article thumbnail

CMS unveils managed care rule, refutes nursing home rule complaints

Fierce Healthcare

Medicaid managed care plans and the Children’s Health Insurance Program (CHIP) will be subject to new wait time standards and quality ratings requirements, the Centers for Medicare & Medicaid S | CMS defended implementing stronger rules over nursing home staffing as well as explained its thoughts behind Medicaid access and managed care rules.

article thumbnail

Our Nursing Home Industry – A National Scandal

HIT Consultant

My commitment to this work has led me to build innovative programs both in the community and in skilled nursing facilities, designed to provide more and better-focused care to our frail elderly. According to Bureau of Labor Statistics data 1 , the number of workers employed at nursing care facilities nationwide has declined by 15%—from 1.59

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

How Can Nursing Homes’ Data Problem Be Solved?

HIT Consultant

Joel Landau, founder and chairman of The Allure Group Nursing homes 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. Nursing homes are evolving. percent of U.S.

article thumbnail

CMS Proposes Minimum Staffing Requirements and Enhanced Facility Assessments for Nursing Homes

C&M Health Law

Department of Health and Human Services, through the Centers for Medicare & Medicaid Services (“CMS”) issued a much anticipated and contested proposed rule that seeks to establish minimum staffing level requirements for nursing homes. hours of nursing staff per resident per day, or 3.0 HPRD from nurse aids (NAs). [2]

article thumbnail

Private equity targeted in CMS nursing home ownership regulation

Modern Healthcare

The Centers for Medicare and Medicaid Services published a proposed rule that aims to promote transparency in the often opaque realm of nursing home ownership.

article thumbnail

New York Optician Convicted of Medicaid Fraud for Nursing Home Residents

Healthcare Compliance Blog

A New York optician has pled guilty to grand larceny for submitting false claims for optician services that he alleged were for specific nursing home residents, but which were never provided. Additionally, it is necessary that the billing office ensures that no double billing occurs by the nursing home and any consultant.

article thumbnail

Nursing Home Arbitration Agreements: Recent Trends in Citation Risks and Solutions

Hall Render

In 2023, nursing homes 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 nursing homes to resolve disputes with their residents.