by PMR Team | Jul 15, 2019 | Regulatory, SNF
As part of the CMS Patients Over Paperwork Initiative, CMS is requesting comments on how to reduce administrative burden for providers. The purpose is to “increase quality of care, lower costs, improve program integrity, and make the health care system more effective,...
by PMR Team | Jul 9, 2019 | Audits, Compliance, Medicare, Regulatory, Reimbursement
The Quality Improvement Organization (QIO) Program originated with the Peer Review Improvement Act of 1982 and is authorized by Title XI Part B and Title XVIII the Act. The goal of the QIO program is to improve the quality of care for Medicare beneficiaries, including...
by PMR Team | Jun 27, 2019 | Audits, Compliance, PDPM, Regulatory, Reimbursement
A strong Triple Check process requires a group effort The Triple Check process is an internal audit that ensures billing accuracy and compliance with regulatory guidelines prior to the submission of claims to Medicare and other payors. A strong Triple Check process...
by PMR Team | May 14, 2019 | Compliance, Regulatory, SNF, Training
Protect your facility and residents from adverse events and negative survey outcomes. The Phase 3 SNF §483.95 Training Requirements must be in place by November 28, 2019. As part of the new requirements, nursing facilities will be required to develop, implement, and...
by PMR Team | Apr 15, 2019 | Compliance, Regulatory, SNF
How will you meet Trauma Informed Care standards required under the Phase 3 Requirements of Participation (ROP)? Trauma-informed care is an organizational structure and treatment framework that involves understanding, recognizing, and responding to the effects of all...
by PMR Team | Apr 8, 2019 | Compliance, Regulatory, SNF
3 Primary Goals of Compliance & Ethics Programs SNF Compliance and Ethics Program must be in place by November 28, 2019 after which State survey agencies will begin assessing facility implementation. Effective compliance programs need to accomplish three primary...
