Compliance

Compliance: A game of follow the leader

Compliance: A game of follow the leader

By

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.

Creating a 'Just Culture'

Creating a 'Just Culture'

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."

HIPAA audits to resume soon

HIPAA audits to resume soon

By

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.

Connecting the hospice compliance dots

Connecting the hospice compliance dots

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?

Privacy and security in long-term care

Privacy and security in long-term care

Protecting your resident's health information is becoming increasingly more urgent.

F-Tag revisions: Have you prepared?

F-Tag revisions: Have you prepared?

By

CMS updated survey guidance and interpretive guidance for 20 F-Tags that went into effect Nov. 26, 2014. Are SNF leaders paying attention?

Another revenue stream threatened?

Another revenue stream threatened?

By

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.

Is healthcare compliance on life support?

Is healthcare compliance on life support?

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.

Compliance starts at the top, experts say at AHCA/NCAL convention

Compliance starts at the top, experts say at AHCA/NCAL convention

By

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.

One day to go: McKnight's Fall Online Expo returns with 3 free CE webcasts

One day to go: McKnight's Fall Online Expo returns with 3 free CE webcasts

By

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.

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

By

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

By

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

By

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

By

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

By

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

By

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

By

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

By

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

By

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

By

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

By

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

By

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.

Don't miss any McKnight's news