Information on Ebola Virus for Providers of Services to Individuals in the Department of Aging and Disability Services Programs

DADS information letter provides information on the Ebola virus that providers may use to help ensure the health and safety of staff members and individuals receiving services. The Department of Aging and Disability Services encourages its providers to take reasonable precautions to ensure their employees are not exposed to a symptomatic person by knowing how Ebola is transmitted and its symptoms. An individual will not contract Ebola if he has not had exposure to an individual with Ebola or … [Read more...]

LTC News: Court Reverses Medicaid Ruling

"The Arkansas Supreme Court tossed out a $1.2 billion judgment against Johnson & Johnson on Thursday, reversing a lower court verdict that found the drug maker engaged in fraudulent tactics when marketing the antipsychotic drug Risperdal." - Associated Press "Lawmakers in both houses of Congress have unveiled a draft bill calling for post-acute care providers to furnish standard assessment data, with the goals of enabling better quality oversight and driving Medicare payment reform." - … [Read more...]

LTC News: NF Inspections, Post-acute Care

--  "Federal efforts to strengthen inspections of the nation's nursing homes are gaining momentum after a government probe uncovered instances of substandard care." - Kaiser News --  "The Centers for Medicare & Medicaid Services sees the upcoming Quality Assurance & Performance Improvement guidelines, not harsher penalties, as the way to reduce adverse events in post-acute care, officials said on an Open Door Forum call Thursday [March 6]." - McKnight's --  "About 22% of Medicare … [Read more...]

LTC News: Potential Medicare Reductions

--  "The Centers for Medicare & Medicaid Services has issued a call for additional providers to take part in a bundled payment program that involves post-acute care." - McKnight's --  "Despite some high-profile reports, nursing home staffing levels have not been definitively linked to better care, according to a recently published analysis of research on the topic." - McKnight's --  "Long-term care stakeholders are praising the government's decision to temporarily pause the recovery audit … [Read more...]

LTC News: End of Dual Eligibles?

--  "In the post-acute care and long-term care performance measurement section of the report, [Measure Applications Partnership] identified 13 core measures in "high-leverage areas." These include long-term care providers examining advanced care planning as a goal, and evaluating safety issues for residents such as fall rate and pressure ulcers." - McKnight's --  "In the nearly 50 years since Medicaid and Medicare were enacted, the two health care programs – one for the poor and the other for … [Read more...]

LTC News: NF Case, SNF Updates

--  "Post-acute providers are seeking deals that diversify their services and limit financial exposure related to Medicare reimbursement rates, according to an analysis from investment banking firm Triple Tree." -  McKnight's --  "A state law to protect nursing home residents cannot be invoked to bring a suit against an assisted living provider, a federal judge recently ruled, reversing his earlier decision." - McKnight's --  "Skilled nursing operators can expect to see a new government report … [Read more...]

LTC News: Home Health, SNF

--  "CMS recently updated the manual to make it clearer that Medicare may reimburse for skilled nursing services meant to maintain, not improve, a beneficiary's condition. The agency was required to make these updates per the settlement in the Jimmo v. Sebelius case." – McKnight's --  "Too many Medicare providers are receiving improper payments, and the Centers for Medicare & Medicaid Services should clamp down by doing a better job overseeing its contractors' error rate reduction plans, … [Read more...]

LTC News: Dual Eligibles, HSC Services Changes

--  "Dramatic Medicare cuts to skilled nursing facilities played a significant part in keeping healthcare spending low in 2012, the Centers for Medicare & Medicaid Services announced Monday." – McKnight's --  "In light of reports that Medicare Part D prescribing practices are endangering seniors — many of them in long-term care facilities — the Centers for Medicare & Medicaid Services has issued a proposed rule that would give the agency more power to oversee and control the … [Read more...]

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 health care companies operate. The conduct of the investigation itself can exacerbate the situation.  Employees subjected to discipline may … [Read more...]

DADS News Alert: Five Star Preview Reports

--  From the news alert page: The Five Star Preview Reports were available beginning December 11th. To access these reports, select the Certification and Survey Provider Enhanced Reports (CASPER) Reporting link located at the top of your MDS State Welcome page. For Texas, this web page is at: https://158.73.90.242:81/home.html (Staff might get a warning message, but should be able to select "proceed"). Once in the CASPER Reporting system, click on the 'Folders' button and access the Five … [Read more...]