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CMS to Poll 4,200 Nursing Facilities to Best Develop QAPI Standards

[07/02/12]

Posted on July 2, 2012 in Long-Term Care, Home Health & Hospice

Written by: Bufford, David W.

The Centers for Medicare & Medicaid Services (CMS) is giving nursing home providers the opportunity to participate in the development of a new quality improvement initiative that was mandated by the Affordable Care Act (ACA).  While few people expected any issues with the implementation of the provisions in the ACA that affected long-term care... READ MORE

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For New Cost Report Periods, PPACA Requires Direct Care Expenditure Accounting

[01/10/12]

Posted on January 10, 2012 in Long-Term Care, Home Health & Hospice

Written by: Bufford, David W.

Under the Patient Protection and Affordable Care Act (PPACA), skilled nursing facilities (SNFs) are required to seperately report expenditures for wages and benefits for direct care staff (breaking out (at a minimum) registered nurses, licensed professional nurses, certified nurse assistants, and other medical and therapy staff).  CMS recently posted updates to the Provider Reimbursement Manual... READ MORE

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LTC Providers Must be Aware of EJA Reporting Requirements

[11/21/11]

Posted on November 21, 2011 in Long-Term Care, Home Health & Hospice

Written by: Bufford, David W.

The Elder Justice Act (EJA) was enacted as part of the Patient Protection and Affordable Care Act (PPACA) in March, 2010, and creates a duty for long-term care providers to swiftly report any reasonable suspicion of a crime committed against any individual who is a recipient of care from the facility, or face significant... READ MORE

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New Federally Required Independent IDR Process for Nursing Homes

[10/20/11]

Posted on October 20, 2011 in Long-Term Care, Home Health & Hospice

Written by: Selby, Todd J.

Pursuant to Section 6111 of the Affordable Care Act enacted on March 23, 2010, and the final rule published on March 18, 2011 in the Federal Register, a nursing facility must be offered the opportunity to request an Independent Informal Dispute Resolution (IIDR) if the Centers for Medicare & Medicaid Services (CMS) imposes a... READ MORE

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CMS Proposes Regulation Limiting the Ability of LTC Pharmacists to Consult Facilities

[10/10/11]

Posted on October 10, 2011 in Long-Term Care, Home Health & Hospice

Written by: Bufford, David W.

CMS has published a proposed regulation that would limit the ability of institutional pharmacies to offer pharmacist consultation services to facilities.  CMS believes that relationships between nursing homes and pharmacy suppliers could result in “recommendations that conflict with the best interests of nursing home residents.” The proposed regulation would require facilities to hire independent pharmacists to... READ MORE

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CMS to Host Conference Call Related to MDS 3.0, PPS

[10/10/11]

Posted on October 10, 2011 in Long-Term Care, Home Health & Hospice

Written by: Bufford, David W.

CMS will host their monthly Skilled Nursing/LTC Open Door Forum on Thursday, October 20, from 2-3pm EST.  This call was originally scheduled on October 13.  The information to participate in the call is available here. The recent changes to MDS 3.0 and PPS are likely to be heavily discussed topics.    Should you have any questions, please contact: Todd Selby... READ MORE

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CMS Revises Nurse Aide Training Requirements

[08/28/11]

Posted on August 28, 2011 in Long-Term Care, Home Health & Hospice

Written by: Bufford, David W.

CMS recently published a Survey & Certification Memorandum (S&C:11-35-NH) detailing progress in the implementation of Section 6121 of the Affordable Care Act (ACA).  Section 6121 of the ACA mandates enhanced nurse aide training in nursing homes.  The enhanced training focuses on two areas: 1) how to care for residents with dementia, and 2) how... READ MORE

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