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CMS Proposes Minimum Staffing Requirements and Enhanced Facility Assessments for Nursing Homes

C&M Health Law

On September 1, 2023, the U.S. Department of Health and Human Services, through the Centers for Medicare & Medicaid Services (“CMS”) issued a much anticipated and contested proposed rule that seeks to establish minimum staffing level requirements for nursing homes. hours of nursing staff per resident per day, or 3.0

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Nursing Home Arbitration Agreements: Recent Trends in Citation Risks and Solutions

Hall Render

In 2023, nursing homes have seen increased citations by surveyors for noncompliance tied to their pre-dispute, binding agreements for binding arbitration with their residents. The nursing home must ensure that the resident or his or her representative acknowledges that he or she understands the agreement for binding arbitration.

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Nursing Home Psychologist Convicted of Healthcare Fraud Scheme

Med-Net Compliance

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. He is scheduled to be sentenced on April 18, 2023, and faces a maximum penalty of 10 years in prison on each count.

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OIG Reveals Nursing Homes Challenged with Life Safety and Emergency Preparedness Regulations

Hall Render

Department of Health and Human Services found that most skilled nursing facilities (“nursing homes”) in Massachusetts that it surveyed are not correctly complying with life safety requirements or emergency preparedness requirements. The Office of Inspector General (“OIG”) of the U.S.

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$900 Million Increase in Medicare Part A Payments One of Many Medicare Changes for SNFs in FY 2023

C&M Health Law

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.

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3 New Updates to the OIG’s Work Plan in May 2023

Healthicity

May 2023 OIG Work Plan updates include opioid use in Medicare Part D, patient harm events, and facility-initiated discharges for nursing home patients.

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Long Term Care Facilities Face Mandatory Minimum Staffing Requirements

Healthcare Law Blog

On September 1, 2023, the Centers for Medicare and Medicaid Services (CMS) issued a long-awaited proposal to establish new federal minimum staffing standards for long-term care facilities. [1] Nurse Aide (NA) HPRD (the “2.45 Nurse Aide (NA) HPRD (the “2.45 55 RN hours per resident per day (the “.55 NA HPRD”).