Hall Render

JULY 27, 2023

In 2022, the Biden administration announced an initiative to increase the transparency of corporate and private equity ownership and operation of nursing homes. As part of this release, CMS identified groups of Medicare-certified nursing homes linked together by common owners and operators, referred to as “affiliated entities.”

Nursing Homes 40

Nursing Homes Nurses COVID-19 Vaccine Medicare 40

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

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.

Nursing Homes 105

Nursing Homes Medicare Medicare Nurses 105

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.

Nursing Homes 81

Nursing Homes Nurses Medicaid Medicaid 81

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

Medicare 98

Medicare Medicare Nursing Homes Medicaid 98

Fierce Healthcare

JANUARY 28, 2022

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

Nursing Homes 89

Nursing Homes Medicare Medicare Nurses 89

Kaiser Health News

MARCH 3, 2022

President Joe Biden’s top Medicare official suggested Wednesday that forthcoming rules to bolster nursing home staffing won’t be issued under a mechanism, known as interim final rules, that would allow regulations to take effect more or less immediately. 30, amounting to at least 23% of all U.S. ” .

Nursing Homes 84

Nursing Homes Nurses Medicare Medicare 84

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.

Nursing Homes 59

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

Healthcare Law Blog

AUGUST 22, 2022

The Biden Administration has expressed a deep concern about nursing home owners and related parties excessively profiting off of the residents they serve to the detriment of quality care. The Biden plan also focuses on the recent upsurge in private equity ownership of nursing homes. Indeed, the U.S.

Nursing Homes 52

Nursing Homes Nurses Medicare Medicare 52

Hall Render

AUGUST 21, 2023

Nursing homes are critical in providing residents with care, comfort and dignity. Nursing homes need to navigate this delicate terrain with care, sensitivity and a commitment to creating a safe and respectful environment for all residents.

Nursing Homes 40

Nursing Homes Nurses Medicaid Medicaid 40

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.

Nursing Homes 52

Nursing Homes Nurses Medicaid Medicaid 52

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.,

Nursing Homes 52

Nursing Homes Nurses Medicaid Medicaid 52

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 213

Medicare Medicare Medicaid Medicaid 213

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 Nurses US Department of Health and Human Services Medicare 59

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

Nursing Homes 59

Nursing Homes Nurses Medicare Medicare 59

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.

COVID-19 348

COVID-19 Medicaid Medicaid COVID-19 Vaccine 348

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.

Nursing Homes 59

Nursing Homes Nurses COVID-19 Medicaid 59

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.

Nursing Homes 59

Nursing Homes Nurses Overpayments Overpayment 59

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.

Nursing Homes 59

Nursing Homes COVID-19 Nurses Medicaid 59

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).

Nursing Homes 59

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

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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Nursing Homes Nurses Medicaid Medicaid 59

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.” Indest III, J.D.,

Nursing Homes 52

Nursing Homes Nurses Medicaid Medicaid 52

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.

Nurses 196

Nurses Nursing Homes Medicare Medicare 196

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.

Nursing Homes 59

Nursing Homes Nurses Medicaid Medicaid 59

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?

Nursing Homes 52

Nursing Homes Nurses Medicaid Medicaid 52

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.

Nursing Homes 52

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

Medicare 52

Medicare Medicare Nurses Nursing Homes 52

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.

Nursing Homes 59

Nursing Homes Nurses Medicaid Medicaid 59

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.

Nursing Homes 59

Nursing Homes Nurses Medicaid Medicaid 59

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).

Nursing Homes 59

Nursing Homes Nurses Medicaid Medicaid 59

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.

Nursing Homes 59

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

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.

Nursing Homes 52

Nursing Homes Nurses Medicare Medicare 52

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.

Nursing Homes 96

Nursing Homes Medicaid Medicaid Medicare 96

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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Nurses Nursing Homes Medicaid Medicaid 96

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.

Nursing Homes 45

Nursing Homes Nurses Medicaid Medicaid 45

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.

Nursing Homes 40

Nursing Homes Public Health Nurses COVID-19 40

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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Nursing Homes Nurses Medicare Medicare 40