Compliance Support

 

Home
Available Services
Education Opportunities
Information Links
MDS  Information
Compliance Support

 

What's New...CMS Updates!

Reporting Reasonable Suspicion of Crime in Long Term Care Update 1-20-2012

 

Abuse Forms & Directions

PA Bulletin 12-10-11 - Photo ID

PB-22 ACT 13

Act 13 Mandatory Abuse Form

Department of Health Provider Bulletin #22 

Department of Health Provider Bulletin 2011-12 

        Independent Informal Dispute Resolution (IIDR)

PB-22 Definitions

PB-22 Guidelines

PB-22 Form Instructions

PB-22 Electronic Reporting Form  (New...July 2011)

PA Electronic PB22 Instructions Update

PB-22 Processing Checklist

PA Prohibitive Offenses - Act 13  

PB-22 Questions & Answers  (9-16-11) 

Reporting Reasonable Suspicion of Crime in Long Term Care Update 1-20-2012

 

Act 52-PA Patient Safety Reporting System (PSRS)

Pennsylvania Patient Safety Authority:  http://patientsafetyauthority.org/Pages/default.aspx

PSRS Training

PA Nursing Home-PSRS FAQs

PSRS Training Manual & User's Guide

 

Department of Nursing Care Facility Field Offices - PA

August 2011 DCNF Field Office Information

PA DOH Afterhours Complaint Contact Changes

 

Directed In-Service Providers

Approved PA Directed In-service Providers, September 1, 2011

Directed In-service Approval Criteria

 

Elder Justice Act

Crime Reporting Poster

 

Electronic Health Records

Federal HIT Strategic Plan   2011-2015  http://healthit.hhs.gov/portal/server.pt?open+512&objID=1211&parentname=CommunityPage&parentid=2&mode=2

CMS ICD-10 Website:  http://www.cms.gov/icd10/

ICD-10 and Version 5010 Compliance Timelines site:  http://www.cms.gov/ICD10/03_ICD-10andVersion5010ComplianceTimelines.asp#TopOfPage

ICD-10 and Version 5010 Transition Timeline

Electronic Health Records/Version 5010 Standards

Final Rule - Health Information Technology Certification

ICD-10 teleconference slides 1-12-11

Electronic Health Records - Intro to ICD-10

 

 

Five-Star Rating System

Five-Star Nursing Home Rating System

User Guide - March 2009

State-Level Cut Point Table - March 2011

Description of Staffing Data

Excel Staffing File - 2011

Technical User's Guide - 2010

Penalty for Falsification - 2011

 

Local Contact Agencies

Local Contact Agencies / Nursing Home Transition Agencies (Listed by County)

 

Medicaid - PA

Medicaid Program: Payment Adjustment for Provider Preventable Conditions 

July 2011 Proposed / Revised Rates (Detailed)

July 2011 Proposed / Revised Rates (Condensed)

January 2012 Proposed Rates (Detailed)

January 2012 Proposed Rates (Condensed)

April 2012 Proposed Rates (Detailed)

April 2012 Proposed Rates (Condensed)

Nursing Facility Groups for FY 2010/2011 Rate Adjustments

Nursing Facility Processing of FY 2010/2011 Rate Adjustments

Medicare

Medicare Coverage Database  (11-20-09)

New Hospice Certification Requirements and Revised Conditions of Participation (CoPs)

2011 Update to the Therapy Code List

Medicare Claims Processing Pub. 100-04 Chapter 24 Update for HIPAA 5010 and EDI Enhancements

Manual Clarifications for Skilled Nursing Facility (SNF) Part A Billing

Provider Cost Reporting Forms & Instructions  (May 2011)

MLN Newsflash Re: Manual Clarifications for SNF Part A Billing

Manual Clarifications for Skilled Nursing Facility (SNF) Part A Billing  (Effective 06-28-11)

Proposed MC-PPS reimbursement for 2012

Medicare - Part B ABN Instructions   (01-01-12)

Medicare Part B ABN - Advance Beneficiary Notice of Noncoverage / Word Document (01-01-12)   

Medicare Part B ABN - Beneficiary Notice of Noncoverage / PDF   (01-01-12)

 

OIG Work & Other Action Plans

OIG Podcasts - Health Care Fraud Prevention Trainings

OIG Work Plan 2012

OIG "Report Fraud" website  http://oig.hhs.gov/

MC Atypical Antipsychotic Drug Claims For Elderly Nursing Home Residents   (05/11)

 

Proposed Regulations   

 F155 Advance Directives

  F309 End of Life Care

  F322 Naso-Gastric Tubes  (Rescinded until further notice)

 

Quality Measures for MDS 3.0

Draft User's Manual Part 1 : Sample/Record Selection Methodology & Logical Specifications  (Posted Oct. 2011) 

Draft User's Manual Part 2 : Episode & Stay Determination Logic  (Posted Oct. 2011) 

 

Red Flag Rule

FTC Report

Need to Know

 

SOM - Regulations - Also check "proposed regulations"

Appendix I  (REV.1, 05-21-04)

Appendix P  (Rev. 42, 04-24-09)...Paginated..."Survey Process"

Appendix P / Survey Update  (Effective October 1, 2010)

Appendix PP Revision Announcement   (01-07-11)

Appendix PP  (Rev. 70, 01-07-11)...Paginated..."Federal Regulations"

Appendix Q

Chapter 7 - Final Enforcement  (Effective September, 10, 2010)

                        Independent Informal Dispute Resolution (IIDR)   (12-02-11)

 

 

Special Focus Facilities (SFF)

Scoring Methodology

Most Current SFF List - January 19, 2012

 

State Regulations

PA State Regulations

PA Provider Bulletins

 

Survey Forms

CASPER (OSCAR) - How to Acquire the Report

671 - LTC FACILITY APPLICATION FOR MEDICARE & MEDICAID                                                   

672 with Instructions - RESIDENT CENSUS & CONDITION OF RESIDENT FORM (10/2010)                

801 - OFFSITE PREPARATION FOR SURVEY                                               

802  - ROSTER SAMPLE MATRIX (10-2010)                       

802 Provider Instructions (10/2010)        

802 Surveyor Instructions  (10/2010)   

803  - GENERAL OBSERVATION OF FACILITY

804  - KITCHEN / FOOD SERVICE OBSERVATION    

805  - RESIDENT REVIEW WORKSHEET

806a resident - QUALITY OF LIFE ASSESSMENT, RESIDENT INTERVIEW

806b group - QUALITY OF LIFE ASSESSMENT, GROUP INTERVIEW

806c family  - QUALITY OF LIFE ASSESSMENT, FAMILY INTERVIEW

807 - SURVEYOR NOTES / WORKSHEET

ENTRANCE CONFERENCE CHECKLIST  (Revised 10/28/2011)

Immunization Instructions

Immunizations