REDUCING YOUR RISK
With the implementation of the first phase of CMS sanctions for Home Health providers on July 1, 2013, agencies across the country are rightfully concerned about what resources are available to help them avoid steep penalties and ensure compliance with Medicare Conditions of Participation (CoPs). With fines totaling thousands of dollars per day on the horizon, a strong compliance program achieved through earning and maintaining ACHC accreditation is a key strategy. Since ACHC standards are written for providers, by providers, and incorporate the Medicare CoPs, agencies that choose to become accredited are taking an important step in reducing their risk.
In addition to the widely-recognized benefits of accreditation, the following are examples of how ACHC will help you avoid these sanctions:
Proper education of staff is also a key component to establishing and maintaining a strong compliance program, especially as it relates to the implementation of policy in direct patient care. During your on-site accreditation survey, your Surveyor will be evaluating staff providing patient care to ensure it is reflective of both professional standards of practice and agency policy. ACHC also provides audit tools to ensure compliance with essential standards related to personnel records, client charts and other required documentation and standards.
EXAMPLES OF NON-MONETARY SANCTIONS: Effective July 1, 2013
EXAMPLES OF UPCOMING SANCTIONS: Effective July 1, 2014
Civil Money Penalties - CMS may impose a civil money penalty against an HHA for either the number of days the HHA is not in compliance or for each instance the HHA is not in compliance. Penalties can range up to $10,000 per day.
ABOUT THE SANCTIONS
CMS-stated sanctions are applicable in the event of a condition-level deficiency, unless the standard-level deficiency is considered to impose significant harm to an individual or if an agency has a standard-level deficiency previously found to be a conditional-level deficiency. CMS will delay the application of civil money penalties, payment suspension and the Informal Dispute Resolution (IDR) process until July 1, 2014. For more information about the CMS sanctions, read the Federal Register, Vol. 77, No. 217 published November 8, 2012. Read more by downloading the CMS PDF › ›
Listen to the original Podcast from November 2012››
Ready for accreditation? Contact ACHC at (855) 937-2242 to learn more.
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