nursing home

Federal Enforcement Update and Recent HHS OIG Joint Venture Advisory Opinion

Federal Enforcement Update and Recent HHS OIG Joint Venture Advisory Opinion

We highlight a recent advisory opinion, OIG Advisory Opinion No. 21-18, regarding a long term care provider’s proposed arrangement with a therapy services vendor. The facts presented in the Opinion are straightforward and include elements not unlike many typical joint venture (JV) and management service organization (MSO) arrangements in the health care space.

As COVID-19 Wanes, Health Care Investigations and False Claims Act Lawsuits Pick Up Pace

As COVID-19 Wanes, Health Care Investigations and  False Claims Act Lawsuits Pick Up Pace

A recent New York U.S. Dep’t of Justice (DOJ) whistleblower lawsuit is a sign of the times for government investigations of nursing homes and health care providers more broadly. Providers must be prepared and proactive to ensure regulatory compliance.

Major Changes to Anti-Kickback Statute (AKS), Stark Law, and Civil Monetary Penalty (CMP) Law Benefiting Providers

Major Changes to Anti-Kickback Statute (AKS), Stark Law, and Civil Monetary Penalty (CMP) Law Benefiting Providers

There is good news for health care providers this holiday season with HHS’s recent announcement of numerous revisions liberalizing the AKS, Stark and CMP Laws. Among the helpful changes are modifications to the popular AKS personal services and management contracts safe harbor for part-time arrangements, and new AKS safe harbors and Stark exceptions for care coordination activities that could benefit post-acute care providers.

Increase Expected in Nursing Home Staffing Surveys and Other Recent News

Increase Expected in Nursing Home Staffing Surveys and Other Recent News

The Centers for Medicare & Medicaid Services (CMS) has announced that it will use payroll-based journal (PBJ) data to identify nursing homes that have several days in a quarter without a registered nurse (RN) on site, or have a significant decline in staff on the weekends.  The States will be required to inspect such facilities and cite any non-compliance resulting from such surveys.