Regulatory Compliance

Killing the SGR and therapy caps

Congress may be ready to do away with the sustainable growth rate (SGR), re-fix the “doc fix” and ditch therapy caps, but will skilled nursing become the scapegoat for the costs? Read More »

LTSS focus of Senate committee hearing

The recommendations made by the federal Commission on Long-Term Care related to long-term services and supports for seniors and disabled individuals are the focus of a Senate Special Committee on Aging hearing. Read More »

OIG releases strategic plan for 2014-2018

The Department of Health and Human Services and its oversight body, the Office of Inspector General, released reports this week identifying strategic goals for the next few years. Read More »

FDA antibacterial review excludes healthcare products

Makers of antibacterial products used in healthcare facilities are off the hook—for now. A recently announced FDA proposed rule on safety and effectiveness will be limited to over-the-counter soaps and body washes made for consumers. Read More »

OIG to CMS: Add hospitalization rates to nursing home quality ratings and surveys

The Office of Inspector General wants hospitalization rates to be added to CMS's nursing home quality rankings. But will the numbers tell the real story or just muddy the waters? Read More »

Complying with HIPAA: Avoid financial penalties by following these steps

The financial penalties for not securing protected health information have become greater under the final Health Insurance Portability and Accountability Act omnibus rule that went into effect Sept. 23. Taking certain actions can strengthen your ability to avoid violations. Read More »

Long-term and post-acute care’s roles in lowering hospital readmissions

Post-acute medication management and partnerships with long-term care facilities and others are two strategies put forth by two recent pieces of research examining ways to lower hospital readmissions. Read More »

OSHA’s 35-lb. lifting limit

When was the last time a staff member lifted something heavier than 35 lbs? Enforcement of this rule might be getting a lot stiffer soon. Read More »

Fraud claims involve SNFs, home healthcare and DME providers

Several recent multimillion dollar Medicare fraud case convictions and settlements relate to the actions or alleged actions of skilled nursing facilities, home healthcare agencies and durable medical equipment companies and their employees. Read More »

Small businesses face year delay in using federal health insurance website

Continuing issues with a government website mean that, for now, small employers will need to go through an insurance company, agent or broker to enroll in medical plans through the new federal marketplace. Read More »

Legal blog: CMS’ revision of sprinkler enforcement

Healthcare attorney Alan C. Horowitz explains the background to the latest revisions to the CMS compliance rules on fire sprinklers in skilled nursing facilities. Read More »

New bill ties 3-day stay waiver to Nursing Home Compare ratings

Under a proposed bill, SNFs meeting certain criteria based on Centers for Medicare & Medicaid Services quality ratings automatically would qualify to waive the prior hospitalization requirement for Medicare coverage of Part A skilled nursing care benefits. Read More »

CMS offers temporary fire sprinkler citation fix

CMS has revised its fire sprinkler compliance measure to ease the burden on facilities that are in the middle of sprinkler installations. But is the workaround just as challenging as the fire sprinkler citation? Read More »

Hospice, home healthcare owners paying for fraud allegations

A hospice and a home healthcare agency are facing the consequences after being accused of committing healthcare fraud. Read More »

CMS issues 2014 Medicare payment rate updates

The Medicare payment updates for 2014 have been released. How can your facility best guide your own resident beneficiaries? Read More »

CMS clarifies ADL scoring process

The Centers for Medicare & Medicaid Services emphasize the importance of following the “Rule of 3” sequence when coding activities of daily living, as noted in the recently updated RAI User's Manual. Read More »

Eroding the payer/provider divide

Payers, providers and care networks are making vast efforts to combine care delivery, coverage and costs—merging control over the once-siloed segments of healthcare business. Will the post-acute care sector be the golden ticket to success or the cost-laden component that drags the system down? Read More »

IRS increases tax deductions for LTC insurance

If you or those for whom you care are concerned about how to pay for long-term care, you may be interested to learn that the Internal Revenue Service has increased the tax deductions allowed for the purchase of long-term care insurance policies in 2014. Read More »

Minimizing workplace violence in LTC facilities

OSHA is taking a harder look at workplace violence in long-term care facilities. These tips can help you prepare your staff and shore up your documentation procedures. Read More »

Bundling without bungling

Bundling payments is becoming a reality for many long-term and post-acute care communities, but do you know where to start? Read More »

CMS memo addresses ‘no CPR’ policies in nursing homes

In March 2013, an elderly woman who died after not receiving CPR in her retirement community became national news and a focus of public outrage. CMS memo updates state surveyors on CPR policy in nursing homes. Read More »

Omnicare settles $120M kickback suit

Long-term care pharmacy giant Omnicare has agreed to pay $120 million to end a lawsuit alleging kickbacks for skilled nursing medications. Read More »

One-on-one with…Lisa Newcomb

It's estimated that more than 2 million seniors in New York will need some kind of long-term care by 2015. Read about the assisted living initiatives under way in that state—and how communities elsewhere might benefit. Read More »

Health insurance exchanges for small businesses focus of study

If your facility employs 50 or fewer full-time workers, you may be interested in the results of a new study of the new Small Business Health Options Program through which companies like yours can purchase health insurance. Read More »

Know nursing home residents’ financial rights

Ignorance is not bliss when it comes to nursing home residents' financial rights. Make sure you know your responsibilities and that residents know their rights. Read More »

Fact sheet highlights LGBT information for nursing home residents

A new fact sheet details the rights of lesbian, gay, bisexual and transgender nursing home residents. Read More »

Safety, quality goals of new NCAL collaboration

Reducing resident safety events in assisted living communities is the aim of one of two new initiatives announced at the recent American Health Care Association/National Center for Assisted Living annual meeting. Read More »

Government shutdown halts nursing home inspections

Federal safety inspections are on hold in long-term care and other vital industries due to the government shutdown. Read More »

AHCA names ManorCare exec as government policy chief

A top executive from HCR ManorCare has been chosen to steer AHCA/NCAL’s lobby efforts and policy interests. Read More »

S.C. health system ordered to pay $276M in billing fines

A South Carolina health system owes the government millions for fraudulent billings and violations of the Stark anti-kickback law for the way it funnelled business to its outpatient services.  Read More »