LTC April Newsletter

Posted on May 01, 2017

Written By: Cheri Benander, RN, MSN, CHC, NHCE-C
As the population ages and we have an increased number of baby boomers soon needing access to long term care services, the demand for competent caregivers in these settings continues to be on the rise.

LTC March Newsletter

Posted on March 26, 2017

Written By: Cheri Benander, RN, MSN, CHC, NHCE-C
Phase two of CMS’s Final Rule for long-term care is scheduled to become effective November 28, 2017. The revisions in this phase were much more substantial and included those requirements that were new and required more complex revisions. As we approach the phase two deadline, providers should be evaluating their progress implementing the revisions. To assist providers, we are offering a self-assessment developed using information from 81 FR 68688 and the CMS Manual System Pub. 100-07 Provider Certification Transmittal:167 published on February 10, 2017.

LTC February Newsletter

Posted on February 22, 2017

Written By: Cheri Benander, RN, MSN, CHC, NHCE-C
Long-term care (LTC) residents often experience hospital admissions that are avoidable, expensive, disruptive, and disorientating; leaving them vulnerable to the risks related to hospital stays. In addition, these admissions are both costly to federal programs and the beneficiaries themselves. According to a report published by the HHS Office of Inspector General, one of four nursing home residents were hospitalized in 2011, costing the Medicare program $14.3 billion. Septicemia and pneumonia were the most common conditions leading to these hospitalizations. Research found that 45% of hospital admissions for those receiving either Medicare skilled nursing facility services or Medicaid nursing facility services could have been avoided.

LTC January Newsletter

Posted on January 27, 2017

Written By: Cheri Benander, RN, MSN, CHC, NHCE-C
More than likely, you have heard about QAPI, if you are a provider in the LTC arena. Quality Assurance Performance Improvement (QAPI) is the merger of two complementary approaches to quality management. QA and PI combine to form a comprehensive approach to ensuring high quality of care.

CEO Update January 2017

Posted on January 18, 2017

The management of a system conversion is challenging for every facility moving to a new electronic health record (EHR). System conversions will test the organizational and financial stability of the organization while also producing opportunity for improvement that can result in positive change within the revenue cycle.

LTC December Newsletter

Posted on January 03, 2017

Written By: Cheri Benander, RN, MSN, CHC, NHCE-C
For years, antibiotic use has been connected to the eradication of infections associated with various diseases once thought to be untreatable. Over time, their excessive use has cumulated into a crisis of antibiotic resistance. The need to coordinate efforts to foster appropriate antibiotic use has become evident in long-term care settings.

December 2016: Emergency Medical Treatment & Labor Act (EMTALA)

Posted on December 28, 2016

Written By: Cheri Benander, RN, MSN, CHC, NHCE-C | Current EMTLA regulations can be found in the State Operations Manual, Appendix V, Interpretive Guidelines – Responsibilities of Medicare Participating Hospitals in Emergency Cases. This month’s newsletter contains an overview of EMTALA requirements so that participating hospitals can perform a self-assessment and, based on results, begin to create policies and procedures as necessary to maintain compliance.

CEO Update December 2016

Posted on December 15, 2016

Organizations are coming under greater scrutiny as it relates to fraud, waste and abuse. Compliance program implementation evolved from voluntary to mandatory in the Patient Protection and Affordable Care Act of 2010. The Office of Civil Rights has moved past their pilot programs to the second phase of HIPAA Privacy, Security, and Breach Notification Audits.

LTC November Newsletter

LTC November Newsletter

Posted on November 23, 2016

On October 4, 2016, the Centers for Medicare & Medicaid Services (CMS) published the final rule updating requirements for Long-Term Care (LTC) facilities participating in Medicare and Medicaid programs. This was the first time that the requirements had undergone major revisions since 1991.

November 2016: PQRS Informal Review Deadline Draws Near

November 2016: PQRS Informal Review Deadline Draws Near

Posted on November 21, 2016

The Physician Quality Reporting System (PQRS) was initiated in 2006 to encourage individual professionals and group practices to report quality data to Medicare. There are numerous PQRS measures available for providers to choose from.