CMS issues final nursing home Medicare pay rule for 2024
Modern Healthcare
JULY 31, 2023
Skilled nursing faciltiies will receive a higher Medicare pay bump in fiscal 2024 than proposed by the Centers for Medicare and Medicaid Services in April.
2024 Medicaid Nursing Homes 
Spring Forward With 2024 Compliance Changes
MedTrainer
JANUARY 10, 2024
It’s that time of the year to check your records for 2023 compliance deficiencies and set your organization up for success in 2024. Release of Industry-Specific Compliance Program Guidance (ICPG) is anticipated in 2024. It may seem a little early to do some spring cleaning, but not when it comes to compliance!
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Providers react to Medicare payment proposed rules
Modern Healthcare
JULY 3, 2023
Nursing homes, rehab providers and psychiatric hospitals urged the Centers for Medicare and Medicaid Services to account for economic conditions in fiscal 2024 rates
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Esformes Reaches Plea Deal in Major Nursing Home Medicare Fraud Scheme
The Health Law Firm Blog
APRIL 15, 2024
Board Certified by The Florida Bar in Health Law and Hartley Brooks, Law Clerk, The Health Law Firm On February 1, 2024, the District Court for the Southern District of Florida announced that Florida nursing home mogul Phillip Esformes had reached a plea deal on pending conspiracy [.] Indest III, J.D.,
Esformes Reaches Plea Deal in Major Nursing Home Medicare Fraud Scheme
The Health Law Firm Blog
MARCH 25, 2024
Board Certified by The Florida Bar in Health Law and Hartley Brooks, Law Clerk, The Health Law Firm On February 1, 2024, the District Court for the Southern District of Florida announced that Florida nursing home mogul Phillip Esformes had reached a plea deal on pending conspiracy [.] Indest III, J.D.,
Esformes Reaches Plea Deal in Major Nursing Home Medicare Fraud Scheme
The Health Law Firm Blog
MARCH 4, 2024
Board Certified by The Florida Bar in Health Law and Hartley Brooks, Law Clerk, The Health Law Firm On February 1, 2024, the District Court for the Southern District of Florida announced that Florida nursing home mogul Phillip Esformes had reached a plea deal on pending conspiracy [.] Indest III, J.D.,
Nursing Home Update: Upholding Resident Voting Rights
Hall Render
OCTOBER 28, 2024
The Centers for Medicare & Medicaid Services (“CMS”) is reinforcing regulatory expectations regarding nursing home residents’ rights to vote. On September 26, 2024, CMS issued a QSO Memo , “Compliance with Residents’ Rights requirement related to Nursing Home Residents’ Right to Vote.” 42 CFR §483.10(b)(1)
CMS Final Rule Calls for Ongoing Respiratory Illness Reporting through NHSN for Nursing Homes
Hall Render
NOVEMBER 6, 2024
Effective Date The Final Rule is scheduled to be published on November 7, 2024, with an effective date of January 1, 2025. 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. Revised 42 CFR Section 483.80(g)
Take advantage of HANYS’ new advocacy tools
Hanys
FEBRUARY 23, 2024
We're telling legislators to stabilize New York's hospitals and nursing homes and protect New Yorkers' access to care. Our new fact sheets explain why the final SFY 2024-2025 budget must: Close the Medicaid gap. Reject Medicaid cuts. Provide low- and no-cost relief.
OIG Compliance Program Guidance for Nursing Facilities
Compliancy Group
OCTOBER 28, 2024
Last November, the OIG published industry-specific compliance guidance for 2024 for several healthcare subsectors, including nursing homes and facilities. More specifically, the 2024 guidance for nursing facilities focuses on several areas.
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2024 HHS-OIG Top Areas of Focus
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. With Medicaid, the challenges are equally formidable.
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Nursing Home Update: CMS Unwinds Vaccine Mandate and More Regulations as Public Health Emergency End Nears
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.
Handling an OIG Audit with Confidence: Focus Areas for 2024
Compliancy Group
APRIL 17, 2024
Focus Areas for 2024 The OIG’s General Compliance Program Guidance (GCPG) establishes industry-specific compliance program guidance (ICPG) for 2024 that focuses on forms of fraud, waste, and abuse specific to certain types of suppliers, providers, and entities like nursing homes, clinical laboratories, and hospitals.
State legislative activity
Hanys
JUNE 7, 2024
2465-C) Nursing home quality postings (A.2188/S.3498) 2867) Medicaid reimbursement for TIP and TAD (A.9102-C/S.8486-C) 1267-A) Physician assistants under Medicaid managed care (A.7725/S.2124) 2465-C) Nursing home quality postings (A.2188/S.3498) 2867) Medicaid reimbursement for TIP and TAD (A.9102-C/S.8486-C)
Weekly HCRE Briefing: Rural Hospitals Improve Margins Through M&A | Concord, MA Seeks to Implement PILOT on Non-Profit Hospitals
Hall Render
DECEMBER 6, 2024
Large outpatient investments in 2024 included over $1B by HCA, $760M by Jefferson Health and $500M by Tenet. 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. per year.
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Weekly Health Care Real Estate Briefing: S&P Sector Report Predicts Constrained Health Care Operating Environment in 2024 | Senior Living and Long-Term Care Deal Volume Down | New Disclosure Requirements in 2024
Hall Render
DECEMBER 20, 2023
S&P Global Ratings published a sector view report indicating the agency expects a constrained operating environment in 2024 largely due to persistently high labor and operating costs. Medicaid funding changes are also accelerating the move from nursing homes to home and community-based services.
Required Training For Medicare-Enrolled Providers
MedTrainer
AUGUST 8, 2024
As of March 2024, over 67 million in the United States are Medicare beneficiaries. In FY2021, the Centers for Medicare and Medicaid Services ( CMS ) reported that Medicare processed more than 1.1 CMS and subject matter experts created the Hand in Hand in-service training for nurse aides to meet this requirement.
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Weekly Health Care Real Estate Briefing: Nonprofit Health Systems Experience Losses, While For-Profits Stabilize | Medical Office Sector Shows Signs of Weakening
Hall Render
DECEMBER 8, 2023
A recent report on medical office trends for 2024 indicated that, while interest rates may help stabilize the financing environment for the health care real estate sector, the labor environment may continue to be challenging. Some are predicting a rise in mental healthcare clinic deals in 2024.
$900 Million Increase in Medicare Part A Payments One of Many Medicare Changes for SNFs in FY 2023
C&M Health Law
AUGUST 10, 2022
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. Staffing Levels.
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Hall Render
DECEMBER 3, 2024
The Centers for Medicare & Medicaid Services (“CMS”) provided additional details and information related to CMS provider enrollment site visits. The new CMS QSSAMs are memos focused on specific provider types and often serve as reminders of existing obligations or requirements.
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Weekly HCRE Briefing: SNF PE Firm’s Bankruptcy Filing Alleges Real Estate Lending Scheme | Health Systems Continue to Invest in Spine and Ortho Facilities Nationwide
Hall Render
OCTOBER 18, 2024
Nursing home REITs anticipate rising deal volume in the sector as occupancy rates improve and reliance on agency labor has decreased. As of Q3 2024 , senior living transactions totaled 700, up 25% from 2022, and spending reached $2.96B, up 243% year-over-year.
Post-Acute Compliance Program Update: OIG Proposes Amendments to Exclusion Rules
Hall Render
DECEMBER 11, 2024
On December 2, 2024, the Office of Inspector General (OIG) for the U.S. The Proposed Rule would codify changes made by the Medicaid Services Investment and Accountability Act of 2019 (MSIAA), that added exclusion authorities related to misclassification and false information about outpatient drugs. Under 42 CFR Sec.
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OIG Issues Highly Anticipated Industry Segment-Specific Compliance Program Guidance for Nursing Facilities
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.
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Hospice Update: CMS Proposes Informal Dispute Resolution Program, Starting Special Focus Program and Change of Ownership Restrictions
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.
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Key Areas of Focus for Skilled Nursing Facilities as the Public Health Emergency Ends
Hall Render
MARCH 28, 2023
The end of the PHE has a significant impact on skilled nursing facilities (“SNFs”) as it ends the remaining regulatory blanket waivers, revisits resident Medicaid eligibility and changes many COVID regulations that were issued during the PHE. In 2020, CMS revised the nursing home infection control regulations at 42 CFR § 483.80
Health Provider News
Hall Render
JUNE 21, 2024
Medicare fraud scheme OSF HealthCare, Illinois State Collaborate on SDOH Research Second lawsuit filed in deadly fall at UChicago Hospital construction site State fines four nursing homes in west central Illinois Waukegan hospital facing lawsuit over handling of asbestos in demolition project Who’s pursuing ASCs in 2024?
Health Provider News
Hall Render
DECEMBER 13, 2024
turnaround in FY 2024 UC Davis Health CFO on cutting costs and boosting growth UC San Diego Health taps physician group CFO UCSF to pay $15M for mixing anesthesia with formaldehyde Sutter Health begins work on new Point West medical offices Sutter Health names Aparna Abburi new CEO of insurer Sutter Health Plan L.A. 3 in the U.S.
Health Provider News – September 23, 2022
Hall Render
SEPTEMBER 23, 2022
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. A federal judge schedules a hearing on Florida’s Medicaid transgender rule. Nursing home owners seek changes to proposed state regulations.
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Health Provider News
Hall Render
DECEMBER 22, 2023
health care spending hits $4.5 Million in Retaliation Suit John Muir, Tenet scrap hospital deal after FTC challenge Kaiser to lay off 79 administrative employees Leaning toward big wins in schizophrenia and vaccines, venture group raises new fund of $389 million Madera hospital creditors want to be paid, including CEO. health care spending hits $4.5
Health Provider News
Hall Render
FEBRUARY 23, 2024
CT’s Medicaid reimbursement rates lower than peer states: report Better safety training, reporting, escorts for CT home health care workers focus of new legislation D.C. Mary’s unveils new name, but mission remains unchanged UCHealth sues thousands of patients every year. What they say sets them apart.
The Cobra Effect & Enforcing Compliance Standards
AIHC
FEBRUARY 16, 2024
The GCPG standardized the seven Elements of a Successful Compliance Program, which differs slightly from the individual compliance guidance documents (CPGs) directed at various segments of the health care industry, such as hospitals, nursing homes, third-party billers, and durable medical equipment suppliers.
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The Cobra Effect & Enforcing Compliance Standards
AIHC
FEBRUARY 16, 2024
The GCPG standardized the seven Elements of a Successful Compliance Program, which differs slightly from the individual compliance guidance documents (CPGs) directed at various segments of the health care industry, such as hospitals, nursing homes, third-party billers, and durable medical equipment suppliers.
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Health Provider News
Hall Render
MAY 10, 2024
Million CALIFORNIA California hospital dismisses CEO California physician pleads guilty to $2.5M million expansion ‘Very, very unusual.’ Million CALIFORNIA California hospital dismisses CEO California physician pleads guilty to $2.5M million expansion ‘Very, very unusual.’ million expansion ‘Very, very unusual.’
Health Provider News
Hall Render
JANUARY 5, 2024
Wade; expected to remain big issue in 2024 races Most nursing home residents in Arizona still haven’t gotten their COVID-19 booster COVID-19 hospitalizations are up in Arizona and around the U.S.
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Hall Render
JULY 26, 2024
celebrated by KidsABC for reaching key milestones Emory University and Emory St.
Health Provider News
Hall Render
JULY 26, 2024
celebrated by KidsABC for reaching key milestones Emory University and Emory St.
Health Provider News
Hall Render
OCTOBER 25, 2024
Humana sues to reverse cut to Medicare Advantage ratings Karen Lynch steps down as CVS Health CEO Nursing home survey teams don’t always have to include nurses: federal appeals court Senate report: How private equity ‘gutted’ dozens of U.S. health care company acquires three Del.
Health Provider News
Hall Render
MARCH 31, 2023
s Socially Determined aims to address potential gaps in Medicaid enrollment Lawsuits Mount Against DC Health Link Over Breach of Congress Members’ Data DC COVID-19 centers closing Friday Mayor Bowser Canceling $90 Million in Medical Debt for up to 90,000 DC Residents DELAWARE ChristianaCare CEO Dr.
Health Provider News
Hall Render
OCTOBER 13, 2023
Vincent Partners With Park Plaza Mall on Community Health Programs Former Arkansas Medical Board Chair Brian Hyatt Arrested for Medicaid Fraud New Provider in Arkansas Focuses on No-Rush Health Care Walker Foundation Pledges $1M to UAMS Radiation Oncology Center Five nonprofits to split $5.9 Luke’s receives $1.5
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Health Provider News
Hall Render
JUNE 7, 2024
Children’s Hospital Colorado seeks congressional help on funding cuts UCHealth appoints new board members for Longs Peak, Broomfield hospitals CONNECTICUT Gov. New data shed light. Ochsner St. Martin redirecting ambulances due to flooding MAINE MaineHealth CFO announces retirement Sen.
Health Provider News
Hall Render
SEPTEMBER 20, 2024
Luke’s Children’s Hospital opens new inpatient rehab unit LC State Radiographic Science Program Ranked No. Vincent, Indianapolis Colts announce new partnership Franciscan Health launches 24/7 ambulance to help patients in rural counties Lilly to make $1.8B
Health Provider News
Hall Render
DECEMBER 1, 2023
1 Mass General Brigham to build AI products with Australian health tech company Mass General Brigham hospital workers to receive average 21% raises Mass General Brigham to integrate triage AI across system Mass General Brigham sued over infection control lapse Nurse practitioner pleads guilty to $7.8M
Health Provider News
Hall Render
SEPTEMBER 1, 2023
ALABAMA American Family Care opens new health care center in Northeast Birmingham doctors secure $13.9M 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
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Hall Render
SEPTEMBER 16, 2022
Full 4th Circuit to tackle Medicaid fraud standard under False Claims Act. On Average, Two Nurses Are Assaulted Every Hour, New Press Ganey Analysis Finds. Three Springs Surgery Center to open in 2024. Iowa nurse fired for incorrectly administering monkeypox shots. Louis County Couple Sentenced for Defrauding Medicaid.
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