Lack of SNF beds leads to hospital lawsuit against patients refusing discharge
By
Kimberly Marselas
Nov 21, 2023
A Catholic hospital system is suing patients who refused to leave its hospitals while awaiting post-acute placements, saying their refusal to be discharged amounted to trespassing.
State high court keeps provider COVID immunity in play but further defines scope
By
Kimberly Marselas
Aug 14, 2023
Connecticut’s highest court has offered a mixed ruling for a nursing home that sought dismissal of a wrongful death suit under a state provision limiting COVID-era liability.
Class action suit targets Medicare Advantage insurer’s use of AI to end rehab stays
By
Josh Henreckson
Dec 14, 2023
Two skilled nursing patients filed a class action suit against Humana Tuesday — alleging their Medicare Advantage benefits were cut prematurely short because of Humana’s wrongful reliance on artificial...
PEPPER’s pause doesn’t wipe out prospects for nursing home self-monitoring
By
Kimberly Marselas
Feb 06, 2024
Federal regulators have suspended a key tool used by some nursing homes for internal auditing, but experts cautioned providers not to let the stoppage hinder their compliance efforts.
‘Incomplete’ oversight lets Medicaid managed care denials go largely unchecked: MACPAC
By
Kimberly Marselas
Sep 22, 2023
While much of the outrage around managed care denials has been directed toward Medicare Advantage plans, a federal advisory panel Thursday outlined policies that could force states to better track denials...
CMS ‘naive’ about staffing minimum proposal details, professor claims
By
Jessica R. Towhey
Sep 20, 2023
The proposed federal staffing rule is “shockingly low” and will not measurably improve working and care conditions in nursing homes, consumer advocates claimed during a webinar that was conducted without...
After record penalties, providers can protect themselves from the DOJ with 3 priorities, experts say
By
Joe Bush
Nov 28, 2022
The Department of Justice is on pace to hand out a record $5.6 billion-plus in total fines and penalties under the False Claims Act this year, a clear indicator that the agency has removed the kid gloves...
Arbitration battles loom after Supreme Court inaction, tough new guidance
By
Kimberly Marselas
Oct 05, 2022
The US Supreme Court this week refused to hear arguments that nursing homes should be able to require pre-dispute arbitration agreements, clearing the way for enforcement of stiff new arbitration rules...
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...
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...