December 4, 2024

What is the New Nursing Facility ICPG?

Just last month the Office of the Inspector General (OIG) put out an Industry Segment-Specific Compliance Program Guidance for Skilled Nursing Facilities and Nursing Facilities (Nursing Facility ICPG). Since 1998, the OIG has been issuing voluntary Compliance Program Guidance documents (CPGs) directed at various segments of the health care industry. At the center of this CPG modernization effort is the OIG’s General Compliance Program Guidance (GCPG), a reference guide for the health care compliance community…

 What Do Providers Need to Know About Future Non-Therapy Ancillary (NTA) Changes?

The Centers for Medicare & Medicaid Services (CMS) has been collecting feedback from healthcare providers on how to improve the Non-Therapy Ancillary (NTA) component of the Patient-Driven Payment Model (PDPM) in Skilled Nursing Facilities (SNFs). In response to concerns and data analysis from Fiscal Year (FY) 2019-2022, CMS has proposed several changes to simplify and improve how NTA points are assigned. While the NTA changes were not in effect on October 1, 2024, CMS has…