Getting Risks Under Control: Improving Organizational Prosperity

Healthcare is a risky business; particularly in heavily regulated environments such as nursing homes and home health and hospice.  The fact that a certain level of risk is omnipresent means that the opportunity constantly exists for an organization that improperly identifies and manages its risks, to suffer expensive damages ranging from financial loss to loss … Read more

OIG Reports Published on Hospice

In a post I wrote at the end of July concerning CMS’ 2010 rate announcement and compliance and regulatory trends, I indicated how the OIG was becoming more vigilant in reviewing hospice utilization, lengths of stay and in particular, the correlation between lengths of stay and hospice patients in an SNF.  This past month, in mid-September, the … Read more

Hospice Update

In March, I wrote about the MedPAC recommendations to change the Medicare Hospice program and payment system.  Yesterday, CMS announced the final (2010) payment for Hospice as well as the implementation structure of some key MedPAC recommendations.  The final rule will be published August 6th in the Federal Register. For FY 2010 (commencing October 1), … Read more

Duties of Boards: An OIG Perspective

This seemed to be a natural successor topic to my last post, “Why Quality Matters”; principally arising out of recent press releases from the OIG.  For example, in June the OIG reported that it had recovered $2.4 Billion in fraud, waste and abuse.  In July, an OIG release reported that a Nursing Home Executive was banned … Read more