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Home Health & Hospice Quarterly - Q1

AGG’s Home Health & Hospice team publishes a quarterly newsletter covering legal and regulatory topics specific to the home and community-based healthcare industry. The fields of end-of-life and home healthcare present...more

Federal Court Upholds CMS Final Rule: Not All Surveys Need a Registered Nurse

Background - In August 2013, Avon Nursing and Rehabilitation (“Avon”) notified the New York State Department of Health (“NYSDOH”) that a resident sustained a burn when she spilled a bowl of soup. The NYSDOH then conducted an...more

CMS Changes Policy Regarding Reporting of Challenged Deficiencies

The Centers for Medicare and Medicaid Services (“CMS”) is responsible for regulating and overseeing skilled nursing facilities (“SNFs”) that participate in the Medicare and/or Medicaid programs. To ensure that SNFs are in...more

Of Carrots and Sticks: CMS Seeks Change in Nursing Homes

On June 1, 2020, the Centers for Medicare and Medicaid Services (CMS) issued a memorandum to all State survey agency (SSA) directors announcing its “enhanced enforcement for infection control deficiencies” in nursing homes....more

CMS Is About to Change Nursing Facilities’ Reporting Requirements Regarding COVID-19

On April 19, 2020, the Centers for Medicare and Medicaid Services (CMS) published a Quality, Safety and Oversight Group (QSO) memorandum to all State Survey Agency Directors. In that memorandum, CMS notes that it plans to...more

Nursing Home Visitation in the Age of COVID-19

Until a few months ago, nursing homes were required under federal law to permit almost unfettered visits for their residents. Then, the world changed as an invisible tsunami swept over the globe. One of the first signs of the...more

CMS Proposes to Make the IDR and IIDR Processes More Fair

On July 18, 2019, the Centers for Medicare and Medicaid Services (CMS) published a proposed rule that, among other significant changes, would improve the informal dispute resolution (IDR) and the independent informal dispute...more

CMS Launches Program for Funding Resident Safety and Quality

On November 20, 2018, the Centers for Medicare and Medicaid Services (CMS) announced a new program designed to improve nursing home residents’ safety and quality. ...more

CMS Changes Policy Regarding Enforcement Actions

On October 27, 2017, the Centers for Medicare and Medicaid Services (CMS) issued a draft Survey and Certification Memo (S & C Memo) in which it announced its intention to reverse a previous policy regarding “immediate...more

Long-Term Care Facilities Subject to New Medicare Requirements for Participation Must Comply with Staffing, Training, and...

On October 4, 2016, the Centers for Medicare & Medicaid Services (CMS) issued a final rule which represents the most sweeping changes in twenty-five years regarding the requirements for participation for long-term care (LTC)...more

Medicare Providers - Beware! CMPs are Increasing

On September 6, 2016, the Department of Health and Human Services published an interim final rule which became effective immediately. The new regulation adjusts for inflation the maximum civil monetary penalty (CMP) amounts...more

Summary of CMS Proposed Rule for Discharge Planning Requirements

On November 3, the Centers for Medicare & Medicaid Services (CMS) issued a Proposed Rule that would revise the discharge planning conditions of participation (CoPs) for Hospitals, Critical Access Hospitals (CAHs), and Home...more

Court Rules that Medicare and Medicaid Payments to Nursing Home Must Continue Pending Jurisdictional Dispute

On October 27, 2015, United States District Judge James S. Moody, Jr. extended a stay of proceedings thereby permitting Bayou Shores SNF, LLC (“Bayou Shores”) to remain viable and continue receiving Medicare and Medicaid...more

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