CareOne, HealthBridge ordered to pay 12 years’ back wages to striking workers they replaced
By
Kimberly Marselas
May 31, 2024
The owner and manager of six Connecticut nursing homes must pay up to 700 former employees replaced during a 2012 strike for up to 12 years of back pay, a federal judge ruled this week.
Health system shuts door on case affirming right to spend nursing home pay on other service lines
By
Kimberly Marselas
May 23, 2024
A health system has resolved the final allegation in a 12-year-old False Claims case over how it spent its nursing home proceeds, months after a federal appeals court ordered the case dismissed.
Judge clears way for new Petersen Health financing as bankruptcy advances
By
Kimberly Marselas
Josh Henreckson
May 16, 2024
Petersen Health Care can borrow $45 million while in Chapter 11 bankruptcy to maintain operations at its nursing homes and make the properties more appealing to potential buyers, a federal bankruptcy judge...
Industry and legal experts are expressing confidence in a lawsuit filed last week that aims to kill a federal nursing home staffing mandate, with some boldly predicting a fairly straight-forward defeat...
BREAKING: AHCA files lawsuit to dismiss nursing home staffing rule
By
Kimberly Marselas
May 24, 2024
A federal lawsuit filed Thursday seeks to throw out the national nursing home staffing mandate, charging that it exceeds the authority of the Centers for Medicare & Medicaid Services and that it “creates...
‘Whistleblower’ owes landmark $1.1M to nursing home for groundless False Claims case
By
Kimberly Marselas
Mar 20, 2024
A judge has awarded a landmark $1.1 million in attorney fees to a nursing home targeted in a False Claims case found “frivolous” for its reliance on publicly available and false information.
The RAC is back, increasing scrutiny in a complex nursing home audit environment
By
Kimberly Marselas
Feb 05, 2024
Audits of skilled nursing providers are likely to increase this year, with a growing number of federal and state recovery audits adding to specialized compliance reviews announced last year.
CMS provides first look at shorter, Risk-Based Survey process
By
Kimberly Marselas
Apr 04, 2024
The Centers for Medicare & Medicaid Services on Wednesday revealed initial information about a potential “Risk-Based Survey” option that could be available to some of the nation’s best performing...
Court orders attorney to pay nursing home legal fees in ‘frivolous’ False Claims case
By
Kimberly Marselas
Feb 07, 2024
An attorney who brought a False Claims case against a Mississippi long-term care provider using publicly available — and later disproven — information must pay the facility’s legal fees, a court...
A key Medicaid advisory body appears ready to recommend new appeal opportunities for millions of Managed Medicaid beneficiaries and to add more oversight to better ensure plans cover medically necessary...