CMS Memo: Growing COVID-19 Vaccine Confidence

Angie Szumlinski News

On May 11, 2021, CMS issued a rule requiring long term care facilities to educate residents/resident representatives and staff about the COVID-19 vaccine. This rule is similar to existing requirements for influenza and pneumococcal vaccines in long term care facilities, and appropriate documentation of the vaccine education must be maintained. Additionally, the facility must offer the vaccine unless unless the …

CDC: Updated Healthcare Infection Prevention and Control Recommendations in Response to COVID-19 Vaccination

Angie Szumlinski Announcements, News

Summary of Recent Changes Updates as of April 27, 2021 Updated SARS-CoV-2 testing recommendations Updated visitation guidance to include recommendations for acute care facilities and to describe circumstances when source control and physical distancing are not required during visitation Added guidance for communal activities and dining in healthcare settings Key Points CDC has updated select healthcare infection prevention and control …

2022 Skilled Nursing Facility Prospective Payment System Proposed Rule

Angie Szumlinski News

On April 8, 2021, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would update Medicare payment policies and rates for skilled nursing facilities under the Skilled Nursing Facility (SNF) prospective payment system (PPS) for fiscal year (FY) 2022. In addition, the proposed rule includes proposals for the SNF Quality Reporting Program (QRP), and the SNF Value-Based …

OIG Part D – Part A – Hospice Audit

Angie Szumlinski Case Study, News

Why OIG Did This Review In 2012, the OIG issued a report to the Centers for Medicare and Medicaid Services (CMS) indicating that during 2009, Medicare part D paid for prescription drugs that likely should have been paid for by hospice organizations under the Medicare Part A hospice benefit. They matched Part A and Part D data to identify occurrences …

OIG – CMS Use of Staffing Data

Angie Szumlinski Announcements, Featured

The OIG performed an audit review focusing on the Centers for Medicare & Medicaid Services (CMS’s) use of data on nursing home staffing from April 2018 through March 2019; before the COVID-19 pandemic. They also noted recent CMS actions through December 2020. Since November 2016, CMS has required nursing homes to submit payroll-based staffing data, including data on nurses and …

Access to Ombudsman – Revised QSO-20-28-NH

Angie Szumlinski Compliance, Featured

CMS updated the original QSO-20-28-NH from April 24, 2020 on July 09, 2020 and again on March 10, 2021. A summary of the updates are below: CMS is committed to taking critical steps to ensure America’s nursing homes are prepared to respond to the threat of the COVID-19. Nursing Home Compare website and Nursing Home Five Star Quality Rating System: …

CMS Press Release: CMS Updates Nursing Home Guidance with Revised Visitation Recommendations

Angie Szumlinski Announcements, News

The Centers for Medicare & Medicaid Services (CMS), in collaboration with the Centers for Disease Control and Prevention (CDC), issued updated guidance on March 10th for nursing homes to safely expand visitation options during the COVID-19 pandemic public health emergency (PHE).  This latest guidance comes as more than three million doses of vaccines have been administered within nursing homes, thanks …

CMS Guidance Update

Angie Szumlinski Compliance

CMS has revised the criteria requiring states to conduct focused infection control surveys, effective January 4, 2021, due to the increased availability of resources for the testing of residents and staff and factors related to the quality of care. This revision affects previous guidance issued June 1, 2020 concerning “COVID-19 Survey Activities, CARES Act Funding, Enhanced Enforcement for Infection Control …

Community COVID-19 Activity Level

Angie Szumlinski Health, Studies

JAMDA published a recent study that assessed whether using coronavirus disease 2019 (COVID-19) community activity levels can accurately inform strategies for routine testing of facility staff for active severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. Of the staff tested, 28% were certified nursing assistants (CNAs) who accounted for 36.9% of all staff testing positive. Similarly, licensed practice nurses (LPNs) …