Regulatory Compliance

7 things your compliance plan must include

As home health and hospice care spending comes under increased scrutiny from the government, providers must make sure their compliance plans evolve to meet federal requirements and their own needs. Read More »

SNF adverse event reduction needed, OIG report says

Adverse events related to post-acute care are harming residents and costing the government money, according to a new report from the Office of Inspector General, so skilled nursing facilities must find a way to reduce their incidence. Read More »

Long-term care policy lapses

Seniors and their families must take steps to ensure that plans they make to pay for care as they age do not get derailed unnecessarily. Read More »

Assisted living company allegedly under federal investigation

The country’s largest assisted living company is being investigated by the federal government for allegations of improper Medicaid billing and other matters, according to an investigative journalism outlet. Read More »

New dementia care rules go into effect in Massachusetts

New regulations in the Bay State govern worker training, activities, public communication and design of nursing home units for residents with Alzheimer’s disease and other dementias. Read More »

Maine lawmakers mulling long-term care funding

Members of Maine’s legislature are considering the recommendations of its Long-Term Care Facilities Study Commission as the state grapples with how to pay for the care of its aging population. Read More »

CMS puts recovery audit program on temporary hold

The backlog of cases appealing audit decisions and payment denials has cause CMS to make a radical move: Hit the pause button on the audit program until contractors can catch up. Read More »

Institute of Medicine names next president

An expert in hypertension, congestive heart failure and gene therapy for vascular disease has been named the next president of the advisory body the Institute of Medicine. Read More »

Challenging surveys

Deficiencies and enforcement actions don't always have to be accepted without a challenge. Long-Term Living's legal expert, Alan Horowitz, explains the steps to appealing state survey deficiency reports. Read More »

Reauthorizing OAA: Maintaining flexibility, addressing demographic changes

The Older Americans Act should be reauthorized with a focus on maintaining program flexibility and addressing demographic changes, according to policy and aging experts who testified during a recent government hearing on the matter. Read More »

Legal logjam in Medicare appeals process

The Medicare appeals process allows providers to challenge payment denials—once you can get a hearing date. Read More »

Is it rejection of care or resident choice?

Clearing the blurred lines between choice and rejection of care ensures correct coding of the Minimum Data Set. Read More »

12 steps to QAPI: Step 2: Teamwork

In Step 2 of our series on achieving Quality Assurance Performance Improvement, Nell Griffin, LPN, EdM, explains the importance of team building and teamwork. Read More »

Facility-to-community transition program success highlighted in report

A recent report highlights the success of a federal program to transition Medicaid recipients from long-term care facilities to home- and community-based settings, including reinstitutionalization rates and residential preferences of senior participants. Read More »

Bipartisan lawmakers strike deal to repeal SGR, set physician pay increases

A bipartisan team of lawmakers has struck a deal to repeal the sustainable growth rate (SGR) and set new guaranteed pay increase for physicians that provide services under Medicare. Read More »

HHS rule grants direct access to residents’ lab results

A new federal rule will allow senior care residents and their family designees direct access to lab test results, encouraging consumer care involvement. Read More »

Cognitive health and aging focus of 2-year IOM project

A two-year project will examine cognitive health and aging in an effort to improve training for healthcare professionals and educate older adults, their families, caregivers and others. Read More »

Death toll continues to climb in Canadian nursing home fire

A nursing home blaze leaves five people dead and more than 30 others missing. A search for the missing continues. Read More »

Leveraging LTC data

Data, data, everywhere... How can LTC providers leverage resident monitoring data and facility information to make better patient care and business decisions? Read More »

Joint Commission releases updated accreditation guide

The Joint Commission has released an updated guide for nursing, rehabilitation, home health and other care providers seeking accreditation or certification this year. Read More »

CMS proposes emergency preparedness procedures

Four components should be part of every senior care provider's emergency preparedness plan, according to the Centers for Medicare & Medicaid Services. Found out what the agency is proposing and how you can comment. Read More »

OIG slams HHS Office of Civil Rights on HIPAA security oversight

The Health and Human Services' Office of Civil Rights gets a stern dressing down from the OIG for failure to provide proper oversight on HIPAA security issues. Read More »

Facility rating, resident quality of life not linked

Certain factors relate to resident quality of life, but the government rating of the facility where they live is not one of them, according to new research. Read More »

Improving the safety culture in 2014

Nowhere in a facility is entirely free of safety hazards. Finding and fixing the potential areas of risk is key to an effective and compliant safety program. Read More »

Federal agency recommends annual CT scans for older smokers

Privately insured smokers age 55 to 80 now have access to free annual lung cancer screenings—but the tests are not covered by Medicare. Read More »

Recovery audits: SNF psychiatric conditions

Does your skilled nursing facility care for residents with mental heath conditions? Medicare recovery audit contractors for mental illness issues may threaten access to care. Read More »

ONC names Karen DeSalvo, MD, new national coordinator for HIT

The Office of the National Coordinator for Health Information Technology has named Karen DeSalvo, MD, as its next leader. Read More »

Killing the SGR and therapy caps

Congress may be ready to do away with the sustainable growth rate (SGR), re-fix the “doc fix” and ditch therapy caps, but will skilled nursing become the scapegoat for the costs? Read More »

LTSS focus of Senate committee hearing

The recommendations made by the federal Commission on Long-Term Care related to long-term services and supports for seniors and disabled individuals are the focus of a Senate Special Committee on Aging hearing. Read More »

OIG releases strategic plan for 2014-2018

The Department of Health and Human Services and its oversight body, the Office of Inspector General, released reports this week identifying strategic goals for the next few years. Read More »