Compliance

What administrators need to know about therapy metrics

What administrators need to know about therapy metrics

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.

ICD-10 delay does not mean work should stop

ICD-10 delay does not mean work should stop

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.

Sanchez joins Pendulum LLC

Sanchez joins Pendulum LLC

John Sanchez has joined Pendulum LLC as its Vice President Compliance - Risk Management. He begins June 1.

Caldwell joins MediTract

Caldwell joins MediTract

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, Senior Lifestyle Corporation choose Redilearning

Grace Healthcare and Senior Lifestyle Corporation have both chosen Redilearning for new technology services.

CMS to offer more detailed nursing home data, memo states

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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 residents

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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.

CMS widens audits, hones in on Part A claims, expert says

CMS widens audits, hones in on Part A claims, expert says

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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.

'Serious' CMS oversight should compel providers to be duly vigilant about compliance, expert says

'Serious' CMS oversight should compel providers to be duly vigilant about compliance, expert says

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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.

60 seconds with ... Audrey Weiner, DSW, MPH, president and CEO of Jewish Home Lifecare

60 seconds with ... Audrey Weiner, DSW, MPH, president and CEO of Jewish Home Lifecare

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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.

Medicare compliance tips, free CE on tap for May 7 Super Tuesday webcast

Medicare compliance tips, free CE on tap for May 7 Super Tuesday webcast

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.

$1.3 million Immediate Jeopardy fine for Oklahoma nursing home that housed registered sex offender

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An Oklahoma nursing home faces a $1.3 million Immediate Jeopardy fine for failing to appropriately supervise a registered sex offender resident.

Government to step up HIPAA enforcement, release new compliance tools

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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.

A matter of policy: Increasing flu immunization compliance

A matter of policy: Increasing flu immunization compliance

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.

Compliance clock ticks

Compliance clock ticks

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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.

Avatars in LTC to open doors

Avatars in LTC to open doors

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The role of avatars in senior care settings will be addressed during the 2013 McKnight's Online Expo technology session.

Sample agreement covers provisions in new HIPAA rule

Sample agreement covers provisions in new HIPAA rule

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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.

Mandatory compliance programs for nursing facilities

Mandatory compliance programs for nursing facilities

Regardless of whether you are big or small, nursing facility leaders need to be much more vigilant with compliance program efforts.

Nonprofit providers bear burden of more frequent compliance audits, survey finds

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Nonprofit healthcare providers are disproportionately targeted by outside compliance audits when compared to their for-profit counterparts, a new report asserts.

Current trends, future problems for nursing home surveys to be focus of Super Tuesday webcast

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Providers will get an up-close look at problems with the nursing home survey process from a nationally respected expert during the first 2012 McKnight's Super Tuesday webcast. The event will take place at 1 p.m. (Eastern) on Tuesday and earn attendees continuing education (CE) credit. Linda Elizaitis, RNC, RAC-CT, BS, the president of CMS Compliance Group, will examine national trends in survey deficiencies, note at least 10 things that can help an operator prevent deficiencies and also explain how to avoid so-called "gotcha" deficiencies. Registration for the no-cost event is ongoing.

How our facility continually beats the flu

How our facility continually beats the flu

It makes me sad to hear others from my profession argue against flu vaccination with statements such as, "I never got the flu and I have never been vaccinated." That is not the point. There is sound evidence that the vaccine is safe, that the vaccine works and it saves lives.

Providers must be compliant with new nursing home payment rules or face rejection of claims, expert says

Nursing home administrators must be absolutely certain their billing department staff and MDS coordinators are up to speed on the newly implemented PPS rules for therapy, MDS expert Leah Klusch said Wednesday during a special McKnight's webcast.

The growing cost of compliance in long-term care

The growing cost of compliance in long-term care

The Patient Protection and Affordable Care Act will expand compliance-related regulations for skilled nursing facilities.

CMS newsletter addresses Medicare billing, compliance issues facing providers

CMS newsletter addresses Medicare billing, compliance issues facing providers

The Centers for Medicare & Medicaid Services on Tuesday released the first edition of a new quarterly newsletter that aims to help providers avoid Medicare billing and compliance errors.

New law eliminates fines for nursing homes that fix problems

Iowa Gov. Chet Culver (D) this week enacted a law that eliminates fines against nursing homes that identify and correct health and safety issues on their own accord. The law sets out new rules and guidelines for a "quality assurance assessment" program.

New portable device tracks hand hygiene compliance among caregivers

Technology that tracks caregivers' hand hygiene practices is proving effective at reducing costs and increasing compliance, according to the results of a recent pilot study.

Nursing homes oppose proposal to display ratings

Nursing homes oppose proposal to display ratings

A proposal that would require facilities through-​out the state to prominently show their new federal star ratings has received pushback from nursing homes.

Ask the payment expert: how to meet 'five-star' nursing home objectives

Ask the payment expert: how to meet 'five-star' nursing home objectives

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Patricia Boyer, MSM, NHA, RN President, Boyer & Associates, LLC

Ask the care expert: how to understand state deficiency scores

Ask the care expert: how to understand state deficiency scores

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Sherrie Dornberger, RNC, CDONA, FACDONA President, NADONA

Initial results of five-star ratings: Nonprofit nursing homes deliver better care, analysis shows

Initial results of five-star ratings: Nonprofit nursing homes deliver better care, analysis shows

Nonprofit nursing homes provide a higher quality of care than for-profit facilities, according to an analysis by USA Today of the first ratings of nursing homes by the government's five-star rating system.

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