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 Medicare Nursing Homes 
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.,
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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)
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.,
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)
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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OIG Compliance Program Guidance for Nursing Facilities
Compliancy Group
OCTOBER 28, 2024
Its compliance program guidance (CPG) has improved the efficiency and effectiveness of Medicare and many other federal programs. Last November, the OIG published industry-specific compliance guidance for 2024 for several healthcare subsectors, including nursing homes and facilities.
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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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Required Training For Medicare-Enrolled Providers
MedTrainer
AUGUST 8, 2024
As of March 2024, over 67 million in the United States are Medicare beneficiaries. Medicare is the single largest payer for healthcare services in the United States. In FY2021, the Centers for Medicare and Medicaid Services ( CMS ) reported that Medicare processed more than 1.1 Here’s what you need to know.
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Handling an OIG Audit with Confidence: Focus Areas for 2024
Compliancy Group
APRIL 17, 2024
Office of Inspector General (OIG) in the Department of Health and Human Services (DHHS) oversees efforts in the healthcare sector to identify, reduce, and prevent incidents of fraud, waste, and abuse of funds from programs like Medicare. Medicare Advantage (M.A.): and cybersecurity threats. Organizations using M.A.
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.
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.
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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
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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Connecticut Governor Signs Health Care Legislation to Reduce Costs and Increase Competition
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.
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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
If a deemed hospice fails to meet the Medicare requirements or shows continued condition-level noncompliance, deemed status is generally removed and oversight is placed under the SA. Selected hospices either successfully complete the SFP program or are terminated from the Medicare program. of hospice providers reported data.
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Key Areas of Focus for Skilled Nursing Facilities as the Public Health Emergency Ends
Hall Render
MARCH 28, 2023
Blanket Waivers During the PHE, the Centers for Medicare & Medicaid Services (“CMS”) issued many versions and revisions to its memorandum entitled “COVID-19 Emergency Declaration Blanket Waivers for Health Care Providers” that announced blanket waivers for providers, including SNFs. When the PHE ends, the hotlines will be shut down.
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?
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
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. Retina Group of Washington reports massive data breach A trifecta of viruses in the D.C.
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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
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
SEPTEMBER 20, 2024
NATIONAL 80 hospitals sue HHS over Medicare Advantage Days payment rule AHA op-ed in Medical Economics sets the record straight on 340B program growth and the role of drug companies As hospitals close obstetric units, maternity care deserts become more common At Catholic hospitals, a mission of charity runs up against high care costs for patients Bill (..)
Health Provider News
Hall Render
FEBRUARY 23, 2024
hospital sees less severe cases Georgia Supreme Court vacates judgement in case with Northside Hospital, NGMC Poor Health: How Is Georgia Addressing The State’s Mental Health Woes? ’ and highlights community partnerships in newly released Annual Report MARYLAND Baltimore jury awards $1.5M
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 Provider News
Hall Render
JULY 26, 2024
How hospitals can mitigate the damage. celebrated by KidsABC for reaching key milestones Emory University and Emory St.
Health Provider News
Hall Render
JULY 26, 2024
How hospitals can mitigate the damage. celebrated by KidsABC for reaching key milestones Emory University and Emory St.
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
OCTOBER 13, 2023
Luke’s receives $1.5 Luke’s receives $1.5 Luke’s receives $1.5 Dominic Louisiana physician charged in $5.6M Dominic Louisiana physician charged in $5.6M
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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 22, 2023
in repairs Sutter Health faces possible $519M payout in alleged double billing case COLORADO Denver Health sued by sons after father’s jail death How a Kaiser Permanente worker strike could affect Colorado patients Kaiser names regional president Medical Office Building in Littleton Sells for $6.1M
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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. Colorado senior-care company pauses expansion into Indiana after Medicare audit. Three Springs Surgery Center to open in 2024. million to resolve Medicare fraud claims. Intermountain St.
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Health Provider News
Hall Render
JUNE 7, 2024
facility Southern Research CEO talks biotech incubator, future of Birmingham medicine ALASKA Juneau’s hospital is bleeding cash. 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.
Health Provider News
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
Health Provider News
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
Health Provider News
Hall Render
JULY 28, 2023
million for rural hospital expansion Hospices in Arizona & other states receive scrutiny over concerns of fraud, waste & abuse Phoenix Children’s Building New 44,000-Square Foot Level IV Neonatal Intensive Care Unit Firefighters oppose Banner’s planned $400M hospital There’s a growing nurse shortage in Arizona.
Health Provider News
Hall Render
OCTOBER 4, 2024
NATIONAL 5 Stark law issues physicians are closely watching Anti-monopoly advocates urge FTC to block McKesson, Cardinal Health’s big-ticket oncology acquisitions Biden administration doles out $68.5M to resolve fraudulent lab testing allegations Lilly to invest another $4.5B to make breast cancer treatments safer St.
Health Provider News – September 16, 2022
Hall Render
SEPTEMBER 16, 2022
House passes reform to Medicare Advantage prior authorizations. 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. Maine nursing home selling off beds to fund its reopening.
Health Provider News
Hall Render
FEBRUARY 2, 2024
NATIONAL Amazon Pharmacy, One Medical pilot program integrates medication consultations Bad news for FTC’s noncompete ban Cigna to sell Medicare business to HCSC for $3.3B 5 highest paid anesthesiologists in Washington, DC D.C.’s
Health Provider News
Hall Render
OCTOBER 11, 2024
Here is what it will involve. Care Health Plan over fines California surgical company relocates training lab ‘Camaraderie and connection’ act as shields, Sutter Health CEO says Cedars-Sinai hospital taps CNO Cedars-Sinai joins Asian American cancer initiative Foothill Cardiology buys medical office building for $11.3M
Health Provider News
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 (..)
Health Provider News
Hall Render
NOVEMBER 17, 2023
to tackle brittle bone disease NEA nursing homes highlighted as best in the country NWA healthcare continues evolution despite challenges NWA, Fort Smith metro hospitals take on maternal mortality with statewide collaboration CALIFORNIA California Skilled Nursing Facilities, Owner and Management Company Agree to $45.6
Health Provider News
Hall Render
APRIL 26, 2024
in 256-Slice CT scanner Lifepoint reports $200M+ economic impact in Cen Ky St. health dept. processed 1.5 million Medicaid enrollees in 12 months; one month left in ‘unwinding’ University of Maryland Medical Center physicians unionize, a first in the state Emergency room wait times are worse than bad. health dept. processed 1.5
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