Survey Readiness…More Important Than Ever!
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Published March 6, 2024
October 2023 brought the long-term care industry many changes, specifically with the release of MDS 1.18.11. One of the most impactful changes has been the removal of Section G and updates to Section GG. The update to the MDS resulted in updates needing to be made to the Quality Measures (QMs). The following QMs were updated/replaced due to the change from Section G to Section GG:
Published February 23, 2024
CMS has authorization to revoke Medicare billing privileges under certain conditions. Regulation 42 CFR §424.535(a)(8)(ii) states CMS has the authority to revoke a currently enrolled provider or supplier’s Medicare billing privileges if CMS determines that the provider or supplier has a pattern or practice of submitting claims that fail to meet Medicare requirements.
Published February 13, 2024
Annual Certification Statement for Provider Billing Medicaid – A provider adopting and maintaining an effective compliance program will now attest to this as part of their annual “Certification Statement for Provider Billing Medicaid.” This Form must be completed and returned to NYSDOH by the enrollment anniversary date.
Published February 7, 2024
Amy E. Lee, President & CEO of Coretactics, was awarded Educator of the Year at the American College of Health Care Administrators 2023 national awards ceremony during and annual Convocation.
Published January 2, 2024
In early January 2024, NYSDOH will begin notice distribution to nursing homes with submission requests for the new Infection Inspection and Audit Checklist. These forms were previewed in a DAL and in a December webinar. These notices will be emailed in phases to a group of facilities at the beginning of each month until all nursing homes have received notice. The facility administrator, and possibly one other facility leader, will receive this notice and be given 30 days to respond to the survey.