No time to file CMP waiver? CMS rule could grant providers 35% relief anyway.
By
Kimberly Marselas
Jul 18, 2019
Even as complaint-based investigations tick up, federal regulators this week proposed several regulatory changes that would make it easier for skilled nursing providers to handle complaints and limit penalties....
Flurry of Medicare Advantage regulation likely to hit nursing home coffers
By
Kimberly Marselas
Feb 03, 2023
Federal efforts to rein in Medicare Advantage spending and recoup payments awarded for improper diagnoses will likely lead to even more financial pressure on nursing homes that serve plan beneficiaries,...
Provider sues agency for routine overbilling, unscrupulous practices that led to $5M bill
By
Kimberly Marselas
Mar 21, 2024
A multi-facility skilled nursing operator has filed a lawsuit against the staffing platform Nursa, alleging the app-based agency routinely overbilled for staff that failed to show up for shifts and refused...
MDS, quality reporting changes give providers a ‘bumpy road’ ahead
By
Kimberly Marselas
Dec 21, 2023
Major changes to resident assessment tools, increasing quality reporting requirements and new state Medicaid payment tools will continue to dog providers well into 2024, a trio of clinical and reimbursement...
BREAKING: New CMS ownership proposal targets private equity, REITs and related parties
By
Kimberly Marselas
James M. Berklan
Feb 13, 2023
The Department of Health and Human Service this afternoon proposed a new nursing home ownership disclosure rule intended to make more clear ownership and management operations of facilities.
CMS tightens guidance for nursing home dialysis providers
By
Kimberly Marselas
Mar 23, 2023
Federal officials on Wednesday updated guidance meant to improve the delivery of nursing home dialysis, a service many providers have been adding to attract new residents and improve quality of life for...
Major study links nursing home staff vaccinations to lower resident deaths, calls for updated booster...
By
Kimberly Marselas
Jan 03, 2023
Policymakers should rethink their “stagnant” approach to booster shots, argue the researchers behind a new, first-of-its kind national study linking COVID-19 vaccination of nursing home staff to significantly...
‘Put some meat on the bone’ to create meaningful diversity programs
By
Kimberly Marselas
May 21, 2021
Effective diversity, equity and inclusion in programs must do more than talk about workplace fairness or train employees about bias; they also must actively counter discrimination and promote representation.
More nursing home COVID cases stay in state courts — for now
By
Kimberly Marselas
Jul 05, 2023
A recent rash of federal court orders made clear the path for COVID-related lawsuits in nine states, but more controversy over PREP Act immunity for protection could be brewing as another court considers...
State courts push back on nursing homes’ federal right to arbitrate
By
Kimberly Marselas
Jun 12, 2023
A spate of recent battles over arbitration agreements may force courts and lawmakers to once again tackle who can enter one on behalf of a nursing home resident — and whether they can ever be mandated...