Category Archives: Healthcare Compliance

Medicare Skilled Nursing

Here’s Why You Must Begin Prepping Now for Skilled Nursing PDPM Implementation

Tip: Follow 5 actionable tips to prepare for the biggest change to SNFs in 20 years

Patient-centered care: Recently it’s a term you’ve heard promoted widely in the healthcare field, along with “data-driven” and “real world evidence” (RWE). The Centers for Medicare & Medicaid (CMS) is catching on to the trend and updating its programs accordingly. For instance, CMS has replaced More..

CMS Survey Process

New Year’s Resolution for Your LTC Facility: Prep for CMS Survey Process

Tip: The best way to prepare is to create a survey-ready culture

The Centers for Medicare & Medicaid Services (CMS) expects your long-term care facility (LTCs) to uphold certain requirements for Medicare participation—and conducts surveys to see that you are. Though the Phase 2 of CMS’s regulatory program took effect back in November 2017, it introduced an More..

EMTALA

Hidden Traps: Understand How EMTALA Applies to Ambulances

Don’t overlook these often misunderstood regulation nuances

Beware: The feds are raising the stakes on Emergency Medical Treatment and Labor Act (EMTALA) violations – which should have hospitals rather nervous. In fact, the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently doubled EMTALA fines. Don’t get More..

CMS CoP Standards

Hospitals: Get Ready for 2019 CMS CoP Standards

Key: Check out proposed changes for nursing

Do you know what 2019 has in store for hospital Conditions of Participation (CoP) standards? Hint: A lot! There are numerous changes on the horizon—especially those that will impact your nursing services. Centers for Medicare & Medicaid Services (CMS) deficiency reports have cited Nursing Services More..

OPPS Update

OPPS Update: Get the Scoop on the 2019 APC Final Changes

See the top 4 ASC evolutions that will impact your reimbursement

Prepare yourself for a major overhaul of the coding, billing, and payment rules for Ambulatory Surgical Centers (ASCs) under the Ambulatory Payment Classification (APC). These changes will have a significant impact on your reimbursement for medical services in each APC group. APC rules have not More..