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Unfortunately, despite regulations and oversight, nursinghome neglect remains a critical issue, often leading to devastating consequences such as malnutrition, infections, emotional distress, and even premature mortality. As trusted professionals, healthcare providers are on the front lines of protecting these residents from harm.
Department of Health and Human Services (HHS) issued new Industry Segment-Specific Compliance Program Guidance For Nursing Facilities (Nursing Facility ICPG) for nursinghome members of the health care compliance community. Medical Directors in NursingHomes 42 CFR 483.70(g) See 42 C.F.R.
In a blog post , Illing said this year's healthcare accelerator cohort members were selected from hundreds of applicants worldwide. A "BedSense" App provides insights into the needs of memory care and nursinghome residents. A mobile application that manages team skills and ensures compliance standards.
In 2023, nursinghomes have seen increased citations by surveyors for noncompliance tied to their pre-dispute, binding agreements for binding arbitration with their residents. The Arbitration Regulations revised the requirements for arbitration agreements when they are used by nursinghomes to resolve disputes with their residents.
Selection Approach In establishing the SFP, CMS examined the Special Focus Facility Program for nursinghomes and its methodology for facility selection. Hall Render blog posts and articles are intended for informational purposes only.
Massachusetts’ Attorney General has secured settlements with five Massachusetts nursinghomes to resolve allegations of patient neglect, insufficient staff training, and inadequate care for vulnerable nursinghome residents. They also failed to report the significant health declines of one resident to a physician.
A New York optician has pled guilty to grand larceny for submitting false claims for optician services that he alleged were for specific nursinghome residents, but which were never provided. Additionally, it is necessary that the billing office ensures that no double billing occurs by the nursinghome and any consultant.
It may seem a little early to do some spring cleaning, but not when it comes to compliance! It’s that time of the year to check your records for 2023 compliance deficiencies and set your organization up for success in 2024. Release of Industry-Specific Compliance Program Guidance (ICPG) is anticipated in 2024.
On June 30, 2023, the New York State Department of Health (DOH) issued a notice to nursinghome operators and administrators announcing that it will begin conducting assessments on July 10, 2023 of nursinghomes’ compliance with the State’s minimum staffing requirements.
Whether you’re managing a nursinghome, funeral home, or just your own home, Sharps Compliance can help you comply with local, state, and federal regulations regarding the storage, labeling, shipment, and treatment of regulated medical, pharmaceutical, and hazardous wastes. at Sharps ComplianceBlog.
Complaints of resident abuse in a Michigan nursinghome led to an investigation by the Michigan Office of Attorney General’s Health Care Fraud Division, working with the Michigan Sentinel Project. The investigation determined that a nurse was working at the nursinghome while her license was suspended, which is a felony.
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) has excluded a Louisiana man from participation in federal healthcare programs due to his ownership interest in seven Louisiana nursinghomes that OIG previously excluded. As a result, OIG has excluded the nursinghomes and their owner.
In a March 11, 2022, release by the Northern District of Georgia’s Office of the Department of Justice, it was reported that an investigation determined a Georgia nursinghome knowingly submitted claims for unreasonable, unnecessary, and unskilled services for Medicare patients. Attorney Kurt R. To avoid a “reverse false claim” (i.e.,
A Maine nursinghome with a history of federal fines was listed as a special focus facility (SFF) after two residents wandered off in separate incidents last year. They were one mile from the nursinghome, so police took her to the facility. In the second case, the resident was hit and killed by a motor vehicle.
A certified nurse’s aide (CNA) who was working in an Oklahoma nursinghome has pled guilty to stealing money from a resident. Our office will not tolerate the financial exploitation of our beloved nursinghome residents, no matter how large or small the amount.”.
The Centers for Medicare & Medicaid Services (“CMS”) is reinforcing regulatory expectations regarding nursinghome residents’ rights to vote. On September 26, 2024, CMS issued a QSO Memo , “Compliance with Residents’ Rights requirement related to NursingHome Residents’ Right to Vote.” 42 CFR §483.10(b)(1)
On January 7, 2022, the Centers for Medicare & Medicaid Services (CMS) published a memorandum stating that nursinghome staff turnover and weekend staffing will be posted on the Medicare.gov Care Compare public website. The QSO memorandum can be accessed at: QSO-22-08-NH (cms.gov).
The United States has filed a lawsuit against an Alabama psychiatrist for improper prescribing of Nuedexta to nursinghome residents. In return, the psychiatrist prescribed Nuedexta to nursinghome residents who did not have pseudobulbar affect.
On October 21, 2022, the Centers for Medicare and Medicaid Services (CMS) announced changes to its Special Focus Facility (SFF) program, including new steps to address nursinghome facilities that fail to graduate from the SFF program in a timely manner, or “yo-yo” back into non-compliance after graduating from the SFF program.
The Centers for Medicare & Medicaid Services (CMS) has given surveyors new rules and updates to allow surveyors to add extra attention and increase oversight in nursinghomes regarding the role of the medical director and how mental disorders are diagnosed. current DSM criteria) for the diagnosis.
The facility should not be determined in substantial compliance until one of these two items is complete (and all other noncompliance has been corrected). Key provisions include: Clear Documentation Requirements : Nursinghomes must provide thorough documentation justifying the need for a transfer or discharge.
The post Louisiana Woman Arrested for Stealing from NursingHome Resident appeared first on. Periodically audit resident fund accounts to ensure that no misappropriation has occurred. Ensure residents have access to locked boxes with keys to protect personal property.
Effective January 1, 2025, Illinois enacted a law that contains several updates to Illinoiss change of ownership (CHOW) laws for nursinghomes. Changes to Illinois CHOW Laws Illinois Public Act 103-0776 (CHOW Law) replaces Sections 3-112, 3-113 and 3-114 of the Illinois NursingHome Care Act (the “Act”).
Appendix PP Update Planned In the Memo, CMS announced that it will develop guidance for surveyors to evaluate compliance with the new acute respiratory illness reporting requirements and provide information on enforcement actions for noncompliance. Hall Render blog posts and articles are intended for informational purposes only.
What types of healthcare facilities are required by the government to have a compliance program? In this blog, we’ll outline what types of healthcare facilities are required by the government to have a compliance program and why compliance is crucial for both healthcare organizations and the agencies that support them.
After an investigation into Colorado’s care for people with disabilities who reside in nursinghomes, the Department of Justice (DOJ) concluded that the state unnecessarily segregates people with physical disabilities in nursing facilities. Interview residents to ensure that all safe discharge planning needs have been met.
As nursinghomes look for funds to allow them to improve care and train nursinghome staff, Centers for Medicare & Medicaid Services (“CMS”) released QSO-23-23-NH (“CMS Memo”), which reopens and recasts the Civil Money Penalty Reinvestment Program (“CMPRP”).
Department of Labor’s Wage and Hour Division discovered that the pay practices of three Oklahoma City nursinghomes denied 129 workers of partial wages. The three Oklahoma City nursinghomes did not pay for on-site and off-site meetings, on-boarding activities, and web-based training as hours worked.
The Centers for Medicare & Medicaid Services (“CMS”) has given surveyors new rules and updates to allow surveyors to add extra attention and increase oversight in nursinghomes regarding the quality of care and quality of life for residents. Compliance and ethics. Areas with Significant Updates. Phase 3 Elements.
Nursinghomes are critical in providing residents with care, comfort and dignity. Nursinghomes need to navigate this delicate terrain with care, sensitivity and a commitment to creating a safe and respectful environment for all residents.
In our recent webinar, ProviderTrust’s Chief Compliance Officer, Donna Thiel, shared her expertise and valuable feedback from the 2023 HCCA Compliance Institute. Watch the Webinar During the Keynote Speech at the HCCA Compliance Institute this year, Office of Inspector General (OIG) Christi A.
Compliance with the Office of Inspector General (OIG) is not just best practice but a legal requirements not just best practice but a legal requirement. Learn more about OIG Compliance here. The General Compliance Program Guidance (GCPG) is a central part of these initiatives.
One of the biggest challenges in managing healthcare compliance in Alaska is the state’s vast size and remote geography. To effectively manage compliance in Alaska, healthcare organizations need to stay up-to-date on both the state and federal regulations with a solid compliance program in place.
Watch this one-demand webinar for insider tips straight from seasoned compliance surveyors. Examples of covered entities include health plans, clearinghouses, and certain health care providers including but not limited to: doctors, clinics, psychologists, dentists, chiropractors, nursinghomes, and pharmacies.
When it comes to healthcare, compliance is not just a buzzword — it’s critical to ensuring quality of care, protecting patient privacy, and staying on the right side of the law. But what exactly is a compliance plan in healthcare, and why is it so crucial? Why Is a Compliance Plan Important in Healthcare?
Why Additional Training Is Required for Medicare-Enrolled Providers Training helps providers understand and adhere to Medicare’s complex regulations and guidelines, essential for maintaining compliance. It also addresses Medicare Parts C and D compliance requirements.
1] If the proposed rule is finalized, CMS estimates that approximately 75% of all nursinghomes would have to “strengthen staffing in their facilities” in order to meet the new requirements. [2] Nurse Aide (NA) HPRD (the “2.45 NA HPRD requirements, a total nurse staffing standard should be required. 55 RN HPRD and 2.45
Managing healthcare compliance in New York is adhering to regulations that aim to ensure access to care, promote healthcare equity, and maintain high standards of healthcare quality and patient safety. The software helps to keep documents and policies organized, ensures training content is up-to-date, and makes reporting easy.
These revisions apply to all provider and supplier types and also include subparts that focus on specific concerns with nursinghomes and clinical laboratories. Documentation and Readiness : Robust documentation of compliance efforts and corrective actions is crucial for addressing survey findings effectively.
Netalytics’ comprehensive purpose-built solutions provide a wide array of functionality, including managing inventory, controlling dosing, and tracking regulatory compliance. Visit ntst.com , call 1-800-472-5509, follow us on our CareThreads Blog , LinkedIn , and Twitter , like us on Facebook , or visit us on YouTube.
For this alert, “nursinghomes” refers to skilled nursing facilities (often known as “SNFs”). In 2020, CMS revised the nursinghome infection control regulations at 42 CFR § 483.80 Additionally, this information is now publicly available on CMS’s COVID NursingHome Data Website.
Amidst a nationwide nursing and skilled nursing facility staffing crisis, the Centers for Medicare & Medicaid Services (“CMS”) announced that additional information regarding nursinghome staff numbers will be added to the January 2022 CMS Care Compare website. Weekend Staff.
Long-term care facilities are among the most regulated in healthcare, making compliance challenging and training critical. Importance of Long-Term Care Training Like all healthcare professionals entrusted with providing safe, legal, and ethical services, long-term care staff must complete required compliance training.
Managing healthcare compliance in New Jersey means adhering to a unique set of rules and standards that pose certain challenges for management teams. New Jersey’s healthcare organizations are encouraged to design thorough systems for tracking and understanding these regulations and make updates to their compliance programs as needed.
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