Hall Render

MARCH 4, 2025

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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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.,

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Nursing Homes Nurses Fraud Medicare 52

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.,

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Nursing Homes Nurses Fraud Medicare 52

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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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)

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Hall Render

FEBRUARY 25, 2025

The Centers for Medicare & Medicaid Services (CMS) has given surveyors new rules and updates to allow surveyors to assess and cite violations of the regulations on resident discharge and transfer. This includes a physicians order and a detailed explanation of why the facility can no longer meet the residents needs.

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Hall Render

JANUARY 8, 2025

The Final Rule was published on November 7, 2024, with an effective date of January 1, 2025. The post Nursing Home Update: CMS Confirms Acute Respiratory Illness Reporting Requirements appeared first on Law Firm | Health Care Law Firm in the USA | Hall Render.

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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)

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Compliancy Group

FEBRUARY 12, 2025

The Office of Inspector General (OIG) released an updated Nursing Facility Industry Compliance Program Guidance (ICPG) in November 2024 to assist nursing facilities in navigating the complex regulatory landscape and mitigating compliance risks. The ICP covers the areas listed below.

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Hall Render

FEBRUARY 4, 2025

The Centers for Medicare & Medicaid Services (CMS) has given surveyors new rules and updates to allow surveyors to add extra attention and increase oversight in nursing homes regarding the role of the medical director and how mental disorders are diagnosed.

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Nursing Homes Nurses Compliance Medicaid 52

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.

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Hall Render

DECEMBER 30, 2024

On November 21, 2024, the Centers for Medicare & Medicaid Services (CMS) issued revised guidance under QSO-25-09-ALL, updating Core Appendix Q of the State Operations Manual regarding findings of immediate jeopardy.

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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.

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Nursing Homes Public Health Nurses COVID-19 40

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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Medicare Medicare COVID-19 Nursing Homes 52

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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Fraud Medicaid Medicaid Medicare 52

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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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. Please visit our online store listing current training and certification offerings.

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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. A site visit is intended to prevent questionable providers and suppliers from enrolling or staying enrolled in the Medicare Program.

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Medicare Medicare Nursing Homes Medicaid 40

MedTrainer

JANUARY 15, 2025

At some point, nearly every facility must complete one, especially in long-term care where CMS data shows that nearly every active nursing home has received a deficiency in the past three years ( 28% were for actual harm or jeopardy). Plans of correction are common in Centers for Medicare and Medicaid (CMS) surveys.

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Hall Render

JANUARY 10, 2025

In 2024, North Florida saw a surge in the construction of freestanding emergency departments (“EDs”) by various health care systems, driven by regional population growth. The HHS OIG has recommended that CMS enhance its review of nursing homes’ related-party cost reporting.

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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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Hospitals Nursing Homes Health Insurance Public Health 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.

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Nurses Compliance Compliance Officers Medicare 40

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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Medicare Medicare Nursing Homes Fraud 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.

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Compliance Licensing Nurses Medicaid 40

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

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.

Compliance 52

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

Hall Render

MARCH 14, 2025

NATIONAL AHA, others file amicus briefs opposing major drug companies 340B rebate models Americans borrowed $74B for medical bills in 2024 CMS to end 4 Medicare payment programs early HHS sends all employees a $25,000 voluntary buyout offer Hospitals Get $700M From Drugmakers in Opioid Class-Action Lawsuit House passes bill with short-term wins for (..)

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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.

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Public Health Nurses Nursing Homes 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.’

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COVID-19 Vaccine COVID-19 Nursing Homes Nurses 40

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?

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US Department of Health and Human Services Nursing Homes 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

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.’

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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

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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.

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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 (..)

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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.

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Hall Render

JULY 26, 2024

How hospitals can mitigate the damage. celebrated by KidsABC for reaching key milestones Emory University and Emory St.

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