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Skilled Nursing Facility

Benesch

CMS Announces a Second Preview Period for the October 2024 SNF Preview Reports

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On September 19, 2024, CMS announced a second preview period for the October 2024 SNF Preview Reports (“Preview Reports”) following the identification of a technical glitch that prevented the posting of these reports for...more

BakerHostetler

Healthcare Industry Team 2023 Year in Review

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As we approach the conclusion of another transformative year, we are excited to present our comprehensive year-end review, shedding light on the trends shaping the healthcare market in 2023. Our team’s keen insights and...more

Stotler Hayes Group, LLC

$200 Million in New Funding Available for SNF Telehealth Systems

Applications are now open through the Federal Communications Commission (FCC) for the COVID-19 Telehealth Program to Support Healthcare Providers.  Allocated funds will assist SNFs to purchase the necessary systems with which...more

Baker Donelson

COVID-19 Pandemic Trickles Into Some Aspects of SNF PPS FY 2021 Final Rule

Baker Donelson on

On August 5, 2020, CMS issued its final rule updating FY2021 payment rates used under the prospective payment system (PPS) for Skilled Nursing Facilities (SNFs). The FY 2021 payment rates will be implemented to reflect the...more

King & Spalding

CMS Final Rule Updates Medicare Payment Rates and Quality Programs for SNFs

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On July 31, 2020, CMS issued Final Rule CMS-1737-F for fiscal year 2021, in its yearly update to Medicare payment policies for SNFs (the Final Rule). In addition to updating Medicare payment rates under the SNF prospective...more

Dentons

HHS Providing SNFs with Additional CARES Act Funding

Dentons on

On Friday, May 22, the Department of Health and Human Services announced it will allocate additional CARES Act funding to skilled nursing facilities (SNFs) to assist with COVID-19 related expenses and lost revenue.  Each...more

Holland & Hart - Health Law Blog

CMS Issues Final Rule for Hospitals & Home Health Agencies for Patient Discharge Planning

On September 26, 2019, the Centers for Medicare and Medicaid Services and Department of Health and Human Services published commentary and its final rule affecting how hospitals, including critical access hospitals (“CAHs”),...more

Bricker Graydon LLP

CMS proposes changes to SNF/NF compliance program requirements

Bricker Graydon LLP on

On July 16, 2019, the Centers for Medicare & Medicaid Services (CMS) released a proposed rule, entitled “Requirements for Long-Term Care Facilities: Regulatory Provisions To Promote Efficiency, and Transparency,” that, if...more

Bradley Arant Boult Cummings LLP

CMS Finalizes Redesign of Medicare Shared Savings Program - Healthcare Alert

On December 31, 2018, the Centers for Medicare and Medicaid Services (CMS) published a Final Rule that redesigns the Medicare Shared Savings Program (MSSP). The rule implementing this redesign, titled “Pathways to Success,”...more

Bass, Berry & Sims PLC

Healthcare Fraud & Abuse Review 2017

Bass, Berry & Sims PLC on

A LOOK BACK... A LOOK AHEAD - While the uncertainty associated with legislative efforts to repeal the Patient Protection and Affordable Care Act (PPACA) dominated most of the headlines for the healthcare industry last year,...more

Ruder Ware

Inspector General Audit Could Impact Skilled Nursing Facilities

Ruder Ware on

Skilled nursing facilities (SNF) may see even more scrutiny from the Centers of Medicare and Medicaid Services (CMS) because of a recent audit conducted by the Office of Inspector General of the U.S. Department of Health and...more

Holland & Knight LLP

OIG Reports That CMS Has Inadequate System for Identifying SNF Abuse

Holland & Knight LLP on

The U.S. Department of Health & Human Services Office of Inspector General (OIG) has issued an “Early Alert” regarding the preliminary results of an ongoing study of potential abuse or neglect in Medicare-certified skilled...more

Carlton Fields

Recent Insurer Victories in Indexed Annuity Class Actions

Carlton Fields on

Recent federal court decisions effectively terminated two class action lawsuits challenging indexed annuity sales, seemingly ending an extended wave of class litigation in the federal courts against multiple insurers...more

Baker Donelson

CMS Issues Final Rule Outlining FY 2017 Medicare Payment Policies and Rates for SNF PPS

Baker Donelson on

On July 29, 2016, the Centers for Medicare & Medicaid Services (CMS) released a final rule outlining FY17 Medicare payment policies and rates for the Skilled Nursing Facility Prospective Payment System (SNF PPS). The rule has...more

Poyner Spruill LLP

CMS Model Payment & Initiatives - The Growing Target of Quality & Care Improvement in Skilled Nursing Facilities

Poyner Spruill LLP on

Like it or not, the Centers for Medicare & Medicaid Services (CMS) is expanding its strong commitment to focus on quality and care improvement as the basis for payment to providers throughout the continuum of care....more

Polsinelli

Coming Soon to a Hospital near You: Mandatory Bundled Payments for Common Surgeries

Polsinelli on

Recent action by the Centers for Medicare and Medicaid Services (CMS) announces significant change in reimbursement methodology for high volume orthopedic surgical procedures in many markets nationwide. Affected stakeholders...more

Arnall Golden Gregory LLP

OIG Issues New Report On SNF Billing For Therapy Services

On June 5, 2015, the Department of Health and Human Services Office of Inspector General (OIG) released another study in its continuing scrutiny of skilled nursing facilities (SNFs) and therapy services: Skilled Nursing...more

Polsinelli

CMS Encourages Continued Participation in Medicare Shared Savings Program with Final Rule

Polsinelli on

In This Issue: - ACO Eligibility Requirements - Establishing and Maintaining the ACO Participation Agreement - Data Sharing and Assignment of Beneficiaries - Shared Savings and Losses - Waivers of...more

Baker Donelson

Medicare Shared Savings Program - 2015: What's Changed, What's New, and What's to Come?

Baker Donelson on

The most recent Shared Savings Program final rule, published in the Federal Register on June 9, 2015, finalizes a number of the revisions to the original November 2011 final rule that CMS proposed on December 8, 2014. In...more

Foley & Lardner LLP

CMS Releases Final Rule on Medicare Shared Savings Program

Foley & Lardner LLP on

This is the first post in Health Care Law Today’s Series on the final rule. The Centers for Medicare and Medicaid Services (“CMS”) released a final rule, on June 4, 2015, addressing changes to its Medicare Shared Savings...more

King & Spalding

MedPAC Issues March 2015 Report to Congress on Medicare Payment Policies

King & Spalding on

On March 13, 2015, the Medicare Payment Advisory Commission (MedPAC) issued its annual report to the Congress on Medicare payment policies (Report). The Report includes recommendations for inflation updates and payment...more

McDermott Will & Emery

China Encourages Foreign Investment in Senior Care Services

On 24 November 2014, the Ministry of Commerce (MOFCOM) and the Ministry of Civil Affairs (MCA) of China jointly issued the Announcement Encouraging Foreign Investors to Establish For-Profit Senior Care Institutions to Engage...more

Cozen O'Connor

CMS Releases Final Rule That Increases Difficulty of Medicare Enrollment

Cozen O'Connor on

In early December, CMS released a final rule that implements certain provider (i.e., Hospitals, SNFs, physicians, etc.) and supplier (i.e., DME companies, etc.) enrollment requirements (“Rule”). The goal of CMS’...more

Williams Mullen

Proposed Federal Legislation Will Provide Relief to Hospitals and Medicare Patients in Need of Post-Acute Care

Williams Mullen on

The Center for Medicare and Medicaid (CMS) announced that the new RAC contracts in North Carolina should be ready by the end of the year. This means that, next year, RAC audits on hospitals and other providers will...more

Poyner Spruill LLP

Nursing Facility Survey Trends - Directed Plans of Correction, Privacy Violations and FTag 520 Quality Assurance Committee...

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Directed Plans of Correction, or DPOCs, have long been part of the arsenal of enforcement sanctions available to the Centers for Medicare & Medicaid Services for survey deficiencies, just like civil money penalties (CMPs);...more

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