In the 403-page Centers for Medicare & Medicaid Services proposed rule, there has been a lot of discussion around arbitration, quality and education. But buried within also are new regulations around compliance programs.
Do you remember playing follow the leader as a kid? You just followed the person in front of you and did exactly the same thing. And you did your best. Compliance today is a bit like playing follow the leader.
Defined by the Office of Inspector General as "harm resulting from medical care," adverse events are imperative for skilled nursing facilities to avoid. This can be achieved by implementing a "Just Culture."
Long-term care providers should get ready for the second round of HIPAA compliance audits this year, but the agency in charge of them is keeping mum about the exact date.
If someone asked you if your hospice was compliant with the Centers for Medicare & Medicaid Office of Inspector General's Effective Compliance Program Guidance for Hospice, what would you tell them?
Protecting your resident's health information is becoming increasingly more urgent.
CMS updated survey guidance and interpretive guidance for 20 F-Tags that went into effect Nov. 26, 2014. Are SNF leaders paying attention?
For just about every skilled nursing facility out there, this is probably a good time to break out the flop sweat. That is, unless the prospect of being culled from one of your most vital revenue streams is nothing to worry about.
Assisted living, long-term care and nursing homes — the senior living industry —is one of the most challenging and compliance-driven industries in the U.S.
Almost 20 years after federal law created an exclusion process related to participating in Medicare and Medicaid programs, some long-term care providers may not be checking their employees' status often enough, compliance experts warned Tuesday.
McKnight's second Fall Online Expo will take place tomorrow, featuring three free webcasts on pressing long-term care issues. Attendees can earn continuing education credit while learning about regulatory compliance, strategies for handling difficult families and residents, and tips for finding success with managed care.
Administrators have multiple departments to oversee, so it is important that they have a method to determine if their therapy department is running efficiently, meeting its goals and adding to the strategic success of the facility. There are several metrics and indicators of a successful therapy department.
The delay of ICD-10 implementation by one year has many in the long-term care industry wondering what they should do next. Some organizations initiated physician and coder training during the first quarter of 2014, while others were in the planning stage of engaging physicians to ensure a smooth transition.
John Sanchez has joined Pendulum LLC as its Vice President Compliance - Risk Management. He begins June 1.
Ed Caldwell has joined the executive management team at MediTract as senior vice president of sales and marketing. The company, based in Tennessee, specializes in healthcare compliance solutions.
Grace Healthcare and Senior Lifestyle Corporation have both chosen Redilearning for new technology services.
Users of the Nursing Home Compare website will soon be able to access and download more detailed data, including newly available information about inspections, the Centers for Medicare & Medicaid Services recently announced.
MDS compliance: Experts develop best practices for identifying, treating suicidal nursing home residentsJune 24, 2013
Caregivers in long-term care facilities should screen residents using a suicide risk assessment tool in order to undertake appropriate interventions, according to experts in geriatric psychology and psychiatry.
The Centers for Medicare & Medicaid Services has increased its scrutiny of Medicare Part A filings recently and as a result, has reclaimed more funds than ever from providers, a long-term care compliance expert noted at a recent McKnight's Super Tuesday webcast.
Skilled nursing providers should ratchet up Medicare Part A compliance initiatives to meet the increasingly intense scrutiny of the Centers for Medicare & Medicaid Services, a compliance expert said in a McKnight's Super Tuesday webcast. "CMS is serious about this," said Leah Klusch, executive director of The Alliance Training Center.
Q: You've been using technology in novel ways at Jewish Home Lifecare. What's the key to getting seniors to use technology to help improve their care? A: If the technology is too overwhelming, the elder's not going to use it. We've got a 70% compliance rating in terms of people who say they're going to use it every day or every other day and actually do. The reason is, it's simple.
Operational compliance for providers is taking on growing importance when it comes to Medicare covered services. The next McKnight's Super Tuesday webcast, May 7, will provide strategies providers can use to keep federal watchdogs at bay. The session, featuring noted expert Leah Klusch, will start at 1 p.m. Eastern Time and offer tips that will help ensure the best possible outcomes for residents and facilities.
An Oklahoma nursing home faces a $1.3 million Immediate Jeopardy fine for failing to appropriately supervise a registered sex offender resident.
The Department of Health and Human Services Office for Civil Rights (OCR) will expand Health Insurance Portability and Accountability Act enforcement efforts in the next two years, according to OCR Director Leon Rodriguez.
Over the years we've tried a number of different approaches to incentivize employees, with varying success. The one thing we did not do was to make flu shots mandatory, as this wasn't compatible with our management philosophy. So we had to come up with a different strategy to motivate compliance among staff members.
Nursing facilities have always faced an array of obligations in order to provide services to Medicare and Medicaid beneficiaries, which can sometimes seem burdensome in comparison with other providers. The Affordable Care Act (ACA), commonly known as the healthcare reform law, is yet another example of how nursing facilities remain a target - the notable new obligation is the mandatory compliance program requirement. Adoption and implementation of compliance programs has previously been voluntary, although encouraged.
The role of avatars in senior care settings will be addressed during the 2013 McKnight's Online Expo technology session.
As they work to comply with the omnibus Health Insurance Portability and Accountability Act rule published on Friday, long-term care providers can refer to a sample business associate agreement released recently by the Department of Health and Human Services Office for Civil Rights.
Regardless of whether you are big or small, nursing facility leaders need to be much more vigilant with compliance program efforts.
Nonprofit healthcare providers are disproportionately targeted by outside compliance audits when compared to their for-profit counterparts, a new report asserts.