Home/Tag: Compliance

Emergency Preparedness Plan: Evaluating Effectiveness and Staying Compliant

2020-05-22T11:50:24-05:00Categories: Blog, Health System, Home Health, Hospice, Hospital, Skilled Nurshing Facility|Tags: , , |

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.

CMS Update: Requirements for Notification of Confirmed and Suspected COVID-19 Cases for Nursing Homes

2020-05-15T10:22:25-05:00Categories: Blog, Skilled Nursing Facility|Tags: , , , |

Read the new additions to the skilled nursing facility interim final rule and know how to adjust your operations to stay compliant.

Addressing Skilled Nursing Operations During the COVID-19 Pandemic

2020-04-23T08:57:00-05:00Categories: Blog, Skilled Nursing Facility|Tags: , , , |

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 OIG’s 7 Components for an Effective Long-Term Care Compliance Program

2020-03-03T15:15:38-05:00Categories: Blog, Skilled Nursing Facility|Tags: , |

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.

Drug Diversion Prevention: Compliance Strategies to Mitigate Risk

2020-01-03T13:32:01-05:00Categories: Blog, Health System, Hospital|Tags: , |

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.

Make the Most out of Your Non-Cancer Length of Stay Rates

2020-01-03T13:34:56-05:00Categories: Blog, Hospice|Tags: , , , , , , |

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.

From the Experts: Avoid CIAs and Maintain Compliance with Internal Mock Survey Audits

2019-12-04T15:14:15-05:00Categories: Blog, Home Health, Hospice|Tags: , , , |

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.

Comprehensive Internal Audits: Achieving Revenue Cycle Compliance

2019-12-04T15:35:21-05:00Categories: Blog, Health System, Hospital|Tags: , , |

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.

What Your Agency Needs to Know About Targeted Probe & Educate

2019-12-04T15:15:04-05:00Categories: Blog, Home Health|Tags: , , |

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.