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New York Medicaid Providers Now Have Two Pathways to Self-Disclose Overpayments to the Office of the Medicaid Inspector General

Healthcare Law Blog

On August 21, 2023, the New York State Office of the Medicaid Inspector General (OMIG) announced updates to the Medicaid overpayment self-disclosure program, which now includes an abbreviated process for reporting and explaining overpayments that are considered routine or transactional in nature and have been already voided and adjusted.

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Georgia Nursing Home Settles to Resolve Allegations of False Claims for Therapy Services

Healthcare Compliance Blog

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. To avoid a “reverse false claim” (i.e.,

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Home health agencies make legal case against CMS' proposed cuts

Modern Healthcare

CMS could consider a policy more like the one it used to correct for overpayments to nursing homes, home health leaders said.

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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

CMS described the increase as a “parity adjustment recalibration,” noting that it had previously overestimated overpayments to nursing homes, which resulted in an unintended reduction in reimbursement in 2023. CMS issued a final rule that will increase payments to SNFs by 4%, or $1.4B, starting in 2024.

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Health Provider News

Hall Render

’ and highlights community partnerships in newly released Annual Report MARYLAND Baltimore jury awards $1.5M

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Health Provider News – August 26, 2022

Hall Render

CMS bulletin presses states on Medicaid nursing home spending. CMS informational bulletin urges steps for improving health outcomes in nursing homes. Tie nursing home Medicaid payments to care quality, CMS tells states. Northwest Health names new chief nursing officer for La Porte, Starke sites.