Breaking Compliance News Blog

Earn 5 CEUs with MPA’s Virtual SNF Compliance Officer Training!

Posted by Margaret Scavotto, JD, CHC on 2/10/21 1:42 PM

Compliance is mandatory for SNFs! Is your compliance program survey-ready?

Sign up for MPA's Virtual Compliance Officer Training Course

*** Approved for 5 hours of NAB CEUs***

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Topics: Training and Education, Affordable Care Act, compliance, compliance officer, Phase 3, webinar

Earn 5 CEUs with MPA’s Virtual SNF Compliance Officer Training!

Posted by Margaret Scavotto, JD, CHC on 2/9/21 10:31 AM

Compliance is mandatory for SNFs! Is your compliance program survey-ready?

Sign up for MPA's Virtual Compliance Officer Training Course

*** Approved for 5 hours of NAB CEUs***

Read More

Topics: Training and Education, Affordable Care Act, compliance, compliance officer, Phase 3, webinar

Earn 5 CEUs with MPA’s Virtual SNF Compliance Officer Training!

Posted by Margaret Scavotto, JD, CHC on 1/28/21 11:45 AM

Compliance is mandatory for SNFs! Is your compliance program survey-ready?

Sign up for MPA's Virtual Compliance Officer Training Course

*** Approved for 5 hours of NAB CEUs***

Read More

Topics: Training and Education, Affordable Care Act, compliance, compliance officer, Phase 3, webinar

Enroll in MPA’s Virtual Nursing Home Compliance Officer Training!

Posted by Margaret Scavotto, JD, CHC on 9/21/20 9:15 AM

With CMS resuming routine nursing home surveys, it’s time to get your compliance and ethics program ready for future surveys.

Whether you are new to compliance or want to make sure you are ready to lead a Phase 3 Compliance and Ethics Program, MPA’s 4-part virtual how-to course can help. Sign up now and receive:

  • Four 75-minute classes. We will keep the class going until all your questions are answered!
  • One free compliance tool per class
  • A 20% discount on MPA’s SNF Compliance Program (save $350)

Sign up for one course, or all four.

Price: $95 per course or $325 for all four. Sign up now.

Those enrolled in all four courses will receive a digital step-by-step compliance program implementation guide.

Can’t attend live? All attendees will receive access to the recorded classes for 6 months.

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Topics: Training and Education, Affordable Care Act, compliance, compliance officer, Phase 3, webinar

Enroll in MPA’s Virtual Nursing Home Compliance Officer Training!

Posted by Margaret Scavotto, JD, CHC on 9/15/20 9:00 AM

With CMS resuming routine nursing home surveys, it’s time to get your compliance and ethics program ready for future surveys.

Whether you are new to compliance or want to make sure you are ready to lead a Phase 3 Compliance and Ethics Program, MPA’s 4-part virtual how-to course can help. Sign up now and receive:

  • Four 75-minute classes. We will keep the class going until all your questions are answered!
  • One free compliance tool per class
  • A 20% discount on MPA’s SNF Compliance Program (save $350)

Sign up for one course, or all four.

Price: $95 per course or $325 for all four. Sign up now.

Those enrolled in all four courses will receive a digital step-by-step compliance program implementation guide.

Can’t attend live? All attendees will receive access to the recorded classes for 6 months.

Read More

Topics: Training and Education, Affordable Care Act, compliance, compliance officer, Phase 3, webinar

CMS Changes SNF Compliance Program Requirements – Again

Posted by Margaret Scavotto & Scott Gima on 9/10/19 7:13 AM

Ladies and gentlemen, long-anticipated compliance program requirements are changing, one more time. Let’s take a look at what has changed – and what hasn’t.

The proposed rule

On July 16, 2019, CMS published a proposed rule that would modify multiple aspects of Phase III of the Long-Term Care Facilities Requirements for Participation (the “Proposed Rule”). The goal of the Proposed Rule is to reduce regulatory burdens and costs, allowing nursing homes to focus resources on providing quality resident care. Some of the most discussed proposed amendments are those to the Compliance and Ethics Program requirements (42 CFR 483.85), which, if finalized, will become effective one year later. With comments from the public due September 16, 2019, our best guess is that enforcement will begin October or November 2020.

Good news: fewer compliance-related F-tags ahead

Nursing homes: LeadingAge (and other associations) successfully lobbied on your behalf. 

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Topics: Affordable Care Act, OIG compliance resources, skilled nursing, compliance

Is your SNF ready for the November compliance program deadline??

Posted by Margaret Scavotto, JD, CHC on 5/29/19 10:24 AM

Note: This topic is of special interest to our SNF readers. General healthcare compliance and HIPAA topics will return next week!

The Affordable Care Act mandated compliance and ethics programs for all nursing facilities. Medicare and Medicaid will require implementation by November 28, 2019.

Are you ready?

Fortunately, the ACA requirements closely – but not entirely – track the ACA OIG compliance program guidance and the Federal Sentencing Guidelines principles for compliance programs, so providers who have built compliance programs on these documents should be in pretty good shape. Here is what the ACA requires nursing facilities to have by November 28, 2019:

  • Written compliance and ethics policies and procedures that are communicated to staff, contractors and volunteers and:
    • Reduce the risk of criminal, civil and administrative violations
    • Promote quality of care
    • Designate a compliance contact to receive reports
    • Include an anonymous way to report non-compliance without retribution
    • Include disciplinary standards
    • Apply to contractors and volunteers
  • Assigned high-level personnel oversight for the compliance program, and sufficient resources and authority for such high-level personnel
  • Due care not to delegate substantial discretionary authority to individuals the SNF knew or should have known had a propensity to commit a crime
  • Auditing and monitoring
  • A reporting system
  • Consistent enforcement via discipline
  • Annual review.* 

*It can take weeks or even months to review a compliance program, so if this is your first experience with annual review, it is a good idea to start early.

Organizations with five or more facilities must also have:

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Topics: Compliance Basics, Affordable Care Act, skilled nursing

2019 Is the Year of the Compliance Program Annual Review

Posted by Margaret Scavotto, JD, CHC on 5/15/19 12:17 PM

All skilled nursing facilities will be required to have conducted an annual review of their compliance programs by November 28, 2019 (and it’s essential for other providers, too).  SNFs who have not conducted an annual review by November 28, 2019 will be in violation of the law.  

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Topics: Compliance Basics, Affordable Care Act, annual review, skilled nursing

Mandatory SNF Compliance Programs Will Be Here in November! Are You Ready?

Posted by Margaret Scavotto, JD, CHC on 5/2/19 8:41 AM

Note: This topic is of special interest to our SNF readers. General healthcare compliance and HIPAA topics will return next week!

The Affordable Care Act mandated compliance and ethics programs for all nursing facilities. Medicare and Medicaid will require implementation by November 28, 2019.

Are you ready?

Fortunately, the ACA requirements closely – but not entirely – track the ACA OIG compliance program guidance and the Federal Sentencing Guidelines principles for compliance programs, so providers who have built compliance programs on these documents should be in pretty good shape. Here is what the ACA requires nursing facilities to have by November 28, 2019:

  • Written compliance and ethics policies and procedures that are communicated to staff, contractors and volunteers and:
    • Reduce the risk of criminal, civil and administrative violations
    • Promote quality of care
    • Designate a compliance contact to receive reports
    • Include an anonymous way to report non-compliance without retribution
    • Include disciplinary standards
    • Apply to contractors and volunteers
  • Assigned high-level personnel oversight for the compliance program, and sufficient resources and authority for such high-level personnel
  • Due care not to delegate substantial discretionary authority to individuals the SNF knew or should have known had a propensity to commit a crime
  • Auditing and monitoring
  • A reporting system
  • Consistent enforcement via discipline
  • Annual review.* 

*It can take weeks or even months to review a compliance program, so if this is your first experience with annual review, it is a good idea to start early.

Organizations with five or more facilities must also have:

  • A mandatory annual compliance training program, and
  • A compliance officer who reports directly to the governing body, with designated compliance liaisons at each site

Note: while these items are only mandatory under the ACA for SNFs with five or more sites, it is a good idea for all SNFs to consider incorporating these items into their own compliance programs. While they are not mandatory for smaller organizations, they will strengthen your program and make it easier to run an effective compliance program.

 

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Topics: Compliance Basics, Affordable Care Act, skilled nursing

Compliance Boosts Census

Posted by Margaret Scavotto, JD, CHC on 1/20/15 7:00 AM

Compliance is mandatory. Ultimately, many long term care operators see compliance as a lot of work—and perhaps a burden. While all of these things are true, compliance also keeps health care providers out of hot water and away from the headlines. Did you know that your compliance program is a tremendous asset that boosts your bottom line?

The benefits of your compliance efforts go far beyond adhering to the government mandate. One of the benefits of investing in compliance is that your census may see a boost!

Compliance improves quality.

Quality Assurance & Performance Improvement (QAPI) plans are an essential component of each and every effective compliance program.  An effectively monitored quality assurance program should advance your quality of care by addressing issues immediately, before they become widespread. By actively managing your quality indicators with a data-driven, team approach, your SNF can improve the processes that translate into better quality, better care, and satisfied residents. Providing quality care is, after all, the reason we are in this business. And it comes with a perk: quality care is the best PR you can find. Invest in your QAPI effort, and see the favorable online reviews and word of mouth campaigns grow. This will increase your census.

Compliance reduces readmissions.

By using their compliance programs to reduce hospital readmissions, SNFs can increase admissions from hospitals—and boost census. The Affordable Care Act’s Hospital Readmissions Reduction Program reduces hospital inpatient prospective payments based on a hospital’s percent of preventable Medicare readmissions. The government instituted this program because it believes a high readmission rate indicates poor pre- or post-discharge care. In response, hospitals are increasing their efforts to reduce readmission rates to the extent possible.

As a result, hospitals’ readmission problem has become SNFs’ problem, too. Hospital discharge planners are more likely to direct patients to nursing homes with lower readmission rates. By actively monitoring, managing and ultimately reducing readmissions with their QA programs, nursing homes can increase admissions from hospitals and boost census.

Learn about the other ways that compliance can boost your bottom line by downloading MPA's free whitepaper: Compliance Saves Money.

What keeps you up  at night? Free Compliance  Risk Assessment

 

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Topics: Quality Assurance, Affordable Care Act

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