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The ProviderTrust Blog

Your source for healthcare compliance news, advice from industry experts, and all things related to OIG exclusions.

Long Term Care, compliance, SNF, SNF Requirements

Part 3: SNF Requirements of Participation - Licensing

Posted by Donna Thiel on Tue, Mar 14, 2017

New Requirement in § 483.12 Freedom from abuse, neglect, and exploitation.

Did you read the new Skilled Nursing Facility Requirements of Participation (ROP) section 483.12 carefully? In a document of nearly 200 pages and three columns of small print, sometimes it is easy to miss an important change. I read the new ROP multiple times and until just a few weeks ago I missed an important new requirement in the Freedom from abuse, neglect and exploitation section. Hopefully, you aren’t like me and you saw this already but just in case I thought I would highlight the change for you and give you some great news about meeting this new requirement.

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Long Term Care, Complianc Plan, SNF, SNF Requirements

Part 2: SNF Requirements of Participation - One Bite At a Time

Posted by Donna Thiel on Thu, Mar 09, 2017

Overwhelmed? Don’t know where to start? Don’t worry, just follow the old adage, “How do you eat an elephant? One bite at a time”. Treat the new Requirements as your elephant and break up the Requirements into small bite size pieces.

If you are feeling overwhelmed, I completely understand, but the good news is that the implementation of these Requirements is in three phases. The first of course went into effect November 28, 2016, but Phase II and III you have a little more time. Phase II goes into effect on November 28, 2017 but Phase III not until November 28, 2019.

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Long Term Care, SNF

SNF Requirements of Participation

Posted by Donna Thiel on Tue, Mar 07, 2017

New Requirement in § 483.12 Freedom from abuse, neglect, and exploitation.

Did you read the new Skilled Nursing Facility Requirements of Participation (ROP) section 483.12 carefully?  In a document of nearly 200pages and three columns of small print, sometimes it is easy to miss an important change.  I read the new ROP multiple times and until just a few weeks ago I missed an important new requirement in the Freedom from abuse, neglect and exploitation section.  Hopefully, you aren’t like me and you saw this already but just in case I thought I would highlight the change for you and give you some great news about meeting this new requirement.

Read More

Healthcare Compliance, OIG, Long Term Care, compliance program

Healthcare Compliance Updates - New ROP Changes

Posted by Donna Thiel on Thu, Jan 12, 2017

As we all know the new Requirements of Participation (ROP) for Skilled Nursing Facilities (SNF) were published in the Federal Register on October 4, 2016 with the Phase 1 requirements going into effect on November 28, 2016.  The Requirements of Participation have not been significantly altered in nearly 25 years.  So as you can imagine, there are some significant changes that come with these new Requirements.

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OIG, CMS, Long Term Care

Why is Long Term Care the Focus of the OIG and CMS?

Posted by Michael Rosen, ESQ on Tue, Jan 10, 2017

There are several reasons why the long-term care industry (LTC) is, has and will continue to be a key focus of health care enforcement and regulatory affairs. You are probably thinking that the primary reason is because it deals with the elderly and vulnerable, and that is one part.

But, when you take a look at the myriad of fraud and abuse cases that have taken place and continue to be investigated and prosecuted, coupled with how the bad actors slip under the radar with tact, you quickly see that the LTC business is very lucrative and full of opportunities to cheat the system.

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