SDAHO is offering several regulatory webinars to help healthcare leaders and staff stay up to date about the latest state and federal regulations, rules and requirements.
Hospitals and Critical Access Hospitals have had to comply with EMTALA regulations for over 35 years. Yet, there are increasing number of investigations and escalating civil monetary penalties for non-compliance. This three-part series reviews the basic requirements of EMTALA, examines the most problem prone areas including adequacy of medical screening examinations and appropriate transfers; and recent deficiencies and civil monetary penalties nationwide. This session will cover adequate medical screening exams for behavioral health, obstetric and other patients and will describe what constitutes an appropriate certification of false labor.
The Centers for Medicare & Medicaid Services (CMS) has made health equity the first pillar of its latest strategic plan
. The agency is committed to “designing, implementing, and operationalizing policies and programs [to] eliminate avoidable differences in health outcomes experienced by people who are disadvantaged or underserved.”
During this webinar, PYA Principal Martie Ross and Senior Manager Kathy Reep will explain those policies and programs announced by CMS to date and discuss their immediate and future impact on providers.
One of the biggest challenges medical staffs face is evaluating the competency of providers. It is difficult, or sometimes impossible, to acquire useful competency data. The increased focus on quality by accrediting organizations, the government, and the public, emphasizes the need for continual monitoring of the quality of services provided as well as having a strong privileging system. The resources for this program include many forms, policies, and procedures that can be used by the participants.
South Dakota Medicaid Fraud Control Unit (SD MFCU) will discuss various healthcare matters relating to provider fraud, abuse/neglect, and financial exploitation, and the OIG Exclusion List. The Medicaid Fraud Control Unit will discuss specific case studies of fraud and abuse committed by physicians, hospitals, post-acute care providers and other facilities that receive federal funding.
SimiTree’s OASIS E Training for Clinicians focuses on a foundational understanding of the OASIS data set as part of the required Comprehensive Assessment of the patient. OASIS E training is a 4-hour program focusing on new OASIS items as well as selected quality items such as those used for Value Based Purchasing.
Objectives for this training will be to learn official guidance for answering OASIS E items accurately; demonstrate understanding of item guidance for new and changed OASIS-E items; and apply OASIS E guidelines to scenarios to choose accurate responses to OASIS items.
As year end approaches and we look forward to many new changes. Value Based Purchasing Rollout, OASIS-E implementation, rates changes, etc….join us for the Home Health Regulatory Update that will be based on the Home Health 2023 Final Rule and any other necessary regulations. Don’t go into 2023 unprepared!
RoP Interpretative Guidance for Skilled Nursing Homes: Phase 2 and Phase 3 – Select F-Tag Review | December 7, 12:00-1:00pm CT, Presenter: Sean Fahey, Hall Render
On June 29, 2022, CMS released revised Long-Term Care surveyor guidance, including clarifications and technical corrections of Phase 2 guidance and Phase 3 guidance. Surveyors began using this guidance to identify noncompliance on October 24, 2022. This CMS surveyor guidance impacted over 50 F-Tags. This educational webinar will select a few of these F-Tags, including abuse and neglect, discharge and arbitration agreements, and explain the updates and changes to these requirements under the regulations and guidance. Attendees will be able to gain knowledge on developing actions plans for achieving compliance related to the updates and changes.
Rural Emergency Hospital Designation Conditions of Participation and Financial Considerations: The Known and the Unknown | December 8, 12:00-1:30pm CT, Presenter: Eide Bailly
SDAHO and SDHFMA will be providing this 90-minute session for healthcare leadership exploring or interested in the new rural emergency hospital designation. This webinar with discuss the proposed and finalized conditions of participation and financial considerations for conversion to the Rural Emergency Hospital reimbursement model. In addition, we will explore the status of licensing, Medicaid reimbursement, commercial payer payments, etc. that are more state specific in nature. The session will include a pre and post attendance questionnaire to measure knowledge growth. Participants will be allowed to ask questions of the presenter.
Hospitals and Critical Access Hospitals have had to comply with EMTALA regulations for over 35 years. Yet, there are increasing number of investigations and escalating civil monetary penalties for non-compliance. This three-part series reviews the basic requirements of EMTALA, examines the most problem prone areas including adequacy of medical screening examinations and appropriate transfers; and recent deficiencies and civil monetary penalties nationwide. This session will describe the on-call physician rules including when the on-call physician must appear in the Emergency Department and describe the Quality Improvement Organization program role with EMTALA and describe the Office of Inspector General role and recent deficiencies and fines related to on-call physicians.
This training will discuss why abuse occurs, how to report abuse and neglect, how referrals are screened, the assessment of present and impending danger, the Initial Family Assessment, and present danger plans.
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l and accessing the Education Portal. Click here
to explore all SDAHO professional development opportunities.