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Nursing Home News & Updates

Latest reports, citations, and penalties from CMS data

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Federal Audit Targets Opioid Safety in Nursing Homes

— The Department of Health and Human Services Office of the Inspector General has launched a comprehensive audit examining how state agencies oversee nursing home pharmacy operations to prevent opioid-related harm among more than 150,000 residents currently receiving these medications....

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CMS Launches Major Fraud Crackdown on Healthcare Providers

The regulatory actions represent what federal officials describe as a fundamental shift in Medicare's approach to combating fraudulent billing practices, moving from retrospective enforcement to real-time prevention strategies using advanced data analytics and artificial intelligence tools....

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CMS Tightens Nursing Home SFF Picks Over Falls - National

— The Centers for Medicare & Medicaid Services announced revisions to its Special Focus Facility program this week, directing state survey agencies to prioritize resident fall rates when selecting nursing homes for enhanced oversight, according to a federal memo issued Wednesday....

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NC Substance Abuse Facilities: $12.7M Fraud, 14 Yrs Prison

— Four individuals connected to substance abuse treatment facilities in Kinston and Goldsboro have been sentenced to a combined 14 years in federal prison for their roles in a $12.7 million Medicaid fraud scheme that involved paying kickbacks to patients with addiction, according to the U.S....

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