Angie's Blog

HealthCap® USA

Angie Szumlinski, NHA, RN-BC, RAC-CT and BS

Director of Risk Management

Angie SzumlinskiMs. Szumlinski is a nationally-recognized leader in long-term care with experience as an Owner/Provider, Administrator, Director of Nursing, Corporate Quality Assurance Coordinator and independent consultant. Ms. Szumlinski conducts risk management visits at facilities across the country, touching every acuity level within the post-acute care spectrum. Ms. Szumlinski served as an Associated Board Member for NCAL, is a member of the AHCA/NCAL Quality Committee, NCAL Risk Management Committee, HCAM Legal/Clinical Committee and is a Senior Examiner/Team Leader for the AHCA/NCAL Quality Award Program. Ms. Szumlinski is a Nurse Planner for the HealthCap® ANCC accredited education program.

ARMOR Protocol Study on Reduction of Psychotropic Medications: Improvement in Daily Living

Angie Szumlinski Health, News

Polypharmacy in older nursing home patients is a well-documented concern. Several large studies have demonstrated an association between treatment with antipsychotics and increased morbidity and mortality in people with dementia, and the economic impact of polypharmacy is also substantial, with annual medication-related issues costing $7.6 billion in nursing facilities alone. A recent study uses the Assess, Review, Minimize, Optimize, Reassess …

CMS Panel Discussion on Revisions to E/M Documentation Guidelines

Angie Szumlinski News

Last year, CMS announced its intention to undertake a multi-year effort—with the input of providers and other stakeholders—to revise the current E/M documentation guidelines. This video features a panel discussion talking about the revisions.

CMS Releases Enforcement of Federal Regulations Related to Antipsychotic Medication Utilization Rates

Angie Szumlinski Compliance, News

As of January 2019, there are 235 late adopter nursing homes that have been cited for noncompliance with federal regulations related to unnecessary medications or psychotropic medications two or more times since January 1, 2016, and who have not shown improvement in their long-stay antipsychotic medication rates. If these facilities are determined not to be in substantial compliance with requirements …

Department of Justice Guidance on Evaluating Corporate Compliance Programs

Angie Szumlinski Compliance, News

The Criminal Division announced today the release of a guidance document for white-collar prosecutors on the evaluation of corporate compliance programs.  The document, entitled “The Evaluation of Corporate Compliance Programs,”updates a prior version issued by the Division’s Fraud Section in February 2017.  It seeks to better harmonize the guidance with other Department guidance and standards while providing additional context to …

CMS Releases Revisions to Appendix Q (Guidance on Immediate Jeopardy)

Angie Szumlinski Compliance

Core Appendix Q and Subparts – Appendix Q to the State Operations Manual (SOM), which provides guidance for identifying immediate jeopardy, has been revised. The revision creates a Core Appendix Q that will be used by surveyors of all provider and supplier types in determining when to cite immediate jeopardy. CMS has drafted subparts to Appendix Q that focus on …

Office of Inspector General – List of Excluded Individuals/Entities: May 2019

Angie Szumlinski Compliance, News

OIG has the authority to exclude individuals and entities from Federally funded health care programs for a variety of reasons, including a conviction for Medicare or Medicaid fraud. Those that are excluded can receive no payment from Federal healthcare programs for any items or services they furnish, order, or prescribe. This includes those that provide health benefits funded directly or …

Study on the Transition from Skilled Nursing Facility to Home Following Heart Failure

Angie Szumlinski Health, News

Discharge to skilled nursing facilities (SNFs) is common in patients with heart failure. SNFs are often used as a transition from hospital to home to regain strength, function, and independence, particularly for medically complex patients. Discharge home from SNF is often the ultimate goal, as the vast majority of these patients were residing at home prior to hospitalization. However, these …

CMS Announces Five Step Plan for Better Nursing Home Quality

Angie Szumlinski Announcements

CMS will undertake a comprehensive review of their regulations, guidelines, internal structure, and processes related to safety and nursing home quality by developing a five-part plan to ensure the care provided in America’s nursing homes is of the highest possible quality. Strengthen Oversite CMS plans to first strengthen oversight. The CMS oversees State Survey Agencies (SSA) which are required to …

New RAI Manual for PDPM Training Released Early

Angie Szumlinski News

This version of the MDS 3.0 RAI Manual incorporates clarifications to existing coding and transmission policy; it also addresses clarifications and scenarios concerning complex areas. Monday’s posting caught many insiders by surprise, as CMS officials had not been specific about a release date. Based on historical precedent, many were expecting a release late this week, possibly on Friday afternoon, leading …

New Techniques Reduce Healthcare-Associated Infections

Angie Szumlinski Health

The AHRQ’s healthcare-associated infections program funds programs and systems to aid frontline health care staff and prevent HAIs by enhancing and refining patient care methods. AHRQ’s system of grants and contracts focuses on research that improves clinicians’ ability to fight HAIs. This research makes the application of proven care methods safer for all. As a result of this research, AHRQ …