Healthcare Law Blog

FEBRUARY 1, 2023

On January 30, 2023 , the Centers for Medicare & Medicaid Services (“CMS”) released the long-delayed final rule on risk adjustment data validation (“RADV”) audits of Medicare Advantage (“MA”) organizations (the “Final Rule”). case number 18-5326 , which reinstated CMS’s Overpayment Rule for MA organizations. Becerra et al.,

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Medicare Medicare Overpayments Overpayment 105

Hall Render

JUNE 22, 2022

On Friday, June 17, 2022, the Centers for Medicare & Medicaid Services (“CMS”) posted a pre-publication copy of the Calendar Year (“CY”) 2023 Home Health Prospective Payment System Rate Update (“PPS Rule”). CY 2023 HH Payment Update. CY 2023 National, Standardized 30-Day Period Payment.

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COVID-19 Payment Systems Medicare Medicare 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.

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Nurses Compliance Compliance Officers Medicare 40

Hall Render

MARCH 15, 2024

to build AI medical model using smartphone and wearable data Seattle’s new CARE workers have responded to more than 300 events Wash.

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US Department of Health and Human Services Nursing Homes Nurses Hospitals 40