Hall Render

MARCH 4, 2025

Nursing Facility ICPG, together with OIGs General Compliance Program Guidance (GCPG) issued in November 2023, serve as OIGs updated and centralized source of voluntary compliance program guidance for nursing facilities. Nationally, violations under this regulation were cited 36 times in 2024 and 27 times in 2023.

Compliance 52

Compliance Nursing Homes Nurses Medicare 52

C&M Health Law

AUGUST 3, 2023

Under the final rule, enforcement of the information blocking penalties will begin September 1, 2023. This means, OIG will not impose penalties on conduct occurring before September 1, 2023. Other than the information blocking penalties, the rest of the final rule’s provisions are effective August 2, 2023.

Fraud 52

Fraud HIPAA Governance Compliance 52

Hall Render

FEBRUARY 14, 2025

This regulation, authorized under Section 1866(j)(3)(A) of the Social Security Act (Act), is designed to strengthen Medicare program integrity and minimize fraud, waste and abuse. More recently, in July 2023 CMS began placing new hospices in Arizona, California, Nevada and Texas in a provisional period of enhanced oversight.

Medicare 52

Medicare Medicare Compliance Payment Systems 52

AIHC

NOVEMBER 29, 2023

In 1983 Medicare shifted to the inpatient Prospective Payment System (PPS) and DRGs (Diagnostic Related Groups) and only paying a limited number of days to the hospital regardless of the actual length of stay. Hospital reimbursement also changed. This article is written by members of the AIHC Volunteer Education Committee.

Medicare 59

Medicare Medicare Medicaid Medicaid 59

AIHC

NOVEMBER 29, 2023

In 1983 Medicare shifted to the inpatient Prospective Payment System (PPS) and DRGs (Diagnostic Related Groups) and only paying a limited number of days to the hospital regardless of the actual length of stay. Hospital reimbursement also changed. AIHC is a non-profit organization.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Hall Render

NOVEMBER 28, 2023

On November 1, 2023, the Centers for Medicare & Medicaid Services (“CMS”) posted a pre-publication copy of the Calendar Year (“CY”) 2024 Home Health Prospective Payment System Rate Update Final Rule (“2024 Final Rule”), which has since been filed in the Federal Register. 0.97110 1.0124 1.0012 0.9998 1.030 $2,038.13

Medicare 40

Medicare Medicare Payment Systems Medicaid 40

Hall Render

NOVEMBER 25, 2024

Nursing Facility ICPG, together with OIG’s General Compliance Program Guidance (“GCPG”) issued in November 2023, serve as OIG’s updated and centralized source of voluntary compliance program guidance for nursing facilities. It is intended only to assist nursing facilities in evaluating and mitigating their own particular risk areas.

Nurses 40

Nurses Compliance Compliance Officers Medicare 40