Compliance and CMS Ratings Articles

Healthcare compliance is always top-of-mind when you’re operating a nursing care facility. After all, one major misstep could put your facility in poor standing with state and federal regulators or even land you at the center of a featured news story. Even worse, it could lead to an adverse inc…

Healthcare compliance is always top-of-mind when you’re operating a nursing care facility. After all, one major misstep could put your facility in poor standing with state and federal regulators or even land you at the center of a featured news story. Even worse, it could lead to an adverse incident involving a resident or a staff member, with all of the litigation that usually ensues.

Having a strong compliance strategy in place not only protects you, your facility, and your personnel, it also gives you the assurances you need to bring in more residents and staff, expand your operations, and ultimately grow your business.

With ever-changing regulations and requirements, it’s important to have a source of information to help guide you through the compliance process. This section is designed with that in mind and covers topics ranging from credentialing and ratings through the Centers for Medicare & Medicaid Services (CMS) to healthcare billing requirements and procedures.

Healthcare Compliance Overview

Whether you’re starting your first nursing care facility or you’re scouting locations to open your next one, understanding what’s required of you is always the best starting point. Having a good handle on current compliance requirements from the outset means better planning, improved budgeting, and ultimately better outcomes for you, your staff, and your residents.

What can you expect to find in this section? Here you’ll get a better handle on topics that have a direct impact on your facility, such as:

  • Preparing for CMS visitations.
  • Implementing healthcare compliance training programs.
  • Updating policies to reflect relevant regulations.
  • Improving your star ratings and what this means for your facility.
  • Understanding billing codes and terminology, and procedures for reimbursement.
  • Appealing adverse findings or decisions.
  • Establishing course accreditation for continuing education requirements.
  • Building a culture of compliance at your facility.

Building a Facility Centered on Healthcare Compliance

Ensuring that your facility is aligned with legal requirements, industry standards, and public expectations is no easy task. The good news is that this section has resources to help you along the way. Whether you’re focused on assisted living compliance or nursing home compliance, this section will provide answers to many of your compliance questions, but will also go one step further by providing you with links to trusted authorities, so you can get the information directly from the source.

When it’s done right, compliance can end up having several positive, cascading effects for your facility and help you stand out – for all the right reasons.

All Articles

Patient Dumping: Overview and FAQ for Facilities

Patient dumping is an unlawful and harmful practice. This FAQ will cover what this practice is and what facilities can do to avoid it.

Do Hospital Rooms Have Cameras? FAQ From Staff and Patients

Do hospital rooms have cameras? We cover the key considerations about hospital room surveillance so your staff can better answer patients’ questions.

What to Include in a HIPAA Business Associate Agreement

Is your facility partnering with a third party? Protect your patients’ information with these helpful HIPAA business associate agreement tips.

Improving the Patient Experience in Healthcare: 5 Strategies

Improving the patient experience in healthcare can be challenging. Here are 5 easy strategies to help your facility stand out as one of the best.

How to Choose an EHR Vendor: 5 Tips for Facilities

Is your facility navigating the diverse landscape of EHR vendors? These practical tips will help you select one that’s right for your needs.

The Hospital Engagement Network Initiative: Key Takeaways

What was CMS’s Hospital Engagement Network initiative? Here’s how the program panned out and what facilities can learn from it.

What Is QAPI? Facility Guide and FAQ

What is QAPI in healthcare and how does it impact facilities? Find out in this overview and FAQ guide for healthcare leaders.

Exclusion Screening: 5 Best Practices for Your Facility

Finding the right employee can be tough. Use these exclusion screening techniques to keep your patients safe and save your facility from heavy fines.

How Do the 3 Healthcare Payment Models Work?

Healthcare payments models are an important part of a facility’s revenue cycle. Here’s a simplified breakdown of how each one works.

Is Zoom HIPAA Compliant? FAQ for Facilities

Is Zoom HIPAA compliant? Learn about compliance issues pertaining to Zoom and other video platforms so you can deliver private, secure telehealth care.

Top 5 HIPAA Wall of Shame Breaches

Want to avoid joining the HIPAA wall of shame? Here are five common security breaches and key takeaways on how to prevent them.

Medical Necessity: Overview and Best Practices for Facilities

How can healthcare organizations exercise best practices to support medical necessity in healthcare? Find out in this overview guide.