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.
The CMS Minimum Staffing Standards for Long-Term Care Facilities is Effective June 21, 2024
Jerri Lynn Ward
JUNE 18, 2024
For example, one paper found that nursing homes in Illinois were much more profitable than claimed but that 63 percent of those profits were hidden and directed to related parties of the owner. percent and compliance with the nurse aide HRPD requirement would rise from 15.3 percent to 75.6 percent to 36.1 percent in Illinois. [
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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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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.,
March 2024 OIG Updates: A New Focus on Nursing Home Safety and Medication Costs
Healthicity
APRIL 2, 2024
The selected items relate to (1) nursing homes and (2) medications. March was a busy month for new additions to the OIG’s Work Plan. Some of the items fit nicely into two broad categories which we’ve grouped together and summarized below.
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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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)
June 2024 Bad Actors Roundup
Verisys
JULY 25, 2024
June 2024 Bad Actor Roundup By Verisys Each month we will give a roundup of recent healthcare fraudsters and compliance busters. Million to Settle Allegations Related to Telehealth Services for Nursing Home Residents ( Full Story ) Chronic Disease Management Provider to Pay $14.9M
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June 2024 Bad Actors Roundup
Verisys
JULY 25, 2024
June 2024 Bad Actor Roundup By Verisys Each month we will give a roundup of recent healthcare fraudsters and compliance busters. Million to Settle Allegations Related to Telehealth Services for Nursing Home Residents ( Full Story ) Chronic Disease Management Provider to Pay $14.9M
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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)
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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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
OCTOBER 4, 2024
This week the governor signed the following bills of interest into law: Nursing home ratings – Chapter 336 of the Laws of 2024 Health insurance enrollment for pregnant individuals – Chapter 420 of the Laws of 2024 Physical copies of patient information – Chapter 347 of the Laws of 2024 Breast cancer screening coverage – Chapter (..)
Upcoming events
Hanys
OCTOBER 25, 2024
Nursing home Quality Assurance Performance Improvement and root cause analysis process Oct. 31 Nursing home back-to-basics series: Site visit readiness Nov. 13 Fall 2024 HIM user group meeting Nov. 14 Nursing home Quality Assurance Performance Improvement and root cause analysis process Oct.
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.
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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Nurses Earn Highest Grade for Care Far Above All Other Health Care Workers — Including Doctors — In Latest Gallup Poll
Jane Sarashon
DECEMBER 18, 2023
Note that 8 in 10 consumers rate nurses excellent/good compared with 7 in 10 people ranking physicians this way, 6 in 10 for hospitals, 5 in 10 for telemedicine/virtual visits, and just under 5 in 10 for hospital emergency departments. In the “you always hurt the ones you love” mode, 2024 should be the year that U.S.
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Weekly Health Care Real Estate Briefing: Increase in Physician Practice Consolidation Comes with Increased Sales of Physician-Owned Real Estate | Welltower Appoints New Nursing Home Manager | Asheville, NC CON Awarded to AdventHealth | Hospital Hires Michelin-Star Chef Without Increasing Costs
Hall Render
NOVEMBER 30, 2022
Welltower has selected Integra Healthcare Properties, a newly-formed company with a 29-year-old CEO, to manage 147 nursing homes in 15 states. Integra will lease the nursing homes from Welltower and then sublet them to regional operators. million in affordable housing in Bel Aire, Kansas. million ASC in North Carolina.
State legislative activity
Hanys
JUNE 7, 2024
2465-C) Nursing home quality postings (A.2188/S.3498) 2124) Please see our summary chart for a complete list of bills of interest that have passed both houses during the 2024 legislative session. 2465-C) Nursing home quality postings (A.2188/S.3498) 3498) Influenza virus vaccination at general hospitals (A.9866/S.9550)
Upcoming events
Hanys
NOVEMBER 1, 2024
Nursing home back-to-basics series: Site visit readiness Nov. 13 Fall 2024 HIM user group meeting Nov. 4 and 18 Healthcare Middle Manager Virtual Training Nov. 5-6 Government relations update series Nov. 8 Age-Friendly Health Systems Action Community recruitment webinar Nov.
State legislative activity
Hanys
JUNE 14, 2024
The following bills of interest passed both houses recently: Nursing home closures (A.3703/S.2984) 8966-A) Hospital-home care-physician collaboration program (A.9204/S.9049) 7840) Please see our summary chart for a complete list of bills of interest that passed both houses during the 2024 legislative session.
Upcoming events
Hanys
NOVEMBER 15, 2024
Nursing home back-to-basics series: Site visit readiness Nov. 3 and 5 2024 Healthcare law review Dec. 4 Nursing home back-to-basics series: Site visit readiness Nov. 3 and 5 2024 Healthcare law review Dec. 18 HANYS' Sepsis Program: Applying the CDC Hospital Sepsis Core Elements Nov.
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.
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. CMS released significant revisions to its nursing home surveyor guidance, including requirements for COVID-19 vaccine education, opioid and psychotropic prescribing and medical director responsibilities. per year.
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40 Weekly HCRE Briefing: Brookdale to Prune 120 Communities from Portfolio | CareTrust Acquires 46 Facilities | Hilltop Publishes High Yield Survey
Hall Render
DECEMBER 12, 2024
Over the past nine years, over 800 nursing homes have closed across the country according to new data. One company in Connecticut is carving out a niche by converting vacant nursing homes into market-rate housing. Hilltop Securities released its 2024 High Yield Impact Survey.
Upcoming events
Hanys
NOVEMBER 8, 2024
13 Fall 2024 HIM user group meeting Nov. 14 Nursing home back-to-basics series: Site visit readiness Nov. Standing membership call on state and federal issues Nov. 12 Age-Friendly Health Systems Action Community recruitment webinar Nov. 18 Post-acute and continuing care quarterly meeting Nov.
An Approach to Reduce Patient and Workforce Harm
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. Support research to address high-priority needs in patient and workforce safety.
Bonus Features – July 30, 2023 – Amazon gets into the generative AI game, HIMSS plans to sell off the annual trade show, and more
Healthcare IT Today
JULY 30, 2023
The deal only appears to involve the trade show – next slated for March 11-15, 2024 in Orlando – and makes no mention of smaller HIMSS events (in-person or online) or the Healthcare IT News or MobiHealthNews publications that HIMSS Media owns. News HIMSS is planning to sell its annual conference to Informa.
Weekly HCRE Briefing: States and Nonprofits File Suit Against CMS Over SNF Minimum Staffing Rule | Lease-Purchase Agreement on the Ballot in Palm Springs
Hall Render
OCTOBER 11, 2024
Twenty states and 19 nonprofit organizations filed a lawsuit against HHS and CMS over recent nursing home minimum staffing mandates. The plaintiffs allege the final rule “poses an existential threat” to the nursing home industry. The median operating margin reported by Kaufman Hall for August 2024 was 4.2%.
The FTC Hosts Workshop on Private Equity in Health Care
Healthcare Law Blog
MARCH 6, 2024
On March 5, 2024, the Federal Trade Commission (“the FTC”) hosted a public workshop titled “Private Capital, Public Impact: An FTC Workshop on Private Equity in Health Care”, which covered the impact of private equity investment on the health care system. 1] Health care market participants (i.e.
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. SNF Payment Rates and PDPM Adjustments.
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Radiology and Cardiology Technology
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.
Weekly Health Care Real Estate Briefing: Mayo Clinic Plans $5B Expansion in Minnesota | Healthpartners Moving Forward with $400M Hospital I Optum Is the Largest Employer of Physicians
Hall Render
DECEMBER 1, 2023
CommonSpirit Health has closed on a $5M impact investment to support an affordable housing community in San Francisco called Freedom West Homes. Becker’s published a summary of how health system executives plan to cut expenses in 2024. Common themes include: 1. Reduce real estate expenses through portfolio optimization, 2. for $198M.
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Weekly Health Care Real Estate Briefing: Hospital Bond Issues Down 57% | CMS Increases Payments to SNFs | New Podcast on Timeshare Arrangements | MN Hospital Deploys 24 Robots
Hall Render
AUGUST 4, 2023
CMS issued a final rule that will increase payments to SNFs by 4%, or $1.4B, starting in 2024. CMS described the increase as a “parity adjustment recalibration,” noting that it had previously overestimated overpayments to nursing homes, which resulted in an unintended reduction in reimbursement in 2023.
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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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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.
Required Training For Medicare-Enrolled Providers
MedTrainer
AUGUST 8, 2024
As of March 2024, over 67 million in the United States are Medicare beneficiaries. CMS and subject matter experts created the Hand in Hand in-service training for nurse aides to meet this requirement. Though Hand in Hand is targeted at nurse aides, it may be valuable to all nursing home caregivers, administrative staff, and surveyors.
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Elder Abuse Awareness for the Healthcare Workforce
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.
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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.”
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40 For Texas Directors of Nursing in Long-Term Care
Jerri Lynn Ward
FEBRUARY 14, 2024
The Texas Center for Nursing Workforce Studies is surveying to assess nurse staffing issues so that legislators can “make informed decisions regarding the nursing shortage in Texas.” ” You have until Friday, March 15, 2024, to give input. Go here to participate.
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