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HHS Finalizes Health Care Nondiscrimination Provisions in Section 1557 Final Regulation

The U.S. Department of Health and Human Services Centers for Medicare and Medicaid Services and the Office of the Secretary (collectively, HHS) released the agencies' Final Rule governing the implementation of Section 1557 of...more

"Crackdown": Proposed Nursing Home Minimum Staffing Rule to Cost the Industry $4.23 Billion and Would Directly Impact For-Profit...

According to President Biden's recently published column, the Administration's proposed rule, published on September 6, 2023, mandating that nursing homes begin to staff facilities so that registered nurses (RNs) and nurse...more

FY 2024 Hospice Payment Rate Updated Proposed Rule

On April 4, 2023, the Centers for Medicare and Medicaid Services (CMS) published a proposed rule for FY 2024 addressing the Hospice Wage Index and Payment Rate Update, Hospice Conditions of Participation Updates, Hospice...more

Fundamentals of CMS Updates to Appendix PP of the State Operations Manual: Residents' Rights

F557: Respect, Dignity/Right to Have Personal Property Noncompliance at deficiency tag F557 will be cited if the surveyors find that a facility does not treat each resident's possessions with respect, regardless of the...more

Fundamentals of CMS Updates to Appendix PP of the State Operations Manual: Comprehensive Person-Centered Care Plans and Quality of...

F689: Free of Accident Hazards/Supervision/Devices - The Requirements of Participation governing F689 mandate that the facility remove items and resolve situations over which the facility has control to protect residents from...more

Fundamentals of CMS Updates to Appendix PP of the State Operations Manual: Compliance and Ethics Program

F895: Compliance and Ethics Program - F895 is a new tag that was made effective in November 2019 and requires each facility to have a compliance and ethics program that is governed by written standards and policies....more

Fundamentals of CMS Updates to Appendix PP of the State Operations Manual: Training Requirements

F940: Training Requirements – General - Noncompliance at new deficiency tag F940, made effective in November 2019, will be cited if a facility fails to develop, implement, and maintain an effective training program for all...more

Fundamentals of CMS Updates to Appendix PP of the State Operations Manual: Infection Control

F880: Infection Prevention and Control - The regulation governing the F880 tag requires that facilities develop and implement ongoing infection control and prevention programs and written policies and procedures for infection...more

Proposed CY 2022 Home Health PPS Rule Would Expand Value-Based Purchasing Model and Seeks to Gather Health Equity Data Through...

On July 7, 2021, the Centers for Medicare & Medicaid Services (CMS) published its proposed rule to update the Calendar Year (CY) 2022 Home Health Prospective Payment System (HH PPS) and Value-Based Purchasing (HH VBP)...more

CMS SNF PPS Proposed FY 2022 Rule – An Overview

On April 15, 2021, Centers for Medicare & Medicaid Services (CMS) published its Proposed Rule for the Medicare Program Prospective Payment System (PPS) and Consolidated Billing for Skilled Nursing Facilities (SNF) and Updates...more

Regulatory Sprint: Understanding the Impact on the Stark Law, Anti-kickback Statute, and Value-based Arrangements

The Department of Health and Human Services has released extensive and significant revised final rules governing the Physician Self-Referral Law (the Stark law) and the Medicare Anti-Kickback Statute (AKS) in furtherance of...more

CY 2021 Home Health PPS Final Rule Adds New Payment Rates, Wage Indices and the Home Infusion Services Benefit

The Calendar Year (CY) 2021 final rule updating the Home Health Prospective Payment System (HH PPS) includes increases in the national, standardized 30-day period payment and per-visit payment for home health agencies (HHAs)...more

CMS Amps Up Penalties on Long Term Care Facilities for Failing to Report COVID-19 Data and Mandates Staff Testing for the Virus

Effective September 2, 2020, the Centers for Medicare and Medicaid Services (CMS) implemented an interim final rule with comment period to bolster its regulatory authority in addressing a number of issues relating to CMS's...more

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

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

CMS Releases Its FY 2021 IPPS and LTCH-PPS Proposed Rule

CMS recently released its annual inpatient prospective payment system (IPPS) and long term care hospital prospective payment system (LTCH PPS) proposed rule for FY 2021....more

Long Term Care Facilities Face Stricter CMS Enforcement Actions for COVID-19 Deficiencies

On June 1, 2020, the federal Centers for Medicare and Medicaid Services (CMS) issued both a a press release detailing its expansion of enforcement actions against skilled nursing facilities and nursing facilities (LTC...more

CMS's Second Interim Final Rule Further Expands Telemedicine, Service Availability and Payment Flexibilities Related to the...

CMS recently issued its second round of changes to the Medicare regulations in response to the COVID-19 Public Health Emergency (PHE). CMS published its first interim final rule with comment period addressing the PHE in the...more

CMS Publishes Rule and Guidance Requiring Long Term Care Facilities to Conduct Additional COVID-19 Reporting to CDC and Residents

The federal Centers for Medicare and Medicaid Services (CMS) has published a new interim final rule and additional guidance and FAQs that, among other portions applicable to other health care providers, address the new...more

CMS Alerts Nursing Homes of Additional COVID-19 Reporting Requirements to CDC and Residents

On April 19, 2020, the Centers for Medicare and Medicaid Services (CMS) announced that in addition to requiring that nursing homes report communicable diseases, healthcare-associated infections, and potential outbreaks to...more

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