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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.
Joel Landau, founder and chairman of The Allure Group Nursinghomes have embraced technology, especially during the COVID-19 pandemic, to help seniors, staff, and clinicians better communicate with one another and for residents to stay in touch with loved ones. Nursinghomes are evolving. percent of U.S.
According to a statement released on the Center for Medicare and Medicaid Services (CMS) website, effective February 14, 2025, implementation of the Hospice Special Focus Program for calendar year 2025 has ceased so that CMS may further evaluate the program. Hall Render blog posts and articles are intended for informational purposes only.
In 2023, nursinghomes have seen increased citations by surveyors for noncompliance tied to their pre-dispute, binding agreements for binding arbitration with their residents. The Arbitration Regulations revised the requirements for arbitration agreements when they are used by nursinghomes to resolve disputes with their residents.
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.
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. Medical Directors in NursingHomes 42 CFR 483.70(g)
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)
Department of Health and Human Services found that most skilled nursing facilities (“nursinghomes”) in Massachusetts that it surveyed are not correctly complying with life safety requirements or emergency preparedness requirements. The Office of Inspector General (“OIG”) of the U.S.
Department of Health and Human Services found that most skilled nursing facilities (“nursinghomes”) in Georgia that it surveyed are not correctly complying with life safety requirements or emergency preparedness requirements. The Office of Inspector General (“OIG”) of the U.S.
Hall Render blog posts and articles are intended for informational purposes only. 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.
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.
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. Hall Render blog posts and articles are intended for informational purposes only.
As nursinghomes look for funds to allow them to improve care and train nursinghome staff, Centers for Medicare & Medicaid Services (“CMS”) released QSO-23-23-NH (“CMS Memo”), which reopens and recasts the Civil Money Penalty Reinvestment Program (“CMPRP”).
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.
The COVID data reporting through the National Healthcare Safety Network (“NHSN”) was first required of nursinghomes in May 2020 through an interim final rule. CMS took regulatory action through the Calendar Year 2022 Home Health Prospective Payment System rule to extend those requirements through December 31, 2024.
Nursinghomes are critical in providing residents with care, comfort and dignity. Nursinghomes need to navigate this delicate terrain with care, sensitivity and a commitment to creating a safe and respectful environment for all residents.
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 quality of care and quality of life for residents. Hall Render blog posts and articles are intended for informational purposes only.
The Office of Inspector General (OIG) of the US Department of Health and Human Services (HHS) is investigating a Tennessee-based nursing care company. The company runs more than 200 skilled nursinghomes (SNFs), assisted living facilities (ALFs), retirement living communities, home care services, and Alzheimer's centers across the country.
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 Additionally, this information is now publicly available on CMS’s COVID NursingHome Data Website.
Facing further confusion from skilled nursing facilities and families amidst the current spike in COVID cases in the United States, the Centers for Medicare & Medicaid Services (“CMS”) released additional best practices and addressed more issues that skilled nursing providers should follow as they encounter certain visitation scenarios.
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. Hall Render blog posts and articles are intended for informational purposes only.
Previous articles in this series introduced the importance of social determinants of health (SDoH) and explained how it can be captured and classified. In this article, I’ll show how many hospitals, payers, and other institutions are acting on that data. She says they are currently hesitant to use it.
When a patient is discharged from acute care, it is important that the acute care provider deliver accurate and appropriate patient information related to a patient’s treatment and condition in order to decrease the risk of readmission or an adverse event at the skilled nursing providers and home health agencies.
According to a recent study , physician-owned hospitals treated some of the most expensive Medicare beneficiaries at significantly lower costs compared to traditional hospitals, despite serving similar patient populations. In the broader nursinghome industry, 19% meet such minimum staffing benchmarks.
Last week, CMS proposed increases in Medicare rates for certain health care services, and Florida’s governor signed legislation that ensures patients of hospitals and health care facilities are allowed to have visitors. In other news, a large committee of experts issued a report on the nursinghome industry that was less than flattering.
On September 1, 2023, the Centers for Medicare & Medicaid Services (“CMS”) released a proposed rule (“Proposed Rule”) that calls for minimum staffing standards in long-term care facilities (“nursinghomes”). Nursinghomes would need to provide residents with a minimum of 0.55 HPRD for RNs and 2.45
The following is a guest article by Lee Hudson Teslik, Founder & CEO and Scott Erwin, Dynamic Staffing Expert at Reverence. And, naturally, such a significant generation will demand significant care as they age—with a resounding preference for support in the comfort of their own homes. He keeps me here.
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. Special thanks to Olivia Allison, undergraduate intern, for her assistance in preparing this article.
Amidst a nationwide nursing and skilled nursing facility staffing crisis, the Centers for Medicare & Medicaid Services (“CMS”) announced that additional information regarding nursinghome staff numbers will be added to the January 2022 CMS Care Compare website. Weekend Staff.
government introduced the meaningful use program as part of the Health Information Technology for Economic and Clinical Health (HITECH) Act in 2009, LTPAC organizations – notably nursinghomes – and the vulnerable patients they serve have been left behind. Since the U.S. So much to consider here!
For those 65 and older, Medicare picks up the tab. In December, NBC News reported on how one private equity-owned group of dermatology practices overbooked patients, lost test results, and leaned on cheaper labor from physician assistants and nurse practitioners who may miss critical diagnoses. ” Suthrum said in an interview.
Laura Ferrara, Chief Strategy Officer at Intus Care The focus on healthcare delivered in the comfort of one’s home has surged in recent times, particularly in light of the pandemic. Huge thank you to everyone who took the time to submit a quote and thank you to all of you for reading this article. So many good insights here!
Staffing and financial issues facing skilled nursing facilities also made headlines. We have included a summary of a number of the Year in Review articles, along with several stories on the skilled nursing industry. CMS predicts that home health expenditures will reach $201B by 2028, a 73% increase from 2020.
This “fee obstacle” was what precipitated many of the bankruptcies in the 1990s physician practice management ventures, as mentioned in my prior article. In the article entitled “The Death of Hahnemann Hospital” published in the New Yorker magazine in May 2021.
Keys to managing point-of-care testing complianceIn an effort to combat the spread of the virus and to help nursinghomes protect the health and safety of their residents, the U.S. To be eligible, nursinghomes must have a current CLIA Certificate of Waiver and meet certain epidemiological criteria.
In an effort to combat the spread of the virus and to help nursinghomes protect the health and safety of their residents, the U.S. To be eligible, nursinghomes must have a current CLIA Certificate of Waiver and meet certain epidemiological criteria. HHS argued antigen testing is the best option available.
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.
At some point, nearly every facility must complete one, especially in long-term care where CMS data shows that nearly every active nursinghome 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.
This CMS fact sheet is the only blanket waiver that exists for skilled nursing, home health agencies, critical access hospitals, durable medical equipment and other providers. k), allowing nursinghomes to admit new residents who have not received Level 1 or Level 2 Preadmission Screening. a)(2) and Section 484.55(b)(3)
A recent article predicted trends in the senior housing industry for 2025. The HHS OIG has recommended that CMS enhance its review of nursinghomes’ related-party cost reporting. Hall Render blog posts and articles are intended for informational purposes only.
On November 2, 2022, CMS announced revisions to the Calendar Year 2023 Payment Policies that impact Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare and Medicaid Provider Enrollment Policies (“CY 2023 PFS Final Rule”).
As skilled nursing facilities work and provide health care services after the May 11, 2023, end of the Public Health Emergency, questions and concerns about visitation at these facilities will likely continue to arise. Hall Render blog posts and articles are intended for informational purposes only.
You’ve got plenty of tools and training courses to utilize and this article will provide a quick checklist for changes that are common to many sectors. This article will focus on the federal changes, but make sure to check with all states where your providers are licensed to stay up-to-date. That’s a lot to keep track of!
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