Risk Reduction and the Internal Investigation Policy
An essential element of an effective health care compliance plan is the internal investigations policy. Actions by employees, acting in the course and scope of their employment, can subject corporations to civil and criminal liability. Detecting, investigating and remedying such situations are crucial given the regulatory environment under which... [Read more of this review]
RUG Reviews: The Exit Conference
At the conclusion of the onsite review, the HHSC-OIG nurse reviewer must hold an exit conference with the nursing staff. The Administrator, DON, charge nurse and other leadership of the facility should attend in order to gain a full understanding of the findings by the nurse reviewer.
The nurse reviewer is mandated to provide “formal... [Read more of this review]
RUG Reviews: Signing Documents Provided by the Reviewers
During the exit interview of a RUG review, you will be asked to sign and initial documents. It is very important that you understand what you are initialing or signing. Carefully review the document that you are asked to sign and ask questions if you don’t understand it before you sign or initial. These documents create a record that... [Read more of this review]
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