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...
It’s time to tune in to National Skilled Nursing Care Week
By
James M. Berklan
Mar 15, 2024
Preparations to observe National Skilled Nursing Care Week are fully underway for the May 12-18 observance. The theme is “Radiant Memories — A Tribute to the Golden Age of Radio.”
25 nursing homes swept up in wage-withholding investigation
By
Josh Henreckson
Jan 11, 2024
The US Department of Labor has filed a complaint against the operator of 25 Massachusetts nursing homes, alleging that it systematically withheld break and overtime pay at those facilities in violation...
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.
NY nursing home to pay up to $8.6M, make major reforms to resolve criminal fraud charges
By
Josh Henreckson
Mar 05, 2024
A settlement with the New York Attorney General’s office will require a Long Island nursing home to pay up to $8.6 million in Medicare and Medicaid restitution and funding for state-mandated changes...
Troubled nursing home in contempt over non-payment of $2.65 million for staff healthcare
By
Josh Henreckson
Apr 15, 2024
One of New York’s largest nursing homes was held in contempt by a state Supreme Court Justice Tuesday for failing to make court-ordered payments to ensure that staff can continue receiving healthcare...
Layering of fines amid state, federal staffing rule conflicts tops providers’ worry list
By
Kimberly Marselas
May 02, 2024
Providers in states that have recently increased their own nursing home staffing requirements may soon find themselves playing a complicated penalties and numbers game — and buried in additional paperwork.
CMS proposes appeals process for Medicare patients placed on observation stay
By
Josh Henreckson
Jan 02, 2024
Medicare patients initially admitted to hospitals as inpatients but later reclassified as outpatients under observation would finally have a process to appeal those decisions, thanks to a long-awaited...
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...
Judge dismisses 7 of 9 COVID vaccine-exemption complaints against provider
By
Josh Henreckson
Jan 24, 2024
A US District Court judge dismissed seven out of the nine recent workplace discrimination complaints raised against a major skilled nursing provider by former employees.