Articles and Blogs

long term care

CMS Issues Revised CMS-855A

[07/07/11]

Posted on July 7, 2011 in Long-Term Care, Home Health & Hospice

Written by: Brian D. Jent

Effective July 2011, the Centers for Medicare & Medicaid Services (CMS) adopted a revised Medicare Enrollment Application – Institutional Providers CMS-855A (CMS-855A).  Some of the more significant changes include a couple of additonal documentation requirements, significant changes to the ownership disclosure requirements, and an attachment for Physician-Owned Hospitals. The CMS-855A has been significantly reformatted which... READ MORE

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Hospice Contracts With Assisted Living Facilities

[07/07/11]

Posted on July 7, 2011 in Long-Term Care, Home Health & Hospice

Written by: Selby, Todd J.

When the new hospice Conditions of Participation (CoPs) became effective in Decmeber of 2008 there was a provision in the CoPs stating a hospice must have an agreement with a nursing home if the hospice provides services in the nursing home.  While it was a standard business practice for hospices to have agreements with nursing homes prior... READ MORE

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Some Long-Term Care Facilities Exempt from Movie Licensing Fees under Agreement

[07/06/11]

Posted on July 6, 2011 in Long-Term Care, Home Health & Hospice

Written by: Bufford, David W.

The Motion Picture License Corporation (MPLC) has reached an agreement with long-term care advocacy groups to exempt certain facilities from licensing fees when showing movies for residents. Under the United States Copyright Act, a “public performance” of copyrighted materials, including movies, traditionally requires a separate license.  The MPLC has reached an agreement with the... READ MORE

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Updates to Hospice Face-to-Face Encounters

[07/01/11]

Posted on July 1, 2011 in Long-Term Care, Home Health & Hospice

Written by: Selby, Todd J.

In response to the changes contained in the Patient Protection and Affordable Care Act (ACA) designed to address increasing lengths of stay in hospice programs, CMS added a “face-to-face encounter” requirement to the hospice certification requirements. Effective January 1, 2011, a hospice physician or nurse practitioner must have a “face-to-face” encounter with each hospice... READ MORE

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Indiana Medicaid Estate Recovery – Indiana Ready to Get More Aggressive?

[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

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Indiana Enacts Uniform Adult Guardianship and Protective Proceedings Act

[06/24/11]

Posted on June 24, 2011 in Long-Term Care, Home Health & Hospice

Written by: Fahey, Sean J.

Indiana recently enacted the Uniform Adult Guardianship and Protective Proceedings Jurisdiction Act (the “Act”).  The Act is effective July 1, 2011, and is designed to eliminate multi-state jurisdictional issues and “Granny snatching” cases.  The Act is located in Indiana Code 29-3.5. Typically, the fact pattern arises when (1) an Indiana older adult resident visits... READ MORE

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