by Functional Pathways | Thursday, May 25, 2023 | Clinical, Compliance, Human Resources, IT, Regulatory, Risk Management, Wellness
Does your therapy provider help drive your Quality Measure Rating to 5-Star success? As the SNF and LTC industry moves away from fee-for-service and embraces value-based care, understanding how to achieve positive outcomes has never been more important. At Functional...
by Gina Elkins | Tuesday, November 24, 2020 | Compliance, Regulatory
COVID-19 fraud is rapidly evolving. This page is frequently updated. Last updated: November 23, 2020 https://youtu.be/cAfrHJwpE4g The U.S. Department of Health and Human Services Office of Inspector General is alerting the public about fraud schemes related to the...
by Gina Elkins | Thursday, November 19, 2020 | Compliance, Regulatory
Right to Access – sound familiar? It should! The Office for Civil Rights (OCR) has recently reported eleven enforcement actions against covered entities who failed to comply with the Individuals’ Right under HIPAA to Access their Health Information (HIPAA...
by Gina Elkins | Wednesday, October 7, 2020 | Compliance, Regulatory
CMS states “Effective QAPI programs are critical to improving the quality of life, and quality of care and services delivered in nursing homes”. QAPI is a coordinated process of two mutually important aspects of a quality management system.. These two mutually...
by Gina Elkins | Monday, September 14, 2020 | Clinical, Featured, Regulatory
“Unprecedented”- are you tired of hearing this word? COVID-19, The Public Health Emergency (PHE), Waivers, PPE, etc. If these times aren’t hard enough for health care providers, another blow to our sector is a hit to the CY2021 Physician Fee Schedule Proposed...
by Gina Elkins | Tuesday, August 11, 2020 | Compliance, Featured, Regulatory, Risk Management
The fourth quarter of FY2019 Program for Evaluating Payment Patterns Electronic Reports (PEPPERs) are now available as of July 29, 2020 for Skilled Nursing Facilities (SNFs). The original scheduled release date was April 6, 2020. What is a P.E.P.P.E.R (PEPPER)? PEPPER...