Healthcare IT News - Telehealth

AUGUST 25, 2020

"The FCC COVID-19 Telehealth Program will enable Parker to reduce patient face-to-face encounters in the nursing home and the possible impact of COVID-19, reduce PPE, and minimize staff burden." " Lorraine Breuer, Parker Jewish Institute for Health Care and Rehabilitation. ” MARKETPLACE.

COVID-19 206

COVID-19 Elder Care Nursing Homes Nurses 206

Med-Net Compliance

OCTOBER 27, 2022

A federal jury convicted a licensed Illinois psychologist of defrauding Medicare over the course of several years by causing the submission of fraudulent claims for psychotherapy services he never provided. Issue: It is illegal to submit claims for payment to Medicare or Medicaid that you know or should know are false or fraudulent.

Nursing Homes 59

Nursing Homes Fraud US Department of Health and Human Services Nurses 59

Healthcare Law Blog

OCTOBER 27, 2022

On October 21, 2022, the Centers for Medicare and Medicaid Services (CMS) announced changes to its Special Focus Facility (SFF) program, including new steps to address nursing home facilities that fail to graduate from the SFF program in a timely manner, or “yo-yo” back into non-compliance after graduating from the SFF program.

Nursing Homes 96

Nursing Homes Medicaid Medicaid Nurses 96

MedTrainer

JANUARY 10, 2024

It may seem a little early to do some spring cleaning, but not when it comes to compliance! 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.

Compliance 94

Compliance Fraud HIPAA Compliance Officers 94

Med-Net Compliance

AUGUST 18, 2022

An Indiana provider of skilled nursing and long-term care services has agreed to pay $5,591,044.66 to resolve allegations that it violated the False Claims Act by submitting false claims to the Medicare program. The complaint alleged that the provider had engaged in conduct to defraud the Medicare program. to the United States.

Nursing Homes 59

Nursing Homes US Department of Health and Human Services Nurses Medicare 59

Med-Net Compliance

AUGUST 3, 2022

A Pennsylvania nursing home will pay $819,640 to settle claims that it provided medically unnecessary rehabilitation therapy to residents to maximize revenue, and without prioritizing clinical needs. overbilled federal healthcare programs such as Medicare for therapy services provided; (b)?billed

Nursing Homes 59

Nursing Homes Nurses Medicare Medicare 59

Med-Net Compliance

NOVEMBER 8, 2022

On November 3, 2022, the OIG released the results of a recent inspection of a nursing home by the Texas Health and Human Services (HHS) Office of Inspector General Audit and Inspections Division (OIG Inspections).

Nursing Homes 59

Nursing Homes Nurses US Department of Health and Human Services Licensing 59

Healthcare Compliance Blog

MARCH 16, 2022

In a March 11, 2022, release by the Northern District of Georgia’s Office of the Department of Justice, it was reported that an investigation determined a Georgia nursing home knowingly submitted claims for unreasonable, unnecessary, and unskilled services for Medicare patients. Attorney Kurt R.

Nursing Homes 59

Nursing Homes Nurses Overpayments Overpayment 59

Med-Net Compliance

AUGUST 4, 2022

The Office of Inspector General (OIG) conducted an audit and found that selected nursing homes may not have complied with federal requirements for infection prevention and control and emergency preparedness. Specifically, 28 of 39 nursing homes they audited had possible deficiencies.

Nursing Homes 59

Nursing Homes Nurses COVID-19 Medicaid 59

Med-Net Compliance

SEPTEMBER 22, 2022

They identified that 6,622 nursing homes had been cited for infection prevention and control program deficiencies as of February 26, 2020, and Medicare.gov indicated that 24 nursing homes were part of a nursing home chain. The OIG’s audit found that 23 of the 24 nursing homes had possible deficiencies.

Nursing Homes 59

Nursing Homes Nurses COVID-19 Medicaid 59

Med-Net Compliance

OCTOBER 4, 2022

On September 23, 2022, the Centers for Medicare & Medicaid Services (CMS) issued revised COVID-19 nursing home visitation guidance. Nursing homes should use the community transmission level metric, not the community level metric. The revision provides updated guidance for face coverings and masks during visits.

Nursing Homes 59

Nursing Homes COVID-19 Nurses Medicaid 59

Med-Net Compliance

AUGUST 1, 2022

The Centers for Medicare & Medicaid Services launched its enhanced Nursing Home Five-Star Quality Rating System which integrates data nursing homes report on their weekend staffing rates for nurses and information on annual turnover among nurses and administrators. Ratings are updated quarterly.

Nursing Homes 59

Nursing Homes Nurses Licensing Medicaid 59

Healthcare Compliance Blog

JANUARY 18, 2022

On January 7, 2022, the Centers for Medicare & Medicaid Services (CMS) published a memorandum stating that nursing home staff turnover and weekend staffing will be posted on the Medicare.gov Care Compare public website. The QSO memorandum can be accessed at: QSO-22-08-NH (cms.gov).

Nursing Homes 59

Nursing Homes Nurses Medicaid Medicaid 59

Healthcare Compliance Blog

MAY 25, 2022

The Department of Health and Human Services (HHS) Office of Inspector General (OIG) has excluded a Louisiana man from participation in federal healthcare programs due to his ownership interest in seven Louisiana nursing homes that OIG previously excluded. As a result, OIG has excluded the nursing homes and their owner.

Nursing Homes 59

Nursing Homes Nurses Licensing Medicaid 59

Healthcare Compliance Blog

FEBRUARY 8, 2022

The United States has filed a lawsuit against an Alabama psychiatrist for improper prescribing of Nuedexta to nursing home residents. The complaint alleges that an Alabama psychiatrist caused the submission to Medicare and Medicaid of false and fraudulent claims for the prescription drug Nuedexta.

Nursing Homes 52

Nursing Homes Nurses Compliance Medicare 52

Healthcare Compliance Blog

JUNE 8, 2022

A Maine nursing home with a history of federal fines was listed as a special focus facility (SFF) after two residents wandered off in separate incidents last year. They were one mile from the nursing home, so police took her to the facility. In the second case, the resident was hit and killed by a motor vehicle.

Nursing Homes 59

Nursing Homes Nurses Medicaid Medicaid 59

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.

Nursing Homes 52

Nursing Homes Nurses Compliance Medicaid 52

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)

Nursing Homes 40

Nursing Homes Nurses Medicaid Medicaid 40

Health Law RX

SEPTEMBER 14, 2021

Medicare and Medicaid certified facilities will be required to ensure that their employees are vaccinated for COVID-19, the Centers for Medicare & Medicaid Services (CMS) announced on September 9, 2021. The Interim Final Rule will apply to any healthcare facility receiving Medicare or Medicaid reimbursement. The OSHA ETS.

Medicaid 75

Medicaid Medicaid Medicare Medicare 75

Healthcare IT News - Telehealth

SEPTEMBER 15, 2021

Over the years, while digital technology was quickly advancing, telehealth had a relatively low adoption rate due to poor reimbursement rates and regulatory challenges when it came to patient privacy and HIPAA compliance. According to CMS.gov , CMS is expanding access to telehealth services with Medicare.

Telemedicine 195

Telemedicine COVID-19 Medicare Medicare 195

Med-Net Compliance

OCTOBER 26, 2022

The US Department of Health and Human Services (HHS) Office of Inspector General (OIG) has announced that they will be enhancing their focus on potentially preventable hospitalizations of Medicare-eligible skilled nursing facility (SNF) residents. Audit resident care plans to ensure they are regularly followed and updated as needed.

Nursing Homes 59

Nursing Homes Nurses US Department of Health and Human Services Hospitals 59

Health Care Performance

AUGUST 25, 2022

We summarize enforcement trends and deliver the latest compliance and HIPAA developments to your inbox with our Monthly Compliance News Report. Read MPA’s News Report to stay current with compliance news and developments. The OIG's audit report of nursing home life safety and emergency preparedness noncompliance.

Compliance 52

Compliance Nursing Homes HIPAA Fraud 52

MedTrainer

JANUARY 30, 2024

What types of healthcare facilities are required by the government to have a compliance program? In this blog, we’ll outline what types of healthcare facilities are required by the government to have a compliance program and why compliance is crucial for both healthcare organizations and the agencies that support them.

Governance 52

Governance Compliance Nursing Homes Medicaid 52

Provider Trust

JULY 17, 2023

In our recent webinar, ProviderTrust’s Chief Compliance Officer, Donna Thiel, shared her expertise and valuable feedback from the 2023 HCCA Compliance Institute. Watch the Webinar During the Keynote Speech at the HCCA Compliance Institute this year, Office of Inspector General (OIG) Christi A.

Compliance 52

Compliance Nursing Homes Nurses Fraud 52

Hall Render

JANUARY 8, 2025

Appendix PP Update Planned In the Memo, CMS announced that it will develop guidance for surveyors to evaluate compliance with the new acute respiratory illness reporting requirements and provide information on enforcement actions for noncompliance. The Final Rule was published on November 7, 2024, with an effective date of January 1, 2025.

Nursing Homes 40

Nursing Homes Nurses COVID-19 COVID-19 Vaccine 40

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. current DSM criteria) for the diagnosis.

Nursing Homes 52

Nursing Homes Nurses Compliance Medicaid 52

MedTrainer

SEPTEMBER 20, 2023

Watch this one-demand webinar for insider tips straight from seasoned compliance surveyors. Examples of covered entities include health plans, clearinghouses, and certain health care providers including but not limited to: doctors, clinics, psychologists, dentists, chiropractors, nursing homes, and pharmacies. Accreditation.

Medicaid 97

Medicaid Medicaid Medicare Medicare 97

Hall Render

OCTOBER 10, 2023

As nursing homes look for funds to allow them to improve care and train nursing home 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”).

Nursing Homes 40

Nursing Homes Nurses Medicaid Medicaid 40

Healthcare Law Blog

SEPTEMBER 6, 2023

On September 1, 2023, the Centers for Medicare and Medicaid Services (CMS) issued a long-awaited proposal to establish new federal minimum staffing standards for long-term care facilities. [1] Nurse Aide (NA) HPRD (the “2.45 Nurse Aide (NA) HPRD (the “2.45 NA HPRD requirements, a total nurse staffing standard should be required.

Nursing Homes 98

Nursing Homes Nurses Medicaid Medicaid 98

Healthcare IT News - Telehealth

MARCH 25, 2019

" There's another about "inspired aging and virtual care transformation" and another touting home care successes thanks to a "virtual care-enabled remote monitoring program." " At home, in the nursing home, in the hospital or clinic, telehealth can help.

Nursing Homes 165

Nursing Homes Nurses Telemedicine Hospitals 165

Hall Render

JUNE 30, 2022

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 quality of care and quality of life for residents. Compliance and ethics. Areas with Significant Updates. Phase 3 Elements.

Nursing Homes 40

Nursing Homes Nurses Compliance Licensing 40

Hall Render

AUGUST 21, 2023

Nursing homes are critical in providing residents with care, comfort and dignity. Nursing homes need to navigate this delicate terrain with care, sensitivity and a commitment to creating a safe and respectful environment for all residents.

Nursing Homes 40

Nursing Homes Nurses Medicaid Medicaid 40

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. Removal of Culpability : The updated guidance removes culpability from the immediate jeopardy determination process.

Medicaid 40

Medicaid Medicaid Nursing Homes Medicare 40

Healthcare Compliance Blog

JANUARY 24, 2022

The Medicaid Fraud Division also prioritizes the physical and financial security of residents who reside in Massachusetts nursing homes. Cases include: In September 2021, a certified nurse’s aide was charged with sexually assaulting two elderly nursing home residents at a Massachusetts nursing home while he worked the night shift.

Fraud 59

Fraud Medicaid Medicaid Nursing Homes 59

Healthcare Compliance Blog

APRIL 14, 2022

The Office of Inspector General (OIG) released their findings of an audit they conducted to determine if hospital admissions of Indiana skilled nursing facility (SNF) residents who are enrolled in both Medicare and Medicaid (dually eligible beneficiaries) were potentially avoidable, and if level-of-care requirements for Medicare were met.

Medicare 59

Medicare Medicare Overpayments Overpayment 59

Healthcare IT News - Telehealth

APRIL 24, 2020

The Alliance for Integrated Care of New York (AICNY) oversees the healthcare needs of roughly 6,200 dually eligible Medicare and Medicaid beneficiaries with intellectual and developmental disabilities (IDD). Many AICNY beneficiaries reside in group homes and use Federally Qualified Community Health Centers. THE PROBLEM.

Telemedicine 199

Telemedicine COVID-19 Medicaid Medicaid 199

MedTrainer

NOVEMBER 6, 2023

When it comes to healthcare, compliance is not just a buzzword — it’s critical to ensuring quality of care, protecting patient privacy, and staying on the right side of the law. But what exactly is a compliance plan in healthcare, and why is it so crucial? Why Is a Compliance Plan Important in Healthcare?

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Compliance Fraud Nursing Homes Governance 52