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...
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...
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...
Nursing home averts picket after promising $80K in bonuses
By
Kimberly Marselas
Oct 26, 2023
A group of nursing home workers who threatened to picket their employer this week put down the placards after being promised more than $80,000 in bonuses their union says they are owed.
New federal initiatives increase criminal enforcement concerns for nursing homes
By
Kimberly Marselas
Jan 03, 2024
Already facing heightened regulatory pressure, skilled nursing operators could find themselves the subject of more criminal investigations in 2024 with the Biden administration ramping up efforts to investigate...
Senator renews call for surveyor funding after staffing rule release
By
Kimberly Marselas
Sep 15, 2023
An influential senator is renewing his calls for increased funding for state survey agencies, following the release earlier this month of a federal staffing minimum that would require extensive on-site...
Opioid use, interpretation allegations snag two nursing home chains
By
Kimberly Marselas
Oct 27, 2023
Two nursing home chains have resolved allegations that they violated the Americans with Disabilities Act by denying admission to prospective residents with Substance Use Disorder, the US Attorney’s Office...
OIG urges CMS to use claims to uncover abuse of Medicare patients
By
Kimberly Marselas
Nov 10, 2023
The Centers for Medicare & Medicaid Services has pledged to issue new guidance on resident abuse after a federal watchdog found the agency was failing to use claims data to spot potential cases of neglect...
Nursing home fights for right to end temporary bonuses, avoid $369K payout
By
Kimberly Marselas
Apr 15, 2024
Can a nursing home end an emergency bonus program for unionized workers without negotiating after a contract has expired?