Medicare manual revision addresses civil monetary penalty policies, survey timeframes

Share this article:

A long-term care facility slapped with a civil monetary penalty has a chance for an independent informal dispute resolution, according to new manual guidance from the Centers for Medicare & Medicaid Services.

The update to Chapter 7 of the State Operations Manual incorporates changes from a final rule published in the Federal Register in March 2011, “Medicare and Medicaid: Civil Monetary Penalties for Nursing Homes.”

The manual update also covers matters such as when an operator must put a monetary penalty in an escrow account and conditions under which CMS might reduce a penalty, including when a facility self-reports and promptly corrects noncompliance.

Providers also are urged to examine Chapter 7 items related to immediate jeopardy enforcement actions, CMS stated in its memorandum announcing the manual update. In particular, the chapter describes “very specific time frames for the survey enforcement process” when immediate jeopardy exists, according to the memo. For example, surveyors must furnish a notice of immediate jeopardy within two days of survey completion.

Click here to access the complete document.

Share this article:

More in News

Also in the news for August 22, 2014

Iowa's nursing homes lost, on average, 41% of their employees each year from 2010-2012 ... Researchers identify proteins necessary in wound healing ... More than 40% percent of SSDI recipients take opioid pain relievers, study says.

CMS: Many skilled nursing providers have poor Medicare certification and recertification practices

CMS: Many skilled nursing providers have poor Medicare ...

The rate of improper Medicare payments to skilled nursing facilities has increased largely due to issues with certification and recertification statements, according to a recently released government memorandum. The Centers ...

NY nursing home agrees to $2.2 million settlement in case of false documentation

NY nursing home agrees to $2.2 million settlement ...

Nursing home operator Ralex Services Inc. has agreed to a $2.2 million settlement in a whistleblower case involving forged documents at a facility in New Rochelle, New York.