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Post-Acute Compliance Program Update: OIG Recommendations on Medical Director Agreements and Roles

Hall Render

Department of Health and Human Services (HHS) issued new Industry Segment-Specific Compliance Program Guidance For Nursing Facilities (Nursing Facility ICPG) for nursing home members of the health care compliance community. Medical Directors in Nursing Homes 42 CFR 483.70(g)

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CMS Final Rule Calls for Ongoing Respiratory Illness Reporting through NHSN for Nursing Homes

Hall Render

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. CMS took regulatory action through the Calendar Year 2022 Home Health Prospective Payment System rule to extend those requirements through December 31, 2024.

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Nursing Home Update: CMS Unwinds Vaccine Mandate and More Regulations as Public Health Emergency End Nears

Hall Render

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 Additionally, this information is now publicly available on CMS’s COVID Nursing Home Data Website.

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Updated Compliance Program Guidance for Nursing Facilities

Compliancy Group

Medicare and Medicaid Billing Requirements Accurate and compliant billing practices are essential for nursing facilities participating in Medicare and Medicaid programs. The ICPG highlights risks associated with the SNF Prospective Payment System (PPS), value-based payment models, and Medicare Advantage plans.

Nurses 52
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$900 Million Increase in Medicare Part A Payments One of Many Medicare Changes for SNFs in FY 2023

C&M Health Law

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. Staffing Levels.

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OIG Issues Highly Anticipated Industry Segment-Specific Compliance Program Guidance for Nursing Facilities

Hall Render

Department of Health and Human Services (“HHS”) issued new Industry Segment-Specific Compliance Program Guidance For Nursing Facilities (“Nursing Facility ICPG”) for nursing home members of the health care compliance community. On November 20, 2024, the Office of Inspector General (“OIG”) for the U.S.

Nurses 40
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Key Areas of Focus for Skilled Nursing Facilities as the Public Health Emergency Ends

Hall Render

CMS has allowed states and nursing homes to suspend these assessments for new residents for thirty days. After 30 days, new patients admitted to nursing homes with a mental illness or intellectual disability should receive the assessment as soon as resources become available. COVID Testing Requirements.