Articles and Blogs

long term care

Pending NLRB Decision May Have Significant Impact on Long-Term Care

[08/30/11]

Posted on August 30, 2011 in Long-Term Care, Home Health & Hospice

Written by: Bufford, David W.

A case currently pending before the National Labor Relations Board (NLRB), as mentioned here, is expected to be decided and released within the next few months.  This case, Specialty Healthcare and Rehabilitation of Mobile, has been pending before the Board since December of 2010, and, if decided as expected by those following the case,... READ MORE

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Update on NLRB Actions

[08/29/11]

Posted on August 29, 2011 in Long-Term Care, Home Health & Hospice

Written by: Bufford, David W.

As Mr. Lyman pointed out last week, the National Labor Relations Board (NLRB) now requires private employers to post a Notice of Employee Rights under the National Labor Relations Act (NLRA).  A recent New York Times article on this new requirement discusses an upcoming decision by the NLRB that is expected to address unionization... READ MORE

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CMS Revises Nurse Aide Training Requirements

[08/28/11]

Posted on August 28, 2011 in Long-Term Care, Home Health & Hospice

Written by: Bufford, David W.

CMS recently published a Survey & Certification Memorandum (S&C:11-35-NH) detailing progress in the implementation of Section 6121 of the Affordable Care Act (ACA).  Section 6121 of the ACA mandates enhanced nurse aide training in nursing homes.  The enhanced training focuses on two areas: 1) how to care for residents with dementia, and 2) how... READ MORE

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NLRB Notice Requirement Affects Long-Term Care Providers

[08/26/11]

Posted on August 26, 2011 in Long-Term Care, Home Health & Hospice

Written by: Stephen W. Lyman

The National Labor Relations Board (NLRB) just issued a final rule that will require most private employers, including those that are long-term care providers, to post a Notice of Employee Rights under the National Labor Relations Act (NLRA).  The notices must be posted by November 14, 2011.  The text of the notice is available in... READ MORE

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Revised CMS-855 Forms Published, New CMS-855O to Order and Refer Items

[08/23/11]

Posted on August 23, 2011 in Long-Term Care, Home Health & Hospice

Written by: Bufford, David W.

The US Office of Management and Budget has approved the revised Medicare Provider-Supplier Enrollment Applications, the CMS-855 forms.  These updates to the 2008 versions include multiple changes to comply with enhanced disclosure requirements. Such changes include:   READ MORE

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CMS Guidance on Use of Video Cameras in ICFs/MR

[08/16/11]

Posted on August 16, 2011 in Long-Term Care, Home Health & Hospice

Written by: Selby, Todd J.

On July 29, 2011, CMS issued the following guidance for the use of video cameras in ICFs/MR: To ensure that clients’ rights are protected, the use of video cameras in the ICF/MR must be reviewed, approved and monitored by the Specially Constituted Committee (SCC) of the facility as constituted per 42 CFR 483.440(f)(3)(i-iii).  If... READ MORE

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What Risk Categories Mean to Providers and Suppliers

[08/13/11]

Posted on August 13, 2011 in Long-Term Care, Home Health & Hospice

Written by: Bufford, David W.

Earlier this week, we highlighted the implementation by Centers for Medicare & Medicaid Services (CMS) of enrollment revalidations and screening categories, and which categories CMS places certain long-term care providers. It is important for providers and suppliers to understand what each screening category (limited, moderate, or high) entails and be aware of any events... READ MORE

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Update to Revalidation Enrollment Procedures

[08/11/11]

Posted on August 11, 2011 in Long-Term Care, Home Health & Hospice

Written by: Selby, Todd J.

As an update to the previous post on the revalidation enrollment procedures it is important for hospices, home health agencies, and DMEPOS to know what level of screening they will receive from the Medicare Administrative Contractor (“MAC”).  In some instances these providers and suppliers will be screened at either a “high” or “moderate” level... READ MORE

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Medicare Providers and Suppliers Must Begin Enrollment Revalidations

[08/10/11]

Posted on August 10, 2011 in Long-Term Care, Home Health & Hospice

Written by: Bufford, David W.

As of March 2011, the Centers for Medicare & Medicaid Services (CMS) implemented new screening criteria in the Medicare provider/supplier enrollment process.  Newly enrolling and revalidating providers and suppliers are placed in one of three categories – limited, moderate, or high – each representing the level of risk to the Medicare program for that... READ MORE

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Providers Should Anticipate Reimbursement Changes in Debt Ceiling Agreement

[08/08/11]

Posted on August 8, 2011 in Long-Term Care, Home Health & Hospice

Written by: Bufford, David W.

While Congress was able to present the President with a compromised solution to cut Federal spending and raise the Government’s debt ceiling earlier this month, all long-term care providers should anticipate future reimbursement changes.  Under the current law, the Budget Control Act of 2011t , Medicare and Medicaid are unchanged. However, the Act requires for... READ MORE

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