Remove Medicaid Remove Nurses Remove Payment Systems
article thumbnail

Updated Compliance Program Guidance for Nursing Facilities

Compliancy Group

The Office of Inspector General (OIG) released an updated Nursing Facility Industry Compliance Program Guidance (ICPG) in November 2024 to assist nursing facilities in navigating the complex regulatory landscape and mitigating compliance risks. The ICP covers the areas listed below.

Nurses 52
article thumbnail

Breaking Down the OIG’s First Industry-Specific Guidance 

YouCompli

This first ICPG covers Skilled Nursing Facilities and Nursing Facilities. Quality of Care and Quality of Life For decades, the OIG and other government enforcement agencies have emphasized the importance of the quality of care and quality of life for nursing facility residents. Lets review some of the highlights.

Nurses 52
Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Post-Acute Compliance Program Update: OIG Recommendations on Medical Director Agreements and Roles

Hall Render

Department of Health and Human Services (HHS) issued new Industry Segment-Specific Compliance Program Guidance For Nursing Facilities (Nursing Facility ICPG) for nursing home members of the health care compliance community. Medical Directors in Nursing Homes 42 CFR 483.70(g)

article thumbnail

CMS Forwards Its Health Equity Agenda through Its Annual Prospective Payment System Rulemaking Process

Health Law Advisor

The Centers for Medicare & Medicaid Services (“CMS”) is using its annual rulemaking process to update the CMS payment system rules for fiscal year (“FY”) 2024 as a mechanism to advance health equity systematically across various CMS payment programs. health system.” [9]

article thumbnail

OIG Issues Highly Anticipated Industry Segment-Specific Compliance Program Guidance for Nursing Facilities

Hall Render

Department of Health and Human Services (“HHS”) issued new Industry Segment-Specific Compliance Program Guidance For Nursing Facilities (“Nursing Facility ICPG”) for nursing home members of the health care compliance community.

Nurses 40
article thumbnail

Brief about Wound Care Reimbursements in Various Healthcare Settings

Medisys Compliance

Wound care is provided in various healthcare settings like inpatient hospital, outpatient clinics, long-term care facilities, home health settings, hospice and skilled nursing facilities. The MPFS is a payment system that reimburses healthcare providers for services rendered to Medicare patients in an outpatient setting.

article thumbnail

CMS Final Rule Calls for Ongoing Respiratory Illness Reporting through NHSN for Nursing Homes

Hall Render

The COVID data reporting through the National Healthcare Safety Network (“NHSN”) was first required of nursing homes in May 2020 through an interim final rule. CMS took regulatory action through the Calendar Year 2022 Home Health Prospective Payment System rule to extend those requirements through December 31, 2024.