GreisGuide to LTACHs Newsletter (December 2008)
Posted by Jason Greis on December 10, 2008 under eNewsletter | 
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This issue of the GreisGuide to LTACHs Newsletter contains articles and information on: Read More...
Preventing and Responding to Healthcare Compliance Investigations (12/10/08)
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In the last year, there have been at least five health care fraud settlements in excess of $100 million each and total recoveries from health care providers in excess of $2 billion. Two of my colleagues recently authored an article titled “Pre- and Post- Commencement of an Investigation of Health Care Compliance: Key Considerations for All Providers.”The article discusses the means by which health care providers can minimize fraud allegations as well as mitigate damages in the event of a fraud investigation. Read More...
Triumph Acquisition (10/31/08)
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Triumph HealthCare, the nation’s third largest provider of LTACH services, acquired Our Lady of Peace Hospital from South Bend, Indiana based Saint Joseph Regional Medical Center on October 31, 2008. Our Lady of Peace is a thirty-two bed HwH LTACH located on the fourth floor of Saint Joseph’s South Bend Campus. Our Lady of Peace, which has provided LTACH services for over eight years, will remain in its current location for the present. Future plans call for a move to Saint Joseph’s Mishawaka location. With the acquisition, Triumph now operates twenty-one LTACHs in seven states. Read More...
Joint Commission Leadership Standard Addressing Disruptive and Inappropriate Behavior Becomes Effective January 1, 2009 (12/10/08)
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Effective January 1, 2009, together with a general renumbering and reorganization of all accreditation standards, The Joint Commission (TJC) will implement new Leadership Standard LD.03.01.01 requiring all accredited health care facilities, including LTACHs, to have a code of conduct defining disruptive and inappropriate behaviors. This Standard also requires health care facilities to implement a process for managing disruptive and inappropriate behaviors. The Standard has developed from TJC’s historical concern that intimidating and disruptive physician behaviors foster medical errors, contribute to poor patient satisfaction and to preventable adverse outcomes, increase the cost of care, and cause attrition of qualified health care professionals. It is important to note, however, that the new Standard targets the behavior of all physicians and non-physician staff members. Read More...
CMS Discusses Possible Application of the Preventable Healthcare-Associated Condition (HAC) Program to Post-Acute Care Providers (12/10/08)
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The Centers for Medicare and Medicaid Services (CMS) discussed possible application of the short-term acute care hospital HAC program to post-acute care providers in the LTACH Final Rate Year Rule. Read More...
N.C. General Assembly Bill on Medicaid Payments for LTACHs Stalled in Committee on Health (12/10/08)
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A bill in the North Carolina House of Representatives, H.B. 2196, would require the Division of Medical Assistance of the Department of Health and Human Services to pay the same Medicaid rate to LTACHs as it pays to short-term acute care hospitals that provide services to Medicaid patients. If passed, the law would require this rate to be paid to hospitals that are (i) licensed by the State as acute care hospitals, (ii) certified as long-term care hospitals under Medicare, (iii) accredited by The Joint Commission, and (iv) serving a case-mix index that is the same or higher than short-term acute care hospitals under Medicaid. Sponsored by North Carolina Representative Alma Adams (D-Guilford), the bill was referred to the House’s Committee on Health, where it has stalled. We will continue to monitor this Bill’s status, as it would have a significant impact on LTACH reimbursement in North Carolina. Read More...
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