Owner of Alaska Assisted Living Home Pleads Guilty to Medicaid Fraud
On December 1, 2025, the owner of an Alaska assisted living home pleaded guilty to two misdemeanor counts of Medical Assistance Fraud and one count…
CMS Releases 2026 Annual Update to HCPCS Codes for SNF Consolidated Billing
The Centers for Medicare & Medicaid Services (CMS) has released the 2026 annual update to the Healthcare Common Procedure Coding System (HCPCS) used to enforce…
Telehealth Provider Settles False Claims Act Allegations Related to Excluded Individual
US Attorney Erin Creegan announced on December 10 that the US Attorney’s Office for the District of New Hampshire has entered into a settlement agreement…
SNF Revalidation Deadline Indefinitely Suspended Following New CMS Guidance
The January 1, 2026, deadline for skilled nursing facilities (SNFs) to submit their mandatory off-cycle Medicare provider enrollment revalidation has been suspended indefinitely. In updated…
Medical Group to Enhance Auxiliary Aids and Services Under ADA Settlement
The US Attorney’s Office and a Washington-based medical group have resolved allegations that one of the group’s facilities repeatedly failed to provide sign-language interpreter services…
CMS Announces FY 2027 SNF VBP Program December 2025 Quarterly Reports
According to the Centers for Medicare & Medicaid Services (CMS), the December 2025 Quarterly Confidential Feedback Reports for the FY 2027 Skilled Nursing Facility Value-Based…
Nurse Practitioner Sentenced for Healthcare Fraud and Unlawful Drug Distribution
Acting United States Attorney John A. Sarcone III announced on December 1, 2025, that a 50-year-old woman from Delray Beach, Florida, was sentenced in late…
CMS Announces Release of MDS 3.0 Quality Measures User’s Manual v18.0 and Associated Files
The Centers for Medicare & Medicaid Services (CMS) has released the MDS 3.0 Quality Measures (QM) User’s Manual Version 18.0, which is effective January 1,…
Behavioral Health Provider Pays $1.9 Million to Resolve False Claims Act Allegations
North Carolina’s largest behavioral health practice with offices statewide, along with three former officers, has paid $1,900,000 to the United States to resolve allegations that…
CMS Repeals 24/7 RN Requirement in Long-Term Care Staffing Rule
The Centers for Medicare & Medicaid Services (CMS) has rescinded a key provision of its 2024 minimum staffing rule for long-term care facilities. An interim…