Long Term Care & Senior Living Blog
We offer updates on national on regional issues such as malpractice defense, regulatory compliance, labor and employment issues and estate planning.
The Centers for Medicare and Medicaid Services’ Retirement of Section G of the Required Minimum Data Sets will Leave Many Post-Acute Care Providers in Limbo
On October 1, 2023, the Centers for Medicare and Medicaid Services (“CME”) will be retiring Section G, a measure of the functional status of nursing home residents, from the Medicare and Medicaid Minimum Data Sets (“MDS”). In its place, CMS offers Section GG, which places rehabilitation services into its own case mix component instead of including with other clinical conditions.
New CMS Proposed Rule Presents New Disclosure Requirements for Nursing Home Ownership
On Monday, February 13, 2023, the Centers for Medicare & Medicaid Services (CMS), a part of the Department of Health and Human Services (HHS), submitted a proposed rule that goes beyond current data collections requirements by requiring nursing facilities to disclose additional information regarding ownership.
Recent Findings by Office of Inspector General Regarding Reporting of Potential Abuse and Neglect at Skilled Nursing Facilities
The Office of Inspector General (OIG) recently released the findings of an audit performed to determine the prevalence of incidents of potential abuse or neglect of Medicare beneficiaries residing in skilled nursing facilities (SNFs). Specifically, OIG looked at beneficiaries who resided in a SNF during 2016 and who also had a hospital emergency room (ER) Medicare claim containing a high-risk diagnosis code.
CMS Final Rule – Completed Comprehensive Analysis by Sandberg Phoenix LTC Team
The past few weeks have been busy ones for the Sandberg Phoenix & von Gontard Long-Term Care and Senior Living team as we have collectively analyzed and blogged about each of the revisions to the federal nursing home regulations. These revisions to 42 CFR 483(B) are the first comprehensive updates since 1991 and address the requirements Long-Term Care facilities must meet to participate in the Medicare and Medicaid programs.