Regulatory Compliance

CMS announces Nursing Home Compare changes

As promised Feb. 12, the Centers for Medicare & Medicaid Services publicly announced changes to the five-star rating system used on its Nursing Home Compare website Feb. 20. Some organizations representing aging services providers are expressing concerns. Read More »

First federal rule issued for ombudsman programs

The Administration for Community Living of the U.S. Department of Health and Human Services has published the first federal regulations for the long-term care ombudsman programs in the Federal Register in an effort to improve consistency among state programs. Read More »

Interoperability takes center stage in Washington

This month’s annual meeting of the Office of the National Coordinator for Health Information Technology featured a keynote by HHS Secretary Sylvia Burwell announcing the agency’s plan to increase the adoption of health IT. Read More »

HHS to shift payment from volume to value

Providers will be paid by the federal government based on care quality rather than care quantity under new, measurable goals announced by the U.S. Department of Health and Human Services Monday. Read More »

CMS should revise therapy payments: report

A new report by the Medicare Payment Advisory Commission and the Urban Institute proposes changes to Centers for Medicare & Medicare Services payments to discourage skilled nursing facilities from “furnish[ing] therapy for financial gain.” Read More »

CMS chief to resign in February

Centers for Medicare & Medicaid Services Administrator Marilyn B. Tavenner will leave her position in February, according to media reports. Read More »

The move to improve hand hygiene compliance

As the number of influenza cases increase across the country, using recommended hand hygiene protocols helps prevent the spread of flu viruses and other healthcare-associated infections. Read More »

Medical device IDs aimed at improving patient safety

Similar to the UPC bar code, Class III high-risk medical devices tagged with UDI labels will help to report, track and assess patients’ adverse events. Read More »

Same-sex marriage recognition would be required under rule

Long-term care facilities that do not recognize residents’ same-sex marriages would be ineligible to receive Medicare or Medicaid funding under a rule proposed by the Centers for Medicare & Medicaid Services. Read More »

Payment for care after hip, knee replacement focus of AHCA comments to CMS

The American Health Care Association has suggested to CMS several changes to an outcome and efficiency measure that would affect payments to skilled nursing facilities for the care of those who have undergone total hip or knee arthroplasty. Read More »

Wracked by RACs?

Sooner or later, most skilled nursing facilities encounter recovery audit contractors (RACs). A healthcare legal expert explains how to handle RAC visits and what to do when claims are denied. Read More »

Addicts target nursing home dumpsters to get a fix

Trash receptacles behind nursing homes and other care facilities are becoming a goldmine for drug addicts in search of controlled medications. Read More »

The battle over immigration reform

One of the first political “hot potatoes” the new Congress must address is amnesty for illegal immigrants, which would present long-term care organizations a broader pool of potential caregivers. Read More »

CMS proposes to add annual lung cancer screening for high-risk seniors

CMS has followed the lead of a preventive services agency and proposed coverage of annual lung cancer screenings for certain older adults. But can Medicare afford it? Read More »

FEMA seeks recovery of monetary aid issued during Superstorm Sandy

Two years later, repercussions from Superstorm Sandy are still being felt by some assisted living residents in Rockaway, NY. Is the Federal Emergency Management Agency’s effort to recoup undeserved funds a management error or resident fraud? Read More »

OSHA’s here! Know your rights

When OSHA surveyors come knocking, neither the organization nor its employees can be bullied. Compliance expert Steve Wilder explains everyone's rights during an inspection.  Read More »

PointClickCare launches direct messaging tool

PointClickCare integrates direct email messaging into its EHR platform.  Read More »

Readmission, death rates not necessarily reflected by SNF quality measure performance

A new study in JAMA examined whether a skilled nursing facility’s performance on quality measures is a reliable indicator of the likelihood that those it treats will or will not be rehospitalized or die within 30 days of being discharged from the hospital. Read More »

Extendicare to pay $38M to settle care, billing allegations

In “the largest failure-of-care settlement with a chain-wide skilled nursing facility" in U.S. Department of Justice history, Extendicare and a subsidiary will pay $38 million to resolve allegations of substandard care and inappropriate billing. Read More »

Hydrocodone rule effective Oct. 6

A federal rule that reclassifies hydrocodone combination products went into effect Monday, and at least one industry group is expressing concerns. Read More »

CMS issues categorical waiver for using power strips in care areas

The increasing use of electrical equipment in areas where patients/residents receive treatment has  increased the need for more electrical outlets to accommodate the appliances/devices. Read More »

30-day readmissions rate: What’s behind the number?

To complete the readmission puzzle, post-acute care providers should look at three not-so-obvious missing puzzle pieces that go beyond the readmission metric. Read More »

Atty Gen. Holder to resign from DOJ

U.S. Attorney General Eric Holder, Jr. has announced plans to resign from the Department of Justice later this year. Read More »

Changes would improve end-of-life care, report says

A new report from the Institute of Medicine recommends several changes to the U.S. healthcare system to meet the needs of people nearing the end of life as well as the needs of their families. Read More »

ADL difficulty points to LTSS need, researchers say

Almost half of Medicare beneficiaries aged at least 65 years, among them nursing home residents, reported trouble or the need for assistance with activities of daily living in a recent study. Read More »

CMS eases back into recovery audits

After months of a pause mode due to backlogs in the appeals process, CMS has reinstated the recovery audit contractor (RAC) review process. Read More »

CMS puts dialysis center rating system on hold

The Centers for Medicare & Medicaid Services is delaying launch of its dialysis center ratings, but a kidney disease-related coalition says it still has concerns. Read More »

LTC providers can collect controlled substances under new federal policy

Long-term care facilities will be able to collect controlled substances turned in by residents, under a new Drug Enforcement Administration regulation meant to combat prescription drug abuse and misuse. Read More »

Home health workers protest in 5 cities

The aim of the protests matches some goals of two organizations working on behalf of home health workers. Read More »

12 steps to QAPI: Step 12: Take systemic action

The final chapter in the series “12 Steps to QAPI” shows how preparation, organization, data and action can correct and improve processes to enhance the quality of care your residents receive. Read More »