Compliancy Group

APRIL 17, 2024

OIG Medicare compliance audits help ensure that hospitals, clinics, and other medical facilities use program funds efficiently and in accordance with federal and state laws. Findings from OIG audits can identify compliance areas needing improvement. They also help the DHHS improve its operations and program administration.

Compliance Officers 52

Compliance Officers Compliance Medicare Medicare 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 The CMS Memo confirms that this requirement will remain in effect until May 21, 2024 unless additional regulatory action is taken.

Nursing Homes 40

Nursing Homes Public Health Nurses COVID-19 40

Provider Trust

JANUARY 25, 2024

Though HHS has made efforts to address the challenges outlined in this year’s report, there are still many opportunities for improvement in 2024. We’ve broken down the report’s primary themes and how they affect healthcare organizations moving forward in 2024.

Fraud 52

Fraud Medicaid Medicaid Medicare 52

Hall Render

NOVEMBER 25, 2024

On November 20, 2024, the Office of Inspector General (“OIG”) for the U.S. Department of Health and Human Services (“HHS”) issued new Industry Segment-Specific Compliance Program Guidance For Nursing Facilities (“Nursing Facility ICPG”) for nursing home members of the health care compliance community.

Nurses 40

Nurses Compliance Compliance Officers Medicare 40

AIHC

DECEMBER 10, 2024

Read Part 1: Building a Culture of Patient Safety Starts with Reducing Staff Burnout posted December 3, 2024. New Dashboard to Track Progress On December 5, 2024, the National Action Alliance for Patient and Workforce Safety (NAA) at the U.S. She is also a volunteer hospice nurse, hospice hands-on-care volunteer and End of Life Doula.

Nursing Homes 52

Nursing Homes Hospitals Compliance Nurses 52

Hall Render

NOVEMBER 10, 2023

Department of Health and Human Services (“HHS”) issued new General Compliance Program Guidance (“GCPG”) for members of the health care compliance community and other health care stakeholders. Key Highlights of the GCPG Much of what is covered in the GCPG is not new to the health care compliance industry.

Compliance 40

Compliance Compliance Officers Fraud Governance 40

Hall Render

DECEMBER 11, 2024

On December 2, 2024, the Office of Inspector General (OIG) for the U.S. OIGs new Industry Segment-Specific Compliance Program Guidance For Nursing Facilities (Nursing Facility ICPG) for nursing home members of the health care compliance community emphasizes the importance of staff screening and exclusion checks.

Compliance 40

Compliance Licensing Nurses Medicaid 40

MedTrainer

AUGUST 8, 2024

As of March 2024, over 67 million in the United States are Medicare beneficiaries. Why Additional Training Is Required for Medicare-Enrolled Providers Training helps providers understand and adhere to Medicare’s complex regulations and guidelines, essential for maintaining compliance.

Medicare 52

Medicare Medicare Compliance Medicaid 52

AIHC

JUNE 3, 2024

People with degenerative diseases or cognitive disabilities, which include dementia, Alzheimer’s, and Parkinson’s, or those living in institutional settings such as nursing homes, are often not included in surveys. An article was published on April 30, 2024 by CBS News entitled Criminal schemes targeting U.S.

Elder Abuse 52

Elder Abuse Compliance Nursing Homes Compliance Officers 52

Healthcare IT Today

DECEMBER 15, 2023

In 2024, I expect innovation to accelerate in a few key areas: AI empowerment: AI will be transformative for radiology, but we’re still years away from widespread use of AI-trained diagnostics algorithms or many other purely clinical applications. Evan Ruff, Co-Founder and CEO at OXOS Medical Digital imaging is at an inflection point.

Patient Satisfaction 124

Patient Satisfaction Telemedicine Doctors Nursing Homes 124

Hall Render

DECEMBER 3, 2024

On November 4, 2024, CMS issued a Quality and Safety Special Alert memo (“QSSAM”), “Clarification of CMS’ Provider Enrollment Visits (all providers and suppliers) and Specific Disclosure Requirements for SNFs and NFs.” an affiliate of EXL Information Discovery Services Compliance Review, Inc. National Creditors Connection, Inc.

Medicare 40

Medicare Medicare Nursing Homes Medicaid 40

Healthcare Law Blog

JUNE 22, 2023

Under the Act, any such clause in a health care contract, written policy, written procedure or agreement entered into, renewed or amended on or after July 1, 2024 will be considered null and void. If such fees are collected after July 1, 2024, OHS will have enforcement discretion to charge civil penalties of up to $1,000 for each violation.

Hospitals 52

Hospitals Nursing Homes Health Insurance Public Health 52

Hall Render

JULY 12, 2023

CMS’ goal is to select SFP hospices starting in 2024. Selection Approach In establishing the proposed SFP, CMS examined the Special Focus Facility program for nursing homes and its methodology for facility selection. CMS proposes the hospice SFP begin on the effective date of the final rule when it is when published.

Medicare 40

Medicare Medicare Nursing Homes Fraud 40

AIHC

FEBRUARY 16, 2024

Lessons Learned about Consequences & Incentives Submitted by the AIHC Education Department Introduction The Office of Inspector General has released the new General Compliance Program Guidance or “GCPG” in late 2023. This plan, whatever it was set up the perverse incentives by not looking at critical elements to ensure compliance.

Compliance 52

Compliance US Department of Health and Human Services COVID-19 Hospitals 52

AIHC

FEBRUARY 16, 2024

Lessons Learned about Consequences & Incentives Submitted by the AIHC Education Department Introduction The Office of Inspector General has released the new General Compliance Program Guidance or “GCPG” in late 2023. This plan, whatever it was set up the perverse incentives by not looking at critical elements to ensure compliance.

Compliance 52

Compliance US Department of Health and Human Services COVID-19 Hospitals 52

Hall Render

OCTOBER 6, 2023

According to a new report , CMS’s minimum staffing proposal for nursing homes would require nursing home operators to hire 102,000 additional nurses at a cost of $6.8B. Government officials originally estimated the cost of compliance at $4B. Benedictine and Trinity Health Senior Communities.

Nursing Homes 40

Nursing Homes Nurses Governance Medical Billing 40

Hall Render

JUNE 21, 2024

Yale New Haven CFO’s ‘key to success’ amid strong competition, consolidation Connecticut long-term care hospital CEO to retire State insurance exchange audit finds deficiencies, compliance issues Connecticut has new laws starting July 1. Here’s what to know Company, CEO Pay Nearly $4.6M

US Department of Health and Human Services 40

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

Hall Render

SEPTEMBER 23, 2022

Healthcare Compliance Will Be a Challenge in Post-PHE World. House report attacks, nursing homes fight back over allegations of deficient staffing, care and safe practices as pandemic hit. Three Springs Surgery Center to open in 2024. Bank tells judge that Iowa nursing home residents are in a ‘precarious position’.

COVID-19 40

COVID-19 Nurses Nursing Homes Hospitals 40

Hall Render

MARCH 31, 2023

in 2022, survey finds Senate votes to end COVID-19 national emergency Why are 600+ rural hospitals at risk of closing? County-owned buildings facing potential earthquake risk Gilead drops option to buy cancer therapeutics company Health and Life Organization Inc. buys industrial property in Rancho Cordova for $5.12

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes COVID-19 Nurses 40

Hall Render

SEPTEMBER 1, 2023

Here’s why Ransomware gang reportedly selling Prospect Medical patient data Ransomware attack not the only headache for Prospect Medical Ridgecrest Regional Hospital receives $5.5 operating margin, $1B net gain halfway through its first year Illinois public health officials warn of “rising COVID-19 activity” St.

COVID-19 40

COVID-19 Nurses Nursing Homes Hospitals 40

Hall Render

JUNE 30, 2023

for physician referral scheme In Los Angeles, hospital CEO pay could be capped Kaiser Permanente ratings affirmed amid healthy financial profile Nurses vote ‘no confidence’ in California hospital administration, board Nursing facility, management company settle physician kickback allegations for $3.8M

US Department of Health and Human Services 40

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

Hall Render

SEPTEMBER 16, 2022

Three Springs Surgery Center to open in 2024. Iowa nurse fired for incorrectly administering monkeypox shots. Lawsuit seeks to unmask nursing home owners who ‘defrauded’ creditors. Nurses at Maine Medical Center reach tentative deal for first union contract. nursing home workers reach contract agreement.

US Department of Health and Human Services 40

US Department of Health and Human Services COVID-19 Nurses Nursing Homes 40

Hall Render

DECEMBER 20, 2024

operating margin in Q3 Ahead of anticipated AZ nursing shortage, NAU’s College of Nursing graduates first cohort IV fluid shortage still impacting southern Arizona hospitals Whos Who in Arizona Healthcare for 2025 ARKANSAS Arkansas hospital hit with immediate jeopardy warning amid leadership turmoil CHI St.

Nursing Homes 40

Nursing Homes Nurses Hospitals Fraud 40

Hall Render

DECEMBER 29, 2023

NATIONAL 4 largest healthcare data breaches of 2023 Anesthesia practices sue CMS over reimbursement method Antitrust enforcements hit a high in 2022, with health deals impacted ASCs face leadership exodus CMS floats appeals process over observational stays CMS proposes additional Medicare appeals processes FTC eyes healthcare mergers, report shows (..)

Nursing Homes 40

Nursing Homes US Department of Health and Human Services COVID-19 Nurses 40

Hall Render

OCTOBER 11, 2024

Trinity vs. CommonSpirit vs. Ascension: How 3 of the largest nonprofit systems performed in FY 2024 ‘AI is like tuition’: CommonSpirit CIO’s approach to AI hype Chicago system taps 2nd CFO in 10 months Deaconess hospital names CEO HSHS names system VP of facilities Lurie ranked No. What’s included?

US Department of Health and Human Services 40

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

Hall Render

AUGUST 25, 2023

NATIONAL AHA shares proposals for drug shortage legislation with House committee America’s biggest hospital landlord sees deals souring Babylon Health files for bankruptcy Bankruptcies mounting in troubled nursing home industry Calls grow for national patient safety board: 3 leaders weigh in CMS details plan to allow Part D beneficiaries to pay (..)

COVID-19 40

COVID-19 Nurses Nursing Homes Hospitals 40

Hall Render

AUGUST 23, 2024

million impact on local economy Proposal: Nursing home would have 10-plus years to pay $1 million owed to the state of Iowa This Des Moines hospital was rated 5 stars by CMS. hospital, university working to fight ambulance staff shortage Purchase of Wadley Regional Medical Center in Hope, Ark., Vincent Heart Center ranked No.

US Department of Health and Human Services 40

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

Hall Render

AUGUST 26, 2024

million impact on local economy Proposal: Nursing home would have 10-plus years to pay $1 million owed to the state of Iowa This Des Moines hospital was rated 5 stars by CMS. hospital, university working to fight ambulance staff shortage Purchase of Wadley Regional Medical Center in Hope, Ark., Vincent Heart Center ranked No.

US Department of Health and Human Services 40

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

Hall Render

MARCH 8, 2024

NATIONAL 34.5% NATIONAL 34.5%

Nursing Homes 40

Nursing Homes Nurses Hospitals COVID-19 40

Hall Render

OCTOBER 20, 2023

nursing home advocate: industry in ‘death spiral’ from lack of health care providers, low pay Georgia medical center named one of the ‘most beautiful hospitals in the U.S.’

COVID-19 Vaccine 40

COVID-19 Vaccine COVID-19 Nursing Homes Nurses 40

Hall Render

MARCH 3, 2023

NATIONAL 14 rural senators push CMS to extend low-wage hospitals’ payment bump in FY2024 American Hospital Association voices support for telehealth expansion bill Behavioral health market to hit $262B by 2029 Biden administration moves to establish ‘guardrails’ for telehealth prescriptions CMS Officials Confirm End of PHE Nursing (..)

Nursing Homes 40

Nursing Homes COVID-19 Nurses Hospitals 40

Hall Render

FEBRUARY 24, 2023

judgment against nursing home chain over woman’s death Arkansas BCBS names VP of group market U of Arkansas to offer dual DNP-MBA program Unity Health welcomes Jacksonville community to new hospital Baptist Health Opens Behavioral Services Clinic in North Little Rock Arkansas Children’s Hospital gets $2.5

Nursing Homes 40

Nursing Homes COVID-19 Nurses Hospitals 40

Hall Render

FEBRUARY 16, 2024

Maryland hospital regulating board sets 2024 policy schedule, legislative agenda Maryland replaces troubled health system contractor $15.6 Maryland hospital regulating board sets 2024 policy schedule, legislative agenda Maryland replaces troubled health system contractor $15.6

US Department of Health and Human Services 40

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

Hall Render

AUGUST 11, 2023

It costs state $1 million a month to run. million expansion plan MidState Medical Center seeks permission for $8.4M million expansion plan MidState Medical Center seeks permission for $8.4M

US Department of Health and Human Services 40

US Department of Health and Human Services COVID-19 Nursing Homes Nurses 40

Hall Render

AUGUST 16, 2024

in pandemic loans, feds say South Jersey health systems see revenue rise in first half of 2024 Who is CHA Partners? Report on Hawaii disaster sheds light on effects Wilcox Medical Center awarded $10.6M Here’s what to know about the New Jersey company looking to buy Delco’s Crozer Health Is your NJ hospital among best, worst?

US Department of Health and Human Services 40

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

Hall Render

AUGUST 16, 2024

in pandemic loans, feds say South Jersey health systems see revenue rise in first half of 2024 Who is CHA Partners? Report on Hawaii disaster sheds light on effects Wilcox Medical Center awarded $10.6M Here’s what to know about the New Jersey company looking to buy Delco’s Crozer Health Is your NJ hospital among best, worst?

US Department of Health and Human Services 40

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

Hall Render

MARCH 22, 2024

To qualify, facilities must close their beds Amazon’s physician acquisition strategy As Many Hospitals Continue to Face Significant Financial Challenges, MedPAC Recommends Highest Ever Medicare Payment Update Change competitors step in but breaking up may be hard to do CMS to launch new primary care ACO program Congress unveils $1.2T

Nursing Homes 40

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