Ever feel like the rules keep changing just when you’re starting to get the hang of things? You’re not alone. Lately, nursing home compliance strategies have been making headlines and not just for what’s mandatory, but for what’s now voluntarily expected. According to recent coverage in McKnight’s, the Office of Inspector General has issued updated guidance urging providers to move beyond basic compliance and create a culture of integrity that’s driven by leadership, monitored internally, and supported by ongoing education. Adding to that momentum, an LW Consulting white paper explained how providers can now voluntarily identify and repay Medicare extrapolated overpayments before an audit makes it mandatory. That means your internal audits aren’t just smart—they’re strategic.

There’s also growing concern about the use of remote patient monitoring in long-term care. The Pacific Legal Foundation highlighted oversight gaps in how this technology is being implemented and tracked, pointing to the need for stronger protocols and more thoughtful integration in nursing home settings. And if you’re wondering what happens when systems fail, one example comes from a recent Strike Force case where a provider paid $200,000 to resolve false claims tied to improperly billed therapy services. The situation, as reported by McKnight’s, shows just how costly even unintentional billing mistakes can become. Looking ahead, the Centers for Medicare & Medicaid Services are expected to target more expensive post-acute care episodes as they expand the team-based care model, which experts warn could mean more audits and tighter financial scrutiny for providers.

Here’s the bottom line: Your community doesn’t need to fear these changes, but it does need to prepare. Train staff. Tighten internal reviews. Keep your eyes open and your ears to the ground. Whether it’s voluntary guidance or not, how your community responds now will shape future outcomes. And with nursing home compliance strategies evolving faster than ever, staying proactive is your best path forward.

Stay well and stay informed!