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Five Individuals and Two Nursing Facilities Indicted on Charges of Conspiracy to Defraud the United States and Health Care Fraud

Briggs Healthcare

Five individuals and two for-profit skilled nursing facilities in Southwestern Pennsylvania have been indicted by federal grand jury in Pittsburgh on charges of conspiracy to defraud the United States and related health care fraud charges, United States Attorney Cindy K. Lebanon Rehabilitation and Wellness Center. as co-defendants.

Nursing 74
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CMS Revises Fiscal Year (FY) 2023 State Performance Standards System (SPSS) Guidance

Briggs Healthcare

CMS works with the State Survey Agencies to strengthen oversight so that the care provided in nursing homes and other acute and continuing care providers and suppliers is of the highest quality. Every year, CMS conducts a formal assessment of each State Survey Agencies’ performance relative to measures included in the SPSS program.

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HCPCS vs CPT: Everything You Need to Know

Etactics

Preventing denial codes is essential if you want to keep a steady revenue flow. This is an easily preventable billing error, which we are going to go over in this blog. H Codes - Rehabilitative services. R0070 - The transportation of personnel and portable X-ray equipment to nursing homes or other residency.

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HIPAA Criminal Penalties: Possible Violations with Real Examples

Etactics

A HIPAA violation is a failure to comply with any aspect of HIPAA laws and regulations detailed in 45 CFR Parts 160, 162, and 164. The Department of Health and Human Services Office for Civil Rights (OCR) is responsible for the text of all published HIPAA regulations. There are 115 pages of regulations related to HIPAA standards.

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Creating a Roadmap for the End of the COVID-19 Public Health Emergency

Briggs Healthcare

Throughout the COVID-19 public health emergency (PHE), CMS has used a combination of emergency authority waivers, regulations, enforcement discretion, and sub-regulatory guidance to ensure access to care and give health care providers the flexibilities needed to respond to COVID-19 and help keep people safer. and Arjun Srinivasan, M.D.,

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CalAIM: Leveraging Medicaid Managed Care for Housing and Homelessness Supports

NASHP

Individuals at risk for institutionalization who are eligible for long-term care services who, in the absence of services and supports, would otherwise require care for 90 consecutive days or more in an inpatient nursing facility. Nursing Home Residents Transitioning to the Community. Eviction prevention. e), as approved by CMS.

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Weighing Policy Trade-offs: Building State Capacity to Address Health Care Consolidation

NASHP

How to Address Consolidation Addressing consolidation could take the form of: 1) limiting the anticompetitive behavior of already consolidated systems and/or 2) preventing further consolidation. some CON only focus on long-term care nursing facilities), to focus on a new purpose.