News & Analysis as of

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

Dentons

Ep. 32 – An Easy Audit Tip to Help Avoid Overpayments

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Looking for a simple, easy-to-implement way to lower your risk of overpayments? We have one on this week’s podcast!...more

King & Spalding

CMS Issues Fiscal Year 2025 Final Rule for Skilled Nursing Facilities

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On July 31, 2024, CMS issued a final rule (the Final Rule) for fiscal year (FY) 2025 updating Medicare payment policies and rates for skilled nursing facilities (SNFs) under the SNF Prospective Payment System (PPS). Under the...more

Rivkin Radler LLP

Know When to Bill Facility Fee for Telehealth Services!

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The U.S. Attorney’s Office for the District of Connecticut recently announced that Supportive Care Holdings, LLC and its related companies agreed to pay the federal government nearly $4,600,000 to resolve allegations of...more

Mandelbaum Barrett PC

Medicaid Final Agency Decision Reaffirms Criteria Necessary to Qualify for Caregiver Child Exception

Mandelbaum Barrett PC on

Certain Medicaid programs impose a transfer penalty on applicants who have transferred resources (assets) for less than fair market value within five (5) years preceding the Medicaid application. Simply stated, the transfer...more

Alston & Bird

Health Care Week in Review: CMS Finalizes FY 2025 Payment Rules for Inpatient Hospitals, Inpatient Rehab Facilities, Inpatient...

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Below is Alston & Bird’s Health Care Week in Review, which provides a synopsis of the latest news in health care regulations, notices, and guidance; federal legislation and congressional committee action; reports, studies,...more

Polsinelli

2024 Mid-year Employment Law Updates

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Many state and local government employment laws go into effect this summer. Here is a non-exhaustive list of mid-year employment law updates. ...more

Stotler Hayes Group, LLC

The Impact of the Dismantling of Chevron Deference on the Pending AHCA Lawsuit to Halt New Minimum Staffing Ratio Requirement

Last month’s overturn of Chevron deference is widely expected to bolster the skilled nursing facility industry’s challenge to the newly imposed minimum staffing mandate.  On May 10, the American Health Care Association...more

Stotler Hayes Group, LLC

Ongoing Delays in the Medicaid Eligibility Process

For skilled nursing facility residents applying for long-term care Medicaid benefits, under federal regulation, all state agencies are required to issue an eligibility determination on the application within 45 days of the...more

Dentons

Ep. 20 - Update Your Nursing Facility’s Assessment to Comply with New Requirements & Enhance Your Compliance Programming

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There has been much publicity surrounding the Centers for Medicare and Medicaid Services’ (“CMS”) new minimum staffing requirements for long-term care facilities scheduled to take effect starting in 2026 for non-rural...more

Stotler Hayes Group, LLC

How To Secure Cooperation In The Medicaid Eligibility Process

In our day-to-day work representing skilled nursing facilities, we are regularly asked by our clients to assist in securing Medicaid benefits for their residents.  This often entails seeking the cooperation of the resident or...more

Ankura

Will Regulatory Scrutiny Impact Private Equity Investment in Healthcare?

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Private Equity in Healthcare - Over the past decade, private equity investors have shown a particular interest in acquiring or investing in various healthcare providers and services. This includes physician practices across...more

McCarter & English, LLP

New Jersey Statutory Update Part II

Below is Part II of our New Jersey Statutory update. As you can see from the below, several statutes were passed imposing requirements on health insurance payers, including new requirements for prior authorization request and...more

Polsinelli

New CMS Staffing Rules for Long Term Care Providers – What you need to know now

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On May 10, 2024, the Centers for Medicare and Medicaid Services (“CMS”) published a final rule implementing mandatory hours per resident day (“HPRD”) requirements for various levels of nursing staff for skilled nursing...more

ArentFox Schiff

Emerging Opportunities for Hospitals in the Long Term Care Sector: Structuring Models and Key Considerations

ArentFox Schiff on

Recent events have caused hospitals and health systems nationwide to contemplate more robust participation in the long term care (LTC) sector, whether through modified ownership, joint venturing, clinical affiliation, or...more

Stotler Hayes Group, LLC

CMS Announced New Changes To Medicaid Spousal Impoverishment Rules

On May 22, 2024, the Centers for Medicare and Medicaid Services (“CMS”) announced that it would be implementing updated 2024 spousal impoverishment standards that will take effect on July 1, 2024....more

Williams Mullen

First Look at 2025 North Carolina Health Care Opportunities

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North Carolina’s Healthcare Planning Section has provided a first look at the opportunities for new health care development across our State. The 2025 State Medical Facilities Plan (the “2025 SMFP”) is expected to identify...more

Stotler Hayes Group, LLC

Understanding Medicare Coverage for Nursing Home Care: Confusion Can Be Costly

As a lawyer, I have exclusively represented long-term care healthcare providers for over ten years.  I have gained useful insight into how people plan—or, in many cases, fail to plan—for the possibility that they may need...more

Bradley Arant Boult Cummings LLP

CMS Publishes Final Rule for Minimum Staffing Standards in Skilled Nursing Facilities

As part of the Biden administration’s initiative to ensure safe and quality care in long-term care facilities, on May 10, 2024, the Centers for Medicare & Medicaid Services (“CMS”) published a final rule implementing minimum...more

Amundsen Davis LLC

CMS’s Final Minimum Staffing Standard for Nursing Homes to Go into Effect on June 21

Amundsen Davis LLC on

On April 22, 2024, Doctor using Ipadthe Centers for Medicare & Medicaid Services (CMS) finalized minimum staffing requirements for nursing homes that participate in Medicare and Medicaid. As we noted previously, the rule was...more

Epstein Becker & Green

CMS Finalizes Rule Establishing Minimum Staffing Standards for Long-Term Care Facilities

On April 22, 2024, the Centers for Medicare & Medicaid Services (CMS) issued Medicare and Medicaid Programs: Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting,...more

ArentFox Schiff

The 10 Trends and Legal Challenges We Are Tracking Throughout 2024

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With 2024 well underway, this article highlights some of the pressing legal issues impacting the long term care and senior housing industry this year, including trends affecting the industry and emerging issues industry...more

McDermott+

Finalized Nursing Staff Standards Will Impact Most Long-Term Care Facilities

McDermott+ on

On April 22, 2024, the Centers for Medicare and Medicaid Services (CMS) released a final rule that will require long-term care facilities (LTCFs) to satisfy minimum nurse staffing standards with the goal of addressing patient...more

McGuireWoods Consulting

CMS Releases Controversial Minimum Staffing Rule

On April 22, 2024, the Centers for Medicare and Medicaid Services (CMS) released a final rule that will implement for the first time at the national level minimum staffing level requirements for long-term care (LTC) and...more

Baker Donelson

"Let's Stay Together" - Managing The Changing Relationships Between Hospitals and Skilled Nursing Facilities

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Skilled nursing facilities (SNFs) owned or operated by hospitals (hospital-owned SNFs) have a demonstrated track record of delivering positive outcomes for post-acute care patients. Such success, however, has not been without...more

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