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February 2004
 Nursing Homes and
Denial of Payment Remedies in the State
of Florida
This audit was
initiated due to the general public concern with nursing home
issues. Our primary focus was with the measures for enforcing
nursing home compliance with quality of care standards for
Medicaid beneficiaries. Due to widespread need for nursing home
reform, Congress passed the Omnibus Budget Reconciliation Act of
1987. This legislation included the Nursing Home Reform Act, which
ensured residents received quality care in nursing homes through
the establishment of a Residents Bill of Rights and the
provision of certain services to each resident. It also required
nursing homes participating in the Medicaid and Medicare programs
to comply with the requirements for standards of care as
prescribed by Federal laws.
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