OIG Work Plan Series: Nursing Home Issues

Is your facility maintaining compliance? The Office of Inspector General’s (OIG) 2013 Work Plan provides skilled nursing facilities and nursing facilities the essential information to successfully establish and update their compliance plans. Below are the key points OIG plans to address within nursing homes.

• Identify contributing factors to adverse and temporary harm events for Medicare beneficiaries receiving post-acute care
• Determine state agency verification of deficiency corrections
• Identify poorly performing nursing homes and examine enforcement decisions by CMS
• Study the administration of typical antipsychotic drugs and the percentage of residents receiving them
• Study the extent to which Medicare beneficiaries have been hospitalized, the percent that were preventable or were the result of poor quality care
• Identify questionable billing patterns for Part B services
• Oversee the Minimum Data Set (MDS) submitted by facilities
• Review and determine NF claims for communicable disease care complied with federal and state requirements.

Check out our Compliance Hot Topics – Latest Regulatory Updates webinar for more information on how your facility can stay up-to-date with the ever-changing regulatory updates.