tci Medicare Compliance & Reimbursement - 2016 Issue 19
Industry Notes: Patients and Families Can Sue Long-Term Care Facilities in Court, New Final Rule Says
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Article Overview
This article is a multi-topic industry update for healthcare compliance, long-term care, and administrative operations audiences. It covers CMS’s final long-term care facility rule, a Medicare card identifier transition initiative, and HIPAA Phase 2 audit activity, with emphasis on regulatory timing, program scope, and operational implications for providers and facilities.
Why This Topic Matters
The update helps providers, facility administrators, compliance teams, and billing staff track federal rule changes that affect resident care requirements, Medicare beneficiary identification, and privacy/security audit readiness.
Article Sections
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CMS long-term care facility final rule
Summarizes a major CMS regulatory update for nursing homes and related long-term care facilities. The section notes implementation timing and broad areas of facility requirements addressed in the rule.
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Medicare card update and SSN removal initiative
Reviews CMS’s identifier transition effort for Medicare cards and related provider preparation guidance. The section focuses on the program timeline and operational communication to providers.
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Prepare for HIPAA Phase 2 audits
Describes OCR’s audit activity for covered entities and business associates, including desk and onsite audit planning. The section also outlines the audit process, scope, and follow-up workflow at a high level.
What You Will Learn
- The main compliance topics covered in the CMS long-term care final rule
- How CMS is approaching the Medicare card identifier transition
- What providers should know at a high level about HIPAA Phase 2 audit activity
- Which organizations are affected by the update
- The general categories of operational and compliance guidance included in the article
Who Should Read This
- Long-term care facility administrators
- Healthcare compliance officers
- Medicare billing and registration staff
- HIPAA privacy and security personnel
- Healthcare attorneys and consultants
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