nursing home room

OIG to CMS: Implement and Expand Policies to Strengthen Nursing Home Workforce, Training Initiatives

No surprise! The Office of the Inspector General (OIG) has recommended that the federal government strengthen its support to nursing homes in order to improve quality of care.

In its latest report, OIG has made five recommendations for the Centers for Medicare & Medicaid Services (CMS). The report released most recently is OIG’s final installment … Read More >>>

policies-and-compliance

7 Deficiencies You Can Fix Before Your Accreditation Renewal

Ideally, no matter which accreditation organization (AO) you use, your accreditation renewal should be a natural outcome of your adherence to the accreditation standards. We all know, though, that we have to deal with challenges that can negatively impact that adherence.

Our recommendations for addressing these deficiencies now, and following best practices, can help you … Read More >>>

nursing home staff

CMS Official Confirms Agency’s Intention to Finalize Nursing Home Minimum Staffing Rule in 2024

The Centers for Medicare & Medicaid Services (CMS) officials are planning to finalize the nursing home minimum staffing proposal in 2024, an official at the federal agency confirmed at a recent national stakeholder call.

After a 60-day comment period, CMS issued its long-awaited federal nursing home staffing proposal on September 1, 2023. The federal agency … Read More >>>

health counselor

CMS Announces New Model to Advance Integration in Behavioral Health

The U.S. Department of Health and Human Services, through the Centers for Medicare & Medicaid Services (CMS), recently announced the Innovation in Behavioral Health (IBH) Model, “a new model to test approaches for addressing the behavioral and physical health, as well as health-related social needs, of people with Medicaid and Medicare.”

The IBH Model’s goal … Read More >>>

injury tracking

New Requirements for OSHA Illness and Injury Log

Home Health agencies with less than 250 employees are not included on the list of industries/employers that requires submission of the OSHA form.

However, regardless of the industry, for employers with 250 or more employees, Form 300A must be submitted electronically once a year.

Read more here:

Final Rule to Improve Tracking
Injury Tracking Application
Read More >>>

home care

Medicare Payment Systems Reminder

Medicare patients who elect hospice must meet these requirements:

  • Be eligible for Part A
  • Be certified as terminally ill with medical prognosis of 6 months or less to live if the illness runs its normal course
  • Use a Medicare-approved hospice program
  • Sign a hospice election statement
  • Waive all coverage rights for terminal illness and related
Read More >>>

compliance regulations

Medicare Provider Compliance Tips – Home Health Services

Medicare has updated the improper payment rate and denial reasons for the 2022 reporting period.

For the 2022 reporting period, insufficient documentation accounted for 34.9% of improper payments for home health services, while no documentation (4.0%), medical necessity (42.3%), incorrect coding (3.0%), and “other” errors (15.8%) caused other improper payments. The primary reason for these … Read More >>>

home infusion

A New Opportunity to Expand into Home Infusion Therapy

When was the last time you looked at HIT accreditation?

In January, 2021, the Centers for Medicare & Medicaid Services (CMS) added the home infusion therapy benefit to the Medicare Part B lineup of treatments. But since the use of the Home Infusion Therapy (HIT) service has remained low, the National Home Infusion Association pushing … Read More >>>

caregiver with smiling man

Medicare and Medicaid Programs: Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting

Did you see the proposed rule the Centers for Medicare & Medicaid Services (CMS) issued in early September for Minimum Staffing Standards for Long-Term Care (LTC) Facilities and Medicaid Institutional Payment Transparency Reporting?

The proposed rule “seeks to establish comprehensive nurse staffing requirements to hold nursing homes accountable for providing safe and high-quality care for … Read More >>>

21st Century Cures Act header

Visit Verification Brings Benefits Beyond Compliance

The 21st Century Cures Act is a United States law enacted by the 114th United States Congress in December 2016. The Act “is designed to help accelerate medical product development and bring new innovations and advances to patients who need them faster and more efficiently” and it “builds on FDA’s ongoing work to incorporate the … Read More >>>