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| COVID-19 | Federal Rules Impose Strict Deadlines for Health Plans to Cover COVID-19 Vaccines | | Health plans will have to start covering COVID-19 vaccines shortly after their approval, regardless of whether they are delivered by an in-network provider, under regulations finalized by three federal agencies.The interim final rule published on November 6 (85 Fed. Reg. 71142) is designed to implement various healthcare and coverage provisions of the Coronavirus Aid, Relief, … |
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| Home Health | CMS unveils new model for Medicaid Managed Care Organizations | | CMS’ Center for Medicare & Medicaid Innovation has an opportunity for Medicaid Managed Care Organizations (MCOs) to participate in the Global and Professional Options of the Direct Contracting Model. The model seeks to encourage “Medicaid MCOs to partner with providers and suppliers and implement care coordination programs that can improve quality and reduce Medicare fee-for-service … |
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| Featured Podcast | Managing in a crisis | | Ralph Peterson joins us today to discuss how to effectively manage staff in a crisis. Ralph is the owner and operator of a management development company that helps mission-driven organizations dramatically increase profitability, improve efficiency and grow their companies by building Five-Star leadership teams. Listen on SoundCloud Listen on iTunes Connect Listen on Spotify |
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| Skilled Nursing Facility | Medicare codes issued for Moderna vaccine | | The FDA recently issued an Emergency Use Authorization the Moderna COVID-19 vaccination, and Medicare will be covering the administration of the vaccine for the duration of the Public Health Emergency. SNFs should only bill for administration codes when submitting claims to Medicare, and should not use these codes while the vaccine is free. CMS will … |
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| COVID-19 | Requiring COVID-19 Shots? Employers Advised to Follow EEOC Guidance Carefully | | The Equal Employment Opportunity Commission (EEOC) has provided new guidance for employers considering requiring COVID-19 vaccinations—guidance that attorneys advising employers say needs to be studied carefully. On December 16, the EEOC added a new section to its guidance on how employer COVID-19 vaccination policies interact with the Americans with Disabilities Act (ADA), Title VII of … |
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| PPS Alert for Long-Term Care
Ensure successful resident admissions
The idea of reducing the risk of litigation through person-centered care is the idea that meeting the needs of the resident on a routine basis creates an atmosphere of trust, dependence, and value. If residents contribute to their own well-being and partner with care providers, the satisfaction increases and risk of litigation decreases. All of this starts at admission.
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