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,...
Ask the legal expert … about a potential Medicaid audit
By
Norris Cunningham
Jan 25, 2023
I heard that the Office of Inspector General’s Work Plan for 2023 includes a CMS audit of Medicaid nursing facility use of funds related to direct patient care. Should I be concerned?
Federal report questions efficiency of required nursing hours in infection control
By
Jessica R. Towhey
Jan 20, 2023
A new federal report calls into question whether Medicare’s required hours for registered and licensed practical nurses are adequate in helping protect nursing home residents from infections.
Inspector general will review program for poorest performing nursing homes
By
Jessica R. Towhey
Jan 18, 2023
A federal watchdog will conduct a program-wide assessment of how regulators are pressuring poorly performing nursing homes and companies to clean up their act.
Stricter audits may be on the horizon from the OIG
By
Norris Cunningham
Kennedy Bunch
Devin Zimmerman
Jan 11, 2023
Long-term care facilities and providers should brace themselves for what may be an uptick in enforcement activity from Medicaid Fraud Control Units (MFCUs) in the coming year. In 2023, the U.S. Department...
Tossed from Medicare once, nursing home psychologist pleads guilty in second fraud scheme
By
Kimberly Marselas
Dec 14, 2022
A nursing home psychologist previously excluded from the Medicare program over fraud allegations has pleaded guilty to new charges that he bilked the government out of another $2.5 million.
Also in the News for Wednesday, Nov. 23, 2022
By
Joe Bush
Nov 23, 2022
Nursing home staffing emergencies cost Massachusetts taxpayers $82 million … Senate Finance Committee Chairmen comment on HHS OIG report on nursing home psychotropics … AARP releases latest Public...
CMS, OIG agree on increasing scrutiny of psychotropic drug use
By
Joe Bush
Nov 18, 2022
The Centers for Medicare & Medicaid Services will be increasing its oversight of the use of psychotropic drugs to pay closer attention to certain classes, warned the lead author of a federal report identifying...
With little to show for past efforts, SNFs under the microscope again on readmissions
By
Joe Bush
Oct 27, 2022
A federal watchdog’s announcement this week that it plans to more closely scrutinize “possibly preventable” readmissions of skilled nursing patients to hospitals underscores the federal government’s...
Also in the News for Wednesday, Oct. 26, 2022
By
Joe Bush
Oct 26, 2022
New Hampshire provider hit with Department of Labor back wages settlement over back wages … HHS OIG audit finds most advanced payments made to providers were in compliance … Annual nursing home spending...