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. According to a Department of Health and Human Services report, on November 12, 2021, police found Resident #1 wandering along the side of the road with a walker.

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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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Healthcare Law Blog

DECEMBER 7, 2022

In addition, the Semiannual Report included a summary chart of OIG reports issued, expected recoveries, and criminal and civil actions, which is copied below in comparison to the same numbers from the parallel period in 2021: [2]. 2] See Semiannual Report to Congress—April 1, 2021, Through September 30, 2021 (hhs.gov). [3]

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Healthcare IT News - Telehealth

MARCH 29, 2022

With a shortage of physicians to address the growing need for care, a lack of providers who accept Medicaid, and access issues due to transportation or office hour challenges, healthcare organizations are looking to technology to help bridge the gap. Addressing the increasing need for behavioral health services is a nationwide challenge.

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Hall Render

JANUARY 11, 2022

Facing further confusion from skilled nursing facilities and families amidst the current spike in COVID cases in the United States, the Centers for Medicare & Medicaid Services (“CMS”) released additional best practices and addressed more issues that skilled nursing providers should follow as they encounter certain visitation scenarios.

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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. COVID Staff Vaccine.

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Healthcare Compliance Blog

MAY 11, 2022

The South Carolina Attorney General announced that his office’s Medicaid Fraud Control Unit (SCMFCU) had arrested a 57-year-old woman on two counts of Exploitation of a Vulnerable Adult and two counts of Breach of Trust with Fraudulent Intent, value of $10,000 or more.

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Health Law Attorney

JANUARY 13, 2022

In June 2021, the Occupational Safety and Health Administration (“ OSHA ”) issued an Emergency Temporary Standard (“ ETS ”) that would require, amongst other things, employers with 100 or more employees to adopt a mandatory COVID-19 vaccination policy. OSHA’s mandatory vaccination policy would affect approximately 84 million employees.

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Provider Trust

AUGUST 9, 2023

Through collaborative efforts with partners such as the Department of Justice (DOJ), Medicaid Fraud Control Units (MFCUs), and various federal, state, and local law enforcement agencies, the OIG employs a comprehensive and data-driven approach to detect, investigate, and prosecute instances of fraud.

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Nursing Homes COVID-19 Fraud Medicaid 52

Healthcare Law Blog

NOVEMBER 2, 2023

According to the Congressional Research Service, which analyzed data from the Centers for Medicare & Medicaid Services (“CMS”) National Health Expenditure Accounts (“NHEA”) on the personal health expenditures for LTSS by payer, in 2021, an estimated $467.4 of all LTSS spending nationwide in 2021. [4] This represents 13.2%

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Healthcare Law Blog

DECEMBER 19, 2022

In 2021, COVID-19 immunization rates among nursing home staff quickly rose due to federal vaccine mandates for healthcare workers and long-term care facilities participating in the Federal Pharmacy Partnership for Long-Term Care Program. iv] (DHHS – HC Staff Vaccination Requirement) – 2021-23831.pdf vi] [link].

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HIPAA & Health IT

MAY 19, 2023

This 99% figure is a twenty-five percent increase from 2021 (74%), in the middle of the public health emergency (PHE), and a thirty-nine percent increase from 2019 (60%), before the PHE had even begun.

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Nursing Homes Nurses Public Health Medicaid 52

HIPAA & Health IT

MAY 19, 2023

This 99% figure is a twenty-five percent increase from 2021 (74%), in the middle of the public health emergency (PHE), and a thirty-nine percent increase from 2019 (60%), before the PHE had even begun.

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Med Law Blog

MAY 1, 2023

In the article entitled “The Death of Hahnemann Hospital” published in the New Yorker magazine in May 2021. In February of 2021, the National Bureau of Economic Research published a paper by Atul Gupta, Sabrina T. Similar issues were raised with respect to the private equity acquisition of Hahnemann Hospital.

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Hall Render

JUNE 10, 2022

As skilled nursing ‘teeters,’ leaders look to DC for help on pay rule and more. CMS updates Medicaid eligibility standards. Report: Mesa nursing home fined $500 after negligence leads to resident’s death. System on the brink of collapse’: CT nursing home workers join national campaign for better wages, conditions.

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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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MedTrainer

NOVEMBER 28, 2023

The New Jersey Hospital Association (NJHA) is a key non-profit organization that supports and advocates for nearly 400 healthcare entities in New Jersey, including hospitals and nursing homes, focusing on quality, affordable healthcare. This process includes multiple agreements, a letter of intent, and a statement of collaboration.

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Health Care Law Brief

OCTOBER 27, 2021

At present, CMS requires that providers, including hospitals, develop emergency preparedness protocols, including policies, procedures, and communication plans, as a condition of participation in Medicare and Medicaid. Eventually, retired providers were called on to assist with unprecedented staffing shortages in late 2020 and 2021.

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Hall Render

JANUARY 6, 2022

Nursing homes face possible citations, civil monetary penalties, denial of payments and—as a final measure—termination of participation from the Medicare and Medicaid programs by the Centers for Medicare & Medicaid Services (“CMS”) as they embark on complying with the new CMS COVID-19 vaccine requirements for their staff.

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YouCompli

JANUARY 4, 2022

Unger, Chief of Medicaid Fraud Division, Office of the Massachusetts Attorney General; and Patrick Callahan, Healthcare Fraud Unit, US Attorney’s Office. Unger and Callahan addressed the Massachusetts Health and Hospital Association’s Healthcare Legal Compliance Forum in December 2021. Read a summary. Culture is key,” she said.

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Hall Render

MAY 20, 2022

HHS Announces $15M in Funding For Behavioral Healthcare In Nursing Homes. State Actions to Address Nursing Home Staffing During COVID-19. UAMS Study Found Large Segment of Arkansans Still Susceptible to COVID-19 in Late 2020, 2021. Shortage of in-home healthcare workers sparks creative solution. CALIFORNIA.

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Hall Render

MAY 13, 2022

UChicago Medicine invests $607 million in community benefits for South Side and Southland regions in fiscal 2021. Nursing Home Operator Leaving 8 Locations. COVID outbreaks strike 8 nursing homes as cases rise across Maine. 11% of state’s nursing homes facing closure, survey finds. NEW JERSEY.

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Hall Render

JULY 12, 2023

Selection Approach In establishing the proposed SFP, CMS examined the Special Focus Facility program for nursing homes and its methodology for facility selection. CMS’ goal is to select SFP hospices starting in 2024.

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Hall Render

FEBRUARY 18, 2022

Aspen University investigation: Students vent frustration amid nursing board probe into private college. ‘I feel extorted:’ Former FMC nurses told to pay $5K after being fired for refusing vaccine. Nursing homes say they’re being price gouged by direct care staffing agencies. Million in Covid Relief.

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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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Hall Render

FEBRUARY 25, 2022

40% of Nursing Home Residents Haven’t Received COVID-19 Boosters, Analysis Finds. No COVID-19 boosters for 70% of nursing home staffs, AARP says. Contract Nurse Agencies Are Making Big Money in the Age of COVID-19. Nursing homes dealing with price gouging from staffing agencies. CALIFORNIA.

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Med-Net Compliance

NOVEMBER 1, 2022

South Carolina Attorney General Alan Wilson announced that his office’s Medicaid Fraud Control Unit (SCMFCU) arrested a 37-year-old woman for allegedly practicing medicine as a registered nurse without a license at seven nursing and assisted living facilities in Anderson, Greenville, and Pickens counties.

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Hall Render

APRIL 29, 2022

About 20K nursing home staff now have vaccine medical exemptions. More than 400 nursing home closures projected for 2022: report. Family nurse practitioners. Alabama Medicaid enrollment increases as pandemic requirement continues. Strikes averted at four Connecticut nursing homes but not in Windsor.

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Hall Render

MARCH 11, 2022

Providers happy nursing homes are among White House’s top priorities but disheartened at approach. OSHA conducting new wave of COVID-19 inspections among previously dinged hospitals, nursing facilities. Governor Ivey Awards Additional $80 Million to Hospitals and Nursing Homes. CALIFORNIA.

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Hall Render

MARCH 28, 2023

The end of the PHE has a significant impact on skilled nursing facilities (“SNFs”) as it ends the remaining regulatory blanket waivers, revisits resident Medicaid eligibility and changes many COVID regulations that were issued during the PHE. CMS ended several of the SNF blanket waivers in 2021 and 2022. COVID Vaccine Education.

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Hall Render

FEBRUARY 24, 2023

Dunleavy adds $9M to budget to address food stamp, Medicaid backlog New study provides snapshot of increase in maternal deaths in Alaska Mental Health Trust Grants $1.6M Dunleavy adds $9M to budget to address food stamp, Medicaid backlog New study provides snapshot of increase in maternal deaths in Alaska Mental Health Trust Grants $1.6M

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Hall Render

APRIL 22, 2022

GAO investigating private equity ownership of nursing homes. Supreme Court tosses Medicaid work requirement cases. This nursing home chain reported the highest COVID death rate. San Francisco’s Laguna Honda Hospital Loses Medicaid, Medicare Funding. Nursing Home Will Settle COVID-19 Death Suit.

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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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Hall Render

JUNE 21, 2024

Medicare fraud scheme OSF HealthCare, Illinois State Collaborate on SDOH Research Second lawsuit filed in deadly fall at UChicago Hospital construction site State fines four nursing homes in west central Illinois Waukegan hospital facing lawsuit over handling of asbestos in demolition project Who’s pursuing ASCs in 2024?

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Hall Render

MARCH 31, 2023

s Socially Determined aims to address potential gaps in Medicaid enrollment Lawsuits Mount Against DC Health Link Over Breach of Congress Members’ Data DC COVID-19 centers closing Friday Mayor Bowser Canceling $90 Million in Medical Debt for up to 90,000 DC Residents DELAWARE ChristianaCare CEO Dr.

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Hall Render

AUGUST 19, 2022

Nursing homes and long-term care facilities face increased turnover, look to new solution to attract workers. Rat infestation closes Veteran Affairs nursing home in Arizona. Deadline to Close Nursing Home Extended by 2 Months. Valley nursing home workers calling for increased pay and staffing.

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