[09/08/11]
Posted on September 8, 2011 in Long-Term Care, Home Health & Hospice
Written by: Selby, Todd J.
Yesterday, CMS sent a new transmittal to the state survey agencies on the use of feeding tubes in nursing homes. In short, F321 has been combined into F322 and according the CMS the changes were made to provide nursing home surveyors with guidance to determine compliance with use of feeding tubes by nursing homes. ... READ MORE
Tags: bufford, cms, enrollment, F321, F322, feeding tube, Home Health, interpretive guideline, jent, Litigation and Risk Management, long term care, medicaid, Medicaid/Medicare Enrollment and Regulatory Compliance, Medicare, nursing facility, nursing home, regulations, selby, skilled nursing facility, wage index
[08/13/11]
Posted on August 13, 2011 in Long-Term Care, Home Health & Hospice
Written by: Bufford, David W.
Earlier this week, we highlighted the implementation by Centers for Medicare & Medicaid Services (CMS) of enrollment revalidations and screening categories, and which categories CMS places certain long-term care providers. It is important for providers and suppliers to understand what each screening category (limited, moderate, or high) entails and be aware of any events... READ MORE
Tags: 10 years, ACA, accountable care, assisted living, billing, bufford, cah, clinic, clinical laboratories, cms, database, dmepos, enrollment, excluded, fbi, final adverse action, fingerprint, group, hha, high, Home Health, home health agency, Hospice, hospital, initial enrollment, jent, license, limited, long term care, MAC, medicaid, Medicaid/Medicare Enrollment and Regulatory Compliance, Medicare, mental health, moderate, moratorium, new practice location, nursing home, oig, on site, on-site visit, payment, physcian, PPACA, practitioner, recertification, reimbursement, Rural Health, screening, selby, skilled nursing facility, snf, suspension, therapy, visit
[08/08/11]
Posted on August 8, 2011 in Long-Term Care, Home Health & Hospice
Written by: Bufford, David W.
While Congress was able to present the President with a compromised solution to cut Federal spending and raise the Government’s debt ceiling earlier this month, all long-term care providers should anticipate future reimbursement changes. Under the current law, the Budget Control Act of 2011t , Medicare and Medicaid are unchanged. However, the Act requires for... READ MORE
Tags: 2%, across the board, boehner, budget control act of 2011, bufford, congress, cuts, deadline, debt ceiling, debt reduction act, debt reduction panel, federal government, Home Health, Hospice, house, jent, joint select committe on deficit reduction, long term care, ltc, medicaid, Medicaid/Medicare Enrollment and Regulatory Compliance, Medicare, november 23, nursing home, Obama, president, reid, reimbursement, representatives, selby, senate majority leader, speaker of the house, spending cut, two percent
[07/26/11]
Posted on July 26, 2011 in Long-Term Care, Home Health & Hospice
Written by: Bufford, David W.
As record-breaking temperatures scorch the Midwest, long-term care providers are reminded to evaluate their emergency preparation plans. Proper planning can mitigate a situation from a potential disaster to a mere inconvenience. CMS provides a checklist, Emergency Preparedness for Every Emergency, for providers to use to evaluate their current emergency plans. Federal regulations at 42... READ MORE
Tags: administrator, bufford, certified, cms, disaster, emergency, facility, federal, jent, long term care, longterm care, medicaid, Medicaid/Medicare Enrollment and Regulatory Compliance, Medicare, nursing home, oig, OIG work plan, preperation, regulation, selby, work plan
[07/08/11]
Posted on July 8, 2011 in Long-Term Care, Home Health & Hospice
Written by: Fahey, Sean J.
Michigan’s Department of Community Health will enforce Michigan’s Medicaid Asset Recovery Act (MCL Sec. 400.112g) with efforts starting July 1, 2011. Michigan may file claims in the probate estates of individuals age 55 or older who received Medicaid benefits that paid for long term care services after September 30, 2007. Michigan’s claim would seek... READ MORE
Tags: estate claims, Fahey, Hospice, long term care, medicaid, Medicaid estate recovery, Michigan medicaid, selby
[06/29/11]
Posted on June 29, 2011 in Long-Term Care, Home Health & Hospice
Written by: Fahey, Sean J.
Recently, the Indiana State Department of Administration, on behalf of Indiana’s Family and Social Services Administration (FSSA), posted a Request for Proposals to contract with multiple attorneys for Indiana Medicaid estate recovery. The Request for Proposals is at http://www.in.gov/idoa/proc/bids/rfp-11-84/ . It appears Indiana plans to get much more aggressive in Medicaid estate recovery, including... READ MORE
Tags: estate claims, Indiana medicaid, long term care, medicaid, Medicaid estate recovery