August 2018: Compliance Newsletter

Posted on September 18, 2018

The 340b program allows certain providers to receive manufacture discounts on covered out-patient drugs. These drugs can then be provided to eligible patients.

August 2018: LTC Newsletter

Posted on September 18, 2018

The Final Rule published on May 18, 2016, Nondiscrimination in Health Programs and Activities, implements Section 1557 of the Affordable Care Act (ACA).1

July 2018: LTC Newsletter

Posted on July 28, 2018

The Office of Inspector General (OIG) Work Plan has long been a source used by hospital compliance officers to help identify risks and develop audit plans. Following the issuance of the revised CMS guidelines, long-term care facilities are fine-tuning their programs to prepare for the November 2019 Compliance Program deadlines.

July 2018: Compliance Newsletter

Posted on July 28, 2018

The use of an Advanced Beneficiary Notice (ABN) remains a source of confusion for many providers. As such, there are still facilities that do not have processes in place to ensure the use of ABN’s. In some cases, ABN’s are not issued at all, or blanket ABN’s are provided for all services; which is a practice that is illegal.

June 2018: LTC Newsletter

Posted on June 27, 2018

Twenty-nine states have legalized marijuana for medical use and nine states have legalized marijuana for recreational use for those individuals 21 years of age or older.1 These changes have led many industries to remove marijuana from their drug screens citing concerns over staffing if workers who test positive are fired.2 Will healthcare facilities continue to drug test employees in states where marijuana has been legalized?

June 2018: Compliance Newsletter

Posted on June 27, 2018

On June 1, the Office of Inspector General (OIG) released its semiannual report to congress. The report covers a six-month period, October 2017 – March 2018. The report highlights accomplishments, participation in Congressional hearings and updates related to oversight activities.

May 2018: Compliance Newsletter

Posted on May 25, 2018

Compliance, quality, and risk have traditionally been areas of confusion. There are so many
areas of crossover it can be difficult to determine the separation between them and in some
cases, there is no separation. This can be especially difficult in facilities that have separate
compliance, quality and risk departments.

May 2018: LTC Newsletter

Posted on May 24, 2018

The Centers for Disease Control and Prevention (CDC) releases a weekly Morbidity and Mor-
tality Report. Included in the May 11, 2018 report was statistics related to deaths from falls

among persons ≥65 from 2007-2016. The CDC indicated in their report that falls account for
the largest percentage of deaths from unintentional injuries which is the seventh leading
cause of death in older adults.1

May 2018 C4 Newsletter

Posted on May 13, 2018

Do you believe that you are prepared and ready each day to receive the message that surveyors are at your front door or is survey readiness one of the things that cause you sleepless nights?

April 2018: Compliance Newsletter

Posted on May 03, 2018

The development and implementation of physician contracts can be extremely complicated. When developing these contracts, the Stark Laws and Anti-kickback statutes have to be taken into consideration. The Stark Law was enacted almost 30 years ago and was developed to remove financial motivations for physicians to order unnecessary testing, and to control overall health care costs.