As I get older, New Year’s Day has taken on a new and special significance. What used to be an excuse for a party has become an occasion for reflection, renewal, and improvement. And it seems as I get older, there’s more to reflect on and plenty of room for improvement!
Topics: Employee Training, HIPAA, Personnel Files, Quality Improvement, Billing, Compliance, Materials Management, Warehouse, Disaster Preparedness, Emergencies, Infection Control
Imagine you are either sitting down to hear a debriefing after your accreditation survey or opening up the report from your accreditation survey. In either/both cases, the surveyor or the accreditation agency will most likely be breaking down any areas of deficiency into issues requiring on site follow up or issues requiring written follow up. Different accrediting bodies call these categories by different names, but in all cases, they are essentially issues that you need another visit to clear or issues that can be cleared through some type of written follow up report.
Topics: Renewing Accreditation, HQAA Accreditation, Compliance, Business Practices, Surveys
2023. We’re twenty-three years into the new millennium. Medicare is close to sixty years old. Time is marching on quickly—relentlessly, some would say. New Year’s Eve parties continue the great tradition of partying into the wee hours, ringing in the New Year with a toast, and getting up January 1st with a renewed optimism, a positive outlook on life, and a list of resolutions to improve. You might say it is a great example of continuous quality improvement.
Topics: Employee Training, Security, Quality Improvement, Renewing Accreditation, Compliance, Process Improvement, Materials Management, Showroom, Retail, Warehouse, Work, Disaster Preparedness, Business Practices, Marketing, Equipment
In our January 2022 blog, we talked about fraud, waste, and abuse and touched on compliance programs. The article prompted questions and comments from quite a few organizations and questions of late suggest it might be a good time to do a deeper dive on compliance programs.
Compliance “programs” are sets of policies & procedures specifically designed to help an organization adhere to law and regulation. These policies and procedures are specifically set up to detect, prevent, and correct fraud, waste, and abuse. Medicare requires any provider to have such a program and they have very specific content they want these policies to contain.
Topics: Security, Billing, HQAA Accreditation, Compliance, Avoiding Deficiencies, Complaint Process, Business Practices, Marketing, Surveys, OIG
A dictionary defines disclosure as “the action of making new information known or the action or process of revealing information.” In the medical world, healthcare providers define disclosure as “a release of information to persons or entities other than the patient who is the subject of the information.”
Topics: HQAA Accreditation, HME Accreditation Requirements, Compliance, Business Practices, DMEPOS
The pandemic has changed how we look at employment in the United States in a multitude of ways. Many of us now “telecommute” to work, which opens up the opportunity to live farther from the office than ever before. Young people have new and different considerations and priorities when it comes to accepting a job. And of course, there’s the fact that it is increasingly more difficult to recruit and retain good long-term employees. Complicating these issues specifically in our industry are the pesky and sometimes misunderstood background check requirements.
Topics: Quality, Security, HQAA Accreditation, HME Accreditation Requirements, Compliance, Showroom, Retail, Delivery, Competence, OIG
Nothing strikes fear into the hearts of DME owners, managers, and staff more than the Office of the Inspector General (the “OIG”). The fear is perhaps deserved by an extremely small handful of industry people. The vast majority of our industry rank and file have nothing to fear from this sometimes maligned and misunderstood government agency.
Topics: Billing, HQAA Accreditation, HME Accreditation Requirements, Compliance, Avoiding Deficiencies, CMS, Business Practices, OIG
We’ve talked about retail showrooms before, but in the several years since we’ve covered the topic, retail has made a triumphant resurgence. The DME retail showroom’s amazing comeback is a product of a perfect storm of factors in the industry. Certainly, declining reimbursement and limitations to coverage for DME products and services is at least partially responsible. The fact that Baby Boomers are retiring and becoming eligible for Medicare is also a factor. Retirees today –compared to retirees of a decade or so ago—are tech savvy computer users who are comfortable shopping on line and also somewhat conditioned to paying for larger portions of their healthcare out of pocket. The bad news for local DME’s is that they are tech savvy and capable of shopping on Amazon-like platforms. The good news for local DME’s is that they are willing to pay more out of pocket for healthcare. Retail provides a “hedge” for your organization. If someone wants the traditional “deliver it and bill my insurance” DME model, you can do it. But you also have a showroom and are prepared to deal in cash.
Topics: HME Accreditation Requirements, Compliance, Showroom, Retail, Delivery, Customer Service
Many durable medical equipment company employees equate “OSHA” with those plasticized posters typically hung in a breakroom or kitchen in the organization. Training requirements by both accreditation standards and OSHA itself have gone a long way to educating employees about the various OSHA mandated requirements and led to a better understanding of OSHA. This in turn has led to better adherence to the rules and regulations and ultimately to a safer workplace.
Topics: Employee Training, HQAA Accreditation, HME Accreditation Requirements, Compliance, Avoiding Deficiencies, Showroom, Retail, Delivery, Warehouse, Infection Control
As the world slowly but surely returns to normal, surveyors will take to the road once again to visit durable medical equipment organizations across the United States. For several months CMS suspended the accreditation process. On August 12, 2020, CMS gave the approval to resume surveys both onsite and virtual visits (with a follow up onsite visit), or a combination of onsite and virtual survey. With these new guidelines, CMS and the accrediting bodies are beginning to resume surveys with slightly revised procedures and protocols.
Topics: Renewing Accreditation, Quality Standards, HQAA Accreditation, HME Accreditation Requirements, Compliance, CMS, Surveys
