Florida Bar in Health Law On October 12, 2017, federal health officials announced they are dropping a Florida nursing home from the Medicare program after 14 patients died allegedly as a result of the Hurricane Irma emergency. Indest III, J.D.,

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Healthcare It News

MARCH 4, 2022

Medicare spends nearly $60 billion on post-acute care annually. There is no way to succeed in value-based care without effectively coordinating with the tens of thousands of nursing homes, home health agencies and other post-acute providers. nursing home and assisted living community is facing a workforce crisis.

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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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American Medical Compliance

AUGUST 1, 2022

In Spring 2022’s Semiannual Report to Congress (SAR), the Department of Health and Human Services’ Office of Inspector General (HHS-OIG) reported that nearly $3 billion had been misspent on Medicare and Medicaid services. HHS Examines Medicare Spending and COVID-19 Tests. HHS Concerned About Quality of Nursing Homes.

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