CMS Health Equity Confidential Feedback Report Live Q&A

Video and transcript available This live Q&A session allowed participants to ask CMS subject matter experts about the methodologies and interpretations of the CMS Health Equity Confidential Feedback Reports for post-acute care (PAC) providers in the Home Health (HH), Inpatient Rehabilitation Facility (IRF), Long-Term Care Hospital (LTCH), and Skilled Nursing …

Fall 2023 Unified Regulatory Agenda for CMS and Other HHS Agencies

Some items of potential interest: HHS/FDA Proposed Rule Stage Medical Devices; General and Plastic Surgery Devices; Classification of Certain Solid Wound Dressings, Wound Dressings Formulated as a Gel, Cream, or Ointment, and Liquid Wound Washes 0910-AI26 HHS/OIG Proposed Rule Stage Health Care Programs: Fraud and Abuse; Revisions to the Office …

OIG: Louisiana Nursing Homes’ Employment of Staff With Disqualifying Background Checks

Louisiana Should Improve Its Oversight of Nursing Homes’ Compliance With Requirements That Prohibit Employment of Individuals With Disqualifying Background Checks 11-29-2023 | A-06-21-02000 | Complete Report | Report in Brief Why OIG Did This Audit Background checks for employees are an important safety measure that can help protect some of the most vulnerable …

CMS QSO Memo: Guidance for Federal Monitoring Surveys (FMS)

Memo # Admin Info: 24-05-NH Posting Date 2023-11-20 Fiscal Year 2024 Memorandum Summary • Guidance and Focus Concerns – Identifies the FY2024 and FY2025 Focus Concerns and guidance on how CMS Location staff will conduct Federal Monitoring Surveys (FMS). • LSC and Health FMS Estimates – Communicates estimated FY2024 and …

MLN Network Provider Minute Video: The Importance of Proper Documentation

This video will help providers and physicians understand the need and importance of medical record documentation to support the services billed. Watch this video to learn more about what the CERT program has identified as leading documentation errors, and what providers and physicians can do to more thoroughly document the …

OIG Will Audit PBJ Nurse Staffing Hours

Audit of Nursing Homes’ Nurse Staffing Hours Reported in CMS’s Payroll-Based Journal Nursing homes are required to electronically submit complete and accurate direct care staffing information to CMS’s Payroll-Based Journal (PBJ) system on a quarterly basis. Direct care staff include nurse and non-nurse staff who, through interpersonal contact with nursing …

CMS Final Rule: SNF/NF Facility Ownership and Other Disclosure Requirements

Centers for Medicare & Medicaid Services Rules Medicare and Medicaid Programs: Disclosures of Ownership and Additional Disclosable Parties Information for Skilled Nursing Facilities and Nursing Facilities; Medicare Providers’ and Suppliers’ Disclosure of Private Equity Companies and Real Estate Investment Trusts Filed on: 11/15/2023 at 8:45 amScheduled Pub. Date: 11/17/2023 Permalink Fact sheet …

Schizophrenia Audit Takeaways for NACs and the IDT

In the Jan. 18, 2023, Quality, Safety, and Oversight (QSO) memo QSO-23-05-NH, the Centers for Medicare & Medicaid Services (CMS) announced plans to conduct offsite audits to assess whether nursing homes appropriately assess, document, and code diagnoses captured in MDS item I6000 (Schizophrenia (e.g., Schizoaffective and Schizophreniform Disorders)) that are …

OIG General Compliance Program Guidance (GCPG) Updated

The GCPG is a reference guide for the health care compliance community and other health care stakeholders.  The GCPG provides information about relevant Federal laws, compliance program infrastructure, OIG resources, and other items useful for understanding health care compliance. The GCPG is voluntary guidance that discusses general compliance risks and compliance programs.  The GCPG …

CDC NHSN LTCF Weekly Healthcare Personnel (HCP) & Resident Vaccination Module Page UPDATED

Weekly health care personnel (HCP) & Resident COVID-19 Vaccination Weekly COVID-19 Vaccination Data Reporting Long-term care facilities can track weekly COVID-19 vaccination data for residents and healthcare personnel (HCP) through NHSN. November 2023 Updates Resources Influenza/RSV Influenza/RSV: Understanding Key Terms and Up to Date Vaccination – November 2023 [PDF – 1 …