The federal Office of Inspector General recently published its “OIG’s Top Unimplemented Recommendations: Solutions To Reduce Fraud, Waste, and Abuse in HHS Programs.” In the 94-page document,...
Bad survey? Call your medical director
By
Neville M. Bilimoria
Mar 20, 2023
I recently won a case against state surveyors and I learned something new… again. The surveyors were adamant that the facility neglected a resident, and cited violations of policies, and criticized...
Time to get rid of the nurse-aide training prohibition, CMS!
By
Neville M. Bilimoria
Dec 19, 2022
I’ve written a lot in the past few years about increased enforcement against nursing homes when it comes to health surveys by state departments of public health and the Centers for Medicare & Medicaid...
Something’s got to give…
By
Neville M. Bilimoria
Dec 01, 2021
I read recently that the Centers for Medicare & Medicaid Services is back at it again. Instead of reasonably mandating surveyors be vaccinated, just as CMS has required nursing homes to be vaccinated,...
Upon further inspection, part of the CMS visitation guidance stinks
By
Neville M. Bilimoria
Mar 20, 2021
There is unfortunate irony in a provision of the new CMS nursing home visitation guidance.
Healthcare fraud rampant, but OIG refines its focus on nursing homes
By
Neville M. Bilimoria
Feb 19, 2024
For 2024, healthcare fraud has already been rampant, according to the U.S. Department of Health and Human Services Office of Inspector General. But on Jan. 19, the OIG took a specific stance with...
CMS is doing something right: Focusing on safety
By
Neville M. Bilimoria
Feb 18, 2022
On Feb. 9, 2022, the Centers for Medicare & Medicaid Services sent a memo to state survey agency directors, asking state departments of public health to properly survey for certification requirements....
Staffing shortages forcing closures… why does the government turn a blind eye?
By
Neville M. Bilimoria
Aug 03, 2022
I would like to let you in on something: Survey enforcement against nursing homes across the country is on the rise. For the last few years, we have seen our post-acute care clients suffer a marked increase...
Keep your head up: Your pay rule comments are due by June 10!
By
Neville M. Bilimoria
Apr 25, 2022
Perhaps the proposed rule will allow providers to tell their story to CMS, and this time make the agency’s key personnel understand that a reimbursement cut right now is unreasonable.
It’s time to be a team player and place public safety first
By
Neville M. Bilimoria
Jun 18, 2021
Recent legislative activity in Ohio just highlights the public’s and the government’s fickle view of long-term care in our country.