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 Nurses 96

Med-Net Compliance

OCTOBER 13, 2022

The evidence at the trial showed that the CNA performed an improper, one-person lift of a nursing home resident which resulted in severe and painful injuries to the resident. The CNA is being held in custody until the date of her sentencing hearing on November 29, 2022. “[The

Nursing Homes 59

Nursing Homes Nurses Fraud Medicaid 59

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 Licensing Medicaid 59

Health Law RX

SEPTEMBER 16, 2022

AHCA is sending out postcards to existing Florida Medicaid providers (Providers) alerting them to upcoming changes in the Florida Medicaid program. We have summarized below the most salient points: First Deadline – October 1, 2022. Providers are urged to sign into their account on the Florida Medicaid portal immediately.

Medicaid 52

Medicaid Medicaid Nursing Homes Nurses 52

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

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 Compliance Blog

JANUARY 24, 2022

On January 19, 2022, the Massachusetts Medicaid Fraud Division announced that in calendar year 2021, more than $55 million was recovered from individuals and entities who defrauded the state. The Attorney General’s Medicaid Fraud Division investigates and prosecutes providers who defraud the state Medicaid program, MassHealth.

Fraud 59

Fraud Medicaid Medicaid Nursing Homes 59

The Health Law Firm Blog

OCTOBER 5, 2023

Board Certified by The Florida Bar in Health Law On June 15, 2022, the U.S. 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.,

Nursing Homes 52

Nursing Homes Nurses Licensing Medicare 52

The Health Law Firm Blog

JULY 11, 2022

Board Certified by The Florida Bar in Health Law On June 15, 2022, the U.S. 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.,

Nursing Homes 52

Nursing Homes Nurses Licensing Medicare 52

Healthcare Law Blog

DECEMBER 7, 2022

On December 5, 2022, the Department of Health and Human Services (“ HHS ”), Office of Inspector General (“ OIG ”), released their Semiannual Report to Congress for the period beginning on April 1, 2022, and ending on September 30, 2022 (the “ Semiannual Report ”). [1]. million $1.19 billion Questioned Costs $1.17 billion $2.17

Nursing Homes 52

Nursing Homes Nurses US Department of Health and Human Services COVID-19 52

Hall Render

NOVEMBER 6, 2024

The COVID data reporting through the National Healthcare Safety Network (“NHSN”) was first required of nursing homes in May 2020 through an interim final rule. CMS took regulatory action through the Calendar Year 2022 Home Health Prospective Payment System rule to extend those requirements through December 31, 2024.

Nursing Homes 40

Nursing Homes Nurses Medicaid Medicaid 40

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. Areas with Significant Updates. Phase 3 Elements. Compliance and ethics.

Nursing Homes 40

Nursing Homes Nurses Compliance Licensing 40

Healthcare IT News - Telehealth

APRIL 13, 2023

They are asking providers to identify cancer patients and families who may qualify as ACP program enrollees, which includes households with Medicaid recipients and other federal subsidy programs, to provide them with the information they need to connect their patients with the Gilda's Club team supporting ACP enrollment.

Nursing Homes 161

Nursing Homes Medicaid Medicaid Public Health 161

Healthcare Law Blog

DECEMBER 1, 2023

The Department of Health and Human Services (HHS) and the Department of Justice (DOJ) recently released its “Health Care Fraud and Abuse Control Program Annual Report for Fiscal Year 2022 ” (the “Report”), highlighting continued enforcement and recovery actions under the Health Care Fraud and Abuse Control Program (HCFAC).

COVID-19 52

COVID-19 Fraud Telemedicine Medicaid 52

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 In the CY 2022 Rule, CMS set December 31, 2024, as a termination date for most COVID SNF notification requirements.

Nursing Homes 40

Nursing Homes Public Health Nurses COVID-19 40

Hanys

APRIL 15, 2022

New York's 2022-2023 budget includes $1.6 billion in capital funding; additional Medicaid support for financially distressed hospitals, nursing homes and other healthcare providers; telehealth payment parity; revisions to the Medicaid global cap; and supportive funding in several areas to bolster the healthcare worker pipeline.

Nursing Homes 52

Nursing Homes Medicaid Medicaid Nurses 52

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.

Nurses 73

Nurses Nursing Homes Medicaid Medicaid 73

Hall Render

FEBRUARY 27, 2023

billion in False Claims Act (“FCA”) related settlements and judgments in the federal fiscal year 2022. Whistleblowers continue to be one of the federal government’s greatest assets in FCA cases, as whistleblowers filed 652 qui tam suits in 2022 with recovery totaling $1.9 Health Care Fraud Actions Medicaid. Standard of Care.

Nursing Homes 40

Nursing Homes Fraud Medicaid Medicaid 40

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 Concerned About Quality of Nursing Homes. Retrieved from: [link].

US Department of Health and Human Services 52

US Department of Health and Human Services COVID-19 Nursing Homes Medicare 52

Healthcare Compliance Blog

MAY 18, 2022

The program is funded by the Centers for Medicare & Medicaid Services (CMS), and will establish a Center of Excellence for Building Capacity in Nursing Facilities to Care for Residents with Behavioral Health Conditions (Center for Excellence).

Nursing Homes 59

Nursing Homes Nurses Medicaid Medicaid 59

Provider Trust

AUGUST 9, 2023

The Department of Health and Human Services (HHS) Office of Inspector General (OIG) has released its latest 2023 Spring Semiannual Report to Congress, providing a comprehensive overview of its activities from October 2022 to March 2023. Residents First: Nursing homes should ensure they are promoting high-quality care for their residents.

Nursing Homes 52

Nursing Homes COVID-19 Fraud Medicaid 52

Healthcare Law Today

DECEMBER 8, 2022

On November 28, 2022, the Centers for Medicare & Medicaid Services (CMS) Center for Clinical Standards and Quality issued a memorandum to State Survey Agency Directors stating that hospitals risk Condition of Participation (CoP) violations for failure to adequately respond to and prevent incidents of workplace violence.

Hospitals 111

Hospitals Nurses Nursing Homes Medicaid 111

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. Police ID suspect in attack on doctor, nurses at Southern California hospital. BCH welcomes Bennett as new CEO.

COVID-19 40

COVID-19 Nursing Homes Nurses Hospitals 40

Med-Net Compliance

OCTOBER 25, 2022

On October 21, 2022, the Centers for Medicare & Medicaid Services (CMS) published revisions to the Special Focus Facility (SFF) program , effective immediately. Both of these scenarios place nursing home residents’ health and safety at risk. All appropriate staff are to be advised of the revisions within 30 days.

Nursing Homes 59

Nursing Homes Medicaid Medicaid Medicare 59

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 Concerned About Quality of Nursing Homes. Retrieved from: [link].

US Department of Health and Human Services 52

US Department of Health and Human Services COVID-19 Nursing Homes Medicare 52

Med-Net Compliance

OCTOBER 3, 2022

On September 23, 2022, the Centers for Medicare & Medicaid Services (CMS) released revised guidance for the August 25, 2020, interim final rule that established long-term care (LTC) facility testing requirements for staff and residents.

COVID-19 59

COVID-19 Nursing Homes Nurses Medicaid 59

Hall Render

JANUARY 18, 2022

Amidst a nationwide nursing and skilled nursing facility staffing crisis, the Centers for Medicare & Medicaid Services (“CMS”) announced that additional information regarding nursing home staff numbers will be added to the January 2022 CMS Care Compare website. Weekend Staff.

Nurses 40

Nurses Nursing Homes Compliance Licensing 40

Hall Render

MAY 13, 2022

Alaska needs to train more nurses, but it doesn’t have enough nursing faculty to meet demand. Arizona Hospital Safety Grades 2022: The Best And Worst. training initiative for nurses, caregivers who work in long-term care facilities. California Hospital Safety Grades 2022: The Best And Worst. Ducey announces $6.5M

COVID-19 40

COVID-19 Nurses Nursing Homes Hospitals 40

Healthcare Law Blog

JULY 5, 2022

On June 29, 2022, the Centers for Medicare and Medicaid Services (CMS) announced it issued significant changes to surveyor guidance for Long Term Care (LTC) facility health, quality and safety standards. [1] 1] Fact Sheet: Updated Guidance for Nursing Home Resident Health and Safety | CMS. [2]

Nursing Homes 52

Nursing Homes Nurses COVID-19 Medicaid 52

MedTrainer

AUGUST 1, 2022

Medicare and Medicaid services are the backbone for supporting elderly and disabled Americans. Established in 1976, the Office of Inspector General (OIG) was created to fight fraud and abuse in Medicare and Medicaid. The OIG has recently set its sights on one particular group — skilled nursing facilities.

Nurses 52

Nurses Medicare Medicare Nursing Homes 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 billion was spent on LTSS. This represents 13.2% of LTSS spending. [5]

Nursing Homes 52

Nursing Homes Medicaid Medicaid Medicare 52

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. v] Fact Sheet: COVID-19 Test to Treat (March 29, 2022) (hhs.gov). [vi] vi] [link].

COVID-19 Vaccine 52

COVID-19 Vaccine COVID-19 Nursing Homes Nurses 52

New Jersey Healthcare Blog

NOVEMBER 8, 2022

In October 2022, Centers for Medicare & Medicaid Services (CMS) made some significant changes to the Special Focus Facility (SFF) program that raise the bar for completion of the program and that increases enforcement actions for nursing homes that fail to demonstrate improvement.

Nursing Homes 40

Nursing Homes Nurses Medicaid Medicaid 40

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. California aims to tighten licensing of nursing homes after pandemic exposes deadly lapses. Shortage of in-home healthcare workers sparks creative solution.

COVID-19 40

COVID-19 Nursing Homes Nurses Hospitals 40

Hall Render

DECEMBER 6, 2024

A study by Oregon Health & Science University found increased housing and food insecurity among Medicaid and Medicare recipients during the COVID-19 pandemic, which also correlated with poorer health outcomes. Oregon’s Medicaid program now provides rental and utility assistance to beneficiaries. per year.

Hospitals 40

Hospitals Nursing Homes COVID-19 Vaccine COVID-19 40

Provider Trust

JANUARY 25, 2024

Ensuring the Financial Integrity of HHS Programs In fiscal year (FY) 2022, improper payments within healthcare programs like Medicare, Medicaid, and Children’s Health Insurance Program (CHIP) were estimated at a staggering $131.6 With Medicaid, the challenges are equally formidable.

Fraud 52

Fraud Medicaid Medicaid Medicare 52

Med Law Blog

MAY 1, 2023

Howell, Constantine Yannelis and Abhinav Gupta positing that their research shows that “PE ownership increases short term mortality of Medicare patients by 10%, in nursing homes”. Therefore, it is obvious that the healthcare sector will provide massive investment opportunities.

Nursing Homes 52

Nursing Homes Malpractice Hospitals Nurses 52