Blog

CEO Update November 2016

Posted on November 07, 2016

The board’s responsibility regarding quality and patient safety has shifted from listening to reports regarding performance to one of active involvement in assuring a safe environment for those seeking services from an organization. Assuring overall quality directly aligns with the financial bottom line of the organization which is the fiduciary responsibility of the board.

LTC October Newsletter

LTC October Newsletter

Posted on October 20, 2016

If you are a long term care provider, it is likely you have heard of Payroll Based Journaling (PBJ), which officially began July 1st 2016. Implementation and reporting of the data is at the top of the to-do list for many long-term care providers still trying to navigate through the requirements in order to successfully submit data to the Centers for Medicare and Medicaid Services (CMS).

October 2016: Patient Protection and Affordable Care Act: Section 1557

October 2016: Patient Protection and Affordable Care Act: Section 1557

Posted on October 20, 2016

Final rules designed to advance health equality and reduce health care disparities were recently released by the Department of Health and Human Services. The Nondiscrimination in Health Programs and Activities rule implements the prohibition of discrimination under Section 1557 of the Affordable Care Act. The rule was issued on May 13, 2016 and became effective on July 18, 2016.

CEO Update October 2016

Posted on October 10, 2016

Is it a struggle to maintain consistent HCAHPS scores in your organization? Are your scores good one quarter after you implement some concentrated ways to
improve an area, and then discover the next quarter that the scores have dropped because of a lack of focus in that particular area? HTS3 can help!

CEO Update September 2016

Posted on September 19, 2016

CMS has issued the final rule for emergency preparedness. The final rule requires Medicare and Medicaid providers and suppliers to comply with the “best practice standards” for emergency preparedness once the regulations in the final rule become effective which is 60-days after being published in the Federal Register. Once the regulations are effective, Medicare and Medicaid providers will have one year to address the four new standards which are based on emergency planning, policies and procedures, a communication plan, and training programs.

Septemeber 2016: Final 60 Day Rule

Septemeber 2016: Final 60 Day Rule

Posted on September 19, 2016

Identifying, reporting and returning overpayments can be a daunting process. The final rules provide additional clarity however, some ambiguity remains. With providers and suppliers facing stiff penalties under the FCA, it is important to use due diligence in resolving overpayment issues. Providers and suppliers should review their policies and procedures governing the investigation of complaints, and maintain accurate and timely documentation. If a potential overpayment is discovered, it may be wise to consult legal counsel for assistance navigating the reporting process.

LTC September Newsletter

LTC September Newsletter

Posted on September 15, 2016

The rise of demeaning and humiliating photos and videos posted on social medial sites such as Snapchat, Facebook and Instagram has prompted CMS to issue a memo outlining the protection of resident privacy. Media stories such as those by an independent, non-profit investigative group ProPublica have highlighted incidents of inappropriate photos and videos taken by nursing home staff.

August 2016: Sunshine Act or Open Payments Program – 2015 Data Released

August 2016: Sunshine Act or Open Payments Program – 2015 Data Released

Posted on August 22, 2016

Each year, the Office of Inspector General (OIG) publishes a work plan designed to provide information to the public related to the reviews that the OIG has planned for the fiscal year. Determining what to specifically review is based on a number of factors such as emerging issues, evolving rules and prioritization of needs.

CEO Update August 2016

Posted on August 09, 2016

All across the country, physicians and other healthcare providers are scrambling to prepare for the impending implementation of MACRA, the Medicare Access and CHIP Reauthorization Act of 2015. This is the federal law that implements healthcare delivery and payment reform across the spectrum to eligible clinicians beginning on January 1, 2017.

Exclusion screening: The “low hanging fruit”

Exclusion screening: The “low hanging fruit”

Posted on August 08, 2016

Of all the areas that can expose your organization to penalties and fines, exclusion screening is one of the easiest in which to protect yourself. It’s the “low hanging fruit.” Take the time to develop a process, put it into place, and move on to your next project!