Compliance & Regulation

  • Assisted Living Action Plan Response for Adverse Events

    Contains 5 Component(s)

    It is critical to address and mitigate adverse events and potential adverse events. An action plan, otherwise known as a mitigation plan, is a necessary response to adverse events and potential adverse events. For many such events, it is important to respond and start the mitigation process immediately. These tools were initially developed by members of AHCA’s Survey/Regulatory Committee and adapted for assisted living communities to assist providers in addressing adverse events and potential adverse events, documenting and tracking the steps they have taken, and identifying best practices for ongoing improvement. Communities may use different titles or terms than the action plans, such as Director of Health Services instead of Director of Nursing, or service plan instead of care plan. Please adapt the plans to reflect your AL community. Use of these tools does not guarantee regulatory compliance nor mitigate potential liability. Providers should adapt their tools, policies, and processes as needed to ensure compliance with current federal and state requirements and use both professional judgement and the advice of legal counsel in determining whether or how to share these mitigation tools.

  • Nursing Centers Action Plan Response for Adverse Events

    Contains 5 Component(s)

    It is critical for nursing centers and assisted living communities to address and mitigate adverse events and potential adverse events. An action plan, otherwise known as a mitigation plan, is a necessary response to adverse events and potential adverse events. For many such events, it is important to respond and start the mitigation process immediately. These tools were developed by members of AHCA’s Survey/Regulatory Committee. Use of these tools does not guarantee regulatory compliance; nursing centers should adapt as needed to ensure compliance with current federal and state requirements. They are not intended as legal advice and should not be used or relied upon as legal advice.

  • Are You Ready for the New Not-for-Profit Financial Statements Reporting and Revenue Recognition Standards?

    Contains 1 Component(s)

    This course will cover: • Not-for-Profit financial statement standards being updated for the first time in 20 years that will enhance the reporting of expenses both by function and natural classification for all Not-for-Profits and new disclosures on liquidity and more • Exchange transactions for Not-for-Profits and Healthcare may be subject to the new revenue recognition standard through the review of the contracts. • New revenue recognition will significantly affect the practices of most companies and many organizations and is intended to increase financial comparability across industries.

  • Understanding SNF VBP in Detail

    Contains 32 Component(s)

    This course contains 6 modules that provide an in-depth description of each feature of the CMS Skilled Nursing Facility Value Based Purchasing (SNF VBP) program along with helpful tools and documents., and primary source reference to the program. This course covers how CMS calculates the 1) rehospitalization rates, including risk adjustments, 2) a facility’s performance score, and 3) the resulting incentive payment multiplier, which is used to adjust a facility’s Part A payments. -- The individual who wants to take the SNF VBP course must login to ahcancalED and register for the course under their individual login. For a better web experience, please use Google Chrome Internet Browser and NOT Internet Explorer.

  • How to interpret SNF VBP Performance Score reports

    Contains 3 Component(s)

    Center for Medicare and Medicaid Services (CMS) just released on August 2nd, 2018, the SNF VBP confidential reports that contains the payment adjustment factor to be applied to all SNF part A claims on October 1st, 2018 through September 2019. This payment adjustment factor may result in a decrease of up to 2% or increase up to 1.65% in your SNF Part A payments. This short video will use actual reports to discuss how to interpret your adjustment factor. it will also go over the SNF RM rates that will result in a payment cut, no cut as well as a payment increase. resources to access the reports are also provided. The presentation is a short video less than 15 minutes and also has a short set of power point slides as additional resource. Having a copy of your actual report, which you can access through the QIES portal in CASPER will be helpful.

NCAL AHCA