The COVID-19 pandemic has reinforced the importance for healthcare organizations to have an efficient emergency preparedness plan in place. Learn the different aspects leadership should consider when developming a compliant emergency preparedness plan to lessen adverse impacts, keep business on track and keep your staff and patients safe.
Read the new additions to the skilled nursing facility interim final rule and know how to adjust your operations to stay compliant.
Combine new COVID-19 changes with reimbursement challenges due to adjusting to the Patient-Driven Payment Model (PDPM), and the skilled nursing landscape becomes even more complex for providers.
Using the OIG's 7 components of compliance, long-term care organizations can take steps to ensure their compliance and ethics program is effective in meeting regulatory guidelines.
The opioid crisis and hospital drug theft have been appearing more frequently in headlines for several years, making drug diversion a front-running issue in the acute space.
Last October, Palmetto, one of the nation’s largest Medicare Administrative Contractors to the federal government, released their Electronic Comparative Billing Report (eCBR) for 2018 data between April 1 – September 30 that focused on hospice providers’ Non-Cancer Length of Stay (NCLOS) rates.
When health care providers repeatedly fail to reach compliance with the Office of the Inspector General’s (OIG) guidelines, the OIG will issue them a Corporate Integrity Agreement (CIA). Under the CIA process, organizations enter into a mandatory agreement to improve their practices over a five-year time frame with outlined compliance guidelines set forth by the OIG.
Implementing a comprehensive internal audit program will position a facility to actively respond to the ever-changing healthcare regulatory environment. Achieving effective and compliant healthcare functions cannot occur without well-defined and ongoing compliance auditing.
On October 1, 2017, Centers for Medicare & Medicaid Services began the Targeted Probe and Educate program to help providers reduce claim denials and appeals through one-on-one education. Each Medicare Administrative Contractor, studies the claim data submitted by each provider to determine providers who have high potential for claim error rates or unusual billing practices.
