Access the on-demand version of this webinar here or access the full series here.

PART I

Longterm care facilities are required to operate compliance and ethics programs under regulations issued by the Centers for Medicare & Medicaid Services (CMS) in 2016. The requirement took effect in November 2019. This webinar will provide an overview of the required components of a compliance and ethics program, as well as describing guidance issued by the Department of Health and Human Services Office of Inspector General (HHS OIG) on nursing home compliance programs. We will also provide practical tips for developing and implementing compliance programs that effectively identify, prioritize, and respond to financial, legal, and operational risks. We will highlight how compliance programs can help longterm care facilities ensure that their organization is effectively carrying out new longterm care requirements of participation – for example, those relating to care planning, infectious disease control, and others.

Series Description

The regulatory landscape for providers of post-acute care has changed dramatically in recent months. New requirements of participation for longterm care facilities, promulgated by the Centers for Medicare & Medicaid Services (CMS) in 2016, have been implemented in three phases, with the last and arguably most significant set of changes implemented in November 2019. On October 1, 2019, and January 1, 2020, respectively, CMS implemented new “patient-driven” Medicare payment methodologies for skilled nursing facility services (SNF) and for home health services.

This series of four sixty-minute webinars will provide information and guidance to post-acute care providers on emerging topics relating to the revised requirements of participation and Medicare payment methodologies. Three of the webinars will focus on provider policies that will be under increased scrutiny as a result of the revised requirements of participation: compliance and ethics programs, emergency preparedness plans, and policies and procedures related to patient/resident privacy and information. One webinar will provide an overview of the Patient-Driven Payment Methodology (PDPM) for SNF services and the Patient-Driven Groupings Methodology (PDGM) for home health services, as well as identifying key compliance risks associated with the implementation of these methodologies. Each webinar will provide practical advice on how longterm care facilities and other post-acute care providers can most effectively develop and implement policies to respond to the new or revised requirements, and to strengthen the patient experience and patient care.