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The Centers for Medicare & Medicaid Services (CMS) has given surveyors additional rules and updates to allow surveyors to assess and cite violations of the regulations on nursinghomes with admission agreements that create prohibited third-party guarantee of resident payments.
On March 7, 2025, the Centers for Medicare & Medicaid Services (CMS) posted a memo dated March 10, 2025, that gives nursinghomes and surveyors more time to prepare for implementation of new rules and updates to allow surveyors to add extra attention and increase oversight in nursinghomes.
Last November, the OIG published industry-specific compliance guidance for 2024 for several healthcare subsectors, including nursinghomes and facilities. More specifically, the 2024 guidance for nursing facilities focuses on several areas.
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.
For example, one paper found that nursinghomes 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. [
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 nursinghome mogul Phillip Esformes had reached a plea deal on pending conspiracy [.] Indest III, J.D.,
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!
Nursinghome 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.
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 nursinghome mogul Phillip Esformes had reached a plea deal on pending conspiracy [.] Indest III, J.D.,
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 nursinghome mogul Phillip Esformes had reached a plea deal on pending conspiracy [.] Indest III, J.D.,
The selected items relate to (1) nursinghomes 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.
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 nursinghome members of the health care compliance community.
Nursinghomes, rehab providers and psychiatric hospitals urged the Centers for Medicare and Medicaid Services to account for economic conditions in fiscal 2024 rates
The Centers for Medicare & Medicaid Services (“CMS”) is reinforcing regulatory expectations regarding nursinghome residents’ rights to vote. On September 26, 2024, CMS issued a QSO Memo , “Compliance with Residents’ Rights requirement related to NursingHome Residents’ Right to Vote.” 42 CFR §483.10(b)(1)
On November 18, 2024, the Quality, Safety & Oversight Group at CMS issued a memorandum entitled REVISED: Revised Long-Term Care (LTC) Surveyor Guidance: Significant revisions to enhance quality and oversight of the LTC survey process (New Surveyor Guidance Memo).
13 Fall 2024 HIM user group meeting Nov. 14 Nursinghome 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.
The Final Rule was published on November 7, 2024, with an effective date of January 1, 2025. The post NursingHome Update: CMS Confirms Acute Respiratory Illness Reporting Requirements appeared first on Law Firm | Health Care Law Firm in the USA | Hall Render.
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 NursingHome Residents ( Full Story ) Chronic Disease Management Provider to Pay $14.9M
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 NursingHome Residents ( Full Story ) Chronic Disease Management Provider to Pay $14.9M
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 NursingHome Residents ( Full Story ) Chronic Disease Management Provider to Pay $14.9M
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 nursinghomes regarding the role of the medical director and how mental disorders are diagnosed.
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 nursinghomes in May 2020 through an interim final rule. Revised 42 CFR Section 483.80(g)
For this alert, “nursinghomes” refers to skilled nursing facilities (often known as “SNFs”). In 2020, CMS revised the nursinghome 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.
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 nursinghomes, clinical laboratories, and hospitals.
This week the governor signed the following bills of interest into law: Nursinghome 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 (..)
Thereafter, the average declined each year through 2023, when it reached 30%, and it held there in 2024. Trust for other health industry professions including day care providers, pharmacists, and nursinghome operators, had buoyed in years one and two of the pandemic, but in 2025 have fallen below pre-pandemic ratings.
Nursinghome Quality Assurance Performance Improvement and root cause analysis process Oct. 31 Nursinghome back-to-basics series: Site visit readiness Nov. 13 Fall 2024 HIM user group meeting Nov. 14 Nursinghome Quality Assurance Performance Improvement and root cause analysis process Oct.
126 Closure of nursinghomes – Veto No. 118 Please use our Significant State Legislation Tool to browse all bills of interest that passed both houses, were signed into law or vetoed during the 2024 session. 126 Closure of nursinghomes – Veto No. 115 Wrongful death – Veto No.
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.
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.
We're telling legislators to stabilize New York's hospitals and nursinghomes 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.
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.
Welltower has selected Integra Healthcare Properties, a newly-formed company with a 29-year-old CEO, to manage 147 nursinghomes in 15 states. Integra will lease the nursinghomes from Welltower and then sublet them to regional operators. million in affordable housing in Bel Aire, Kansas. million ASC in North Carolina.
2465-C) Nursinghome 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) Nursinghome quality postings (A.2188/S.3498) 3498) Influenza virus vaccination at general hospitals (A.9866/S.9550)
The following bills of interest passed both houses recently: Nursinghome 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.
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 nursinghomes to home and community-based services.
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 nursinghome caregivers, administrative staff, and surveyors.
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.
Large outpatient investments in 2024 included over $1B by HCA, $760M by Jefferson Health and $500M by Tenet. CMS released significant revisions to its nursinghome surveyor guidance, including requirements for COVID-19 vaccine education, opioid and psychotropic prescribing and medical director responsibilities. per year.
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.
Over the past nine years, over 800 nursinghomes have closed across the country according to new data. One company in Connecticut is carving out a niche by converting vacant nursinghomes into market-rate housing. Hilltop Securities released its 2024 High Yield Impact Survey.
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.
Twenty states and 19 nonprofit organizations filed a lawsuit against HHS and CMS over recent nursinghome minimum staffing mandates. The plaintiffs allege the final rule “poses an existential threat” to the nursinghome industry. The median operating margin reported by Kaufman Hall for August 2024 was 4.2%.
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