CMS posts final interpretive guidelines for revised CoPs

CMS on Aug. 31 posted the final interpretive guidelines for the revised Home Health Conditions of Participation (CoPs).
The 77 pages of guidelines are effective immediately and should be communicated with all survey and certification staff, managers and state/regional office training coordinators within 30 days of Aug. 31.

Justice Department announces expansion of Medicare Fraud Strike Force

From Home Health Line.
The HHS Office of Inspector General (OIG) has announced the formation of a 10th area where regional Medicare Fraud Strike Force Teams will operate: New Jersey/Philadelphia. The team will focus on health care fraud and illegal opioid prescriptions, according to the U.S. Department of Justice.
“The devastation the opioid epidemic is inflicting on communities across the country and here in the Mid-Atlantic region is staggering — and health care fraud has played a …

Tip: Fostering family learning and engagement

The following is an excerpt from Serving Residents With Dementia: Transformative Care Strategies for Assisted Living Providers by Kerry C. Mills, MPA.
When staff are asked what their organization can do to make them more successful in their roles, one of the most common answers is, “Educate the families.” During the hundreds of trainings for direct care teams (DCT) that I’ve lead, I’ve nearly always encountered at least one staff member who exclaims, “You have to …

CMS makes several Medicaid announcements, including new audits and requirement for budget neutral demos

Brought to you by Biller’s Association.
In a statement made my CMS administrator Seema Verma dated August 21, 2018, it was announced that CMS will begin auditing some states’ managed care organization financial reporting based on the amount spent on clinical services and quality improvement versus administration and profit. Verma’s statement was made before the U.S. Senate Committee on Homeland Security and Governmental Affairs Committee in order to explain CMS’ efforts to improve the integrity …