C.A.R.E.
Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency
The last two blog posts reviewed F-Tags and Deficiencies.
Given the significant amount of changes in the regulatory landscape, CMS applied an 18-month enforcement freeze (no monetary payments but tags can still be cited for non-compliance).
The purpose of this moratorium is to allow facilities time to gain an understanding of the expectations and for the surveyors to navigate concerns within the regulation.
The F-Tags included in the moratorium are:
- F655 - Baseline Care Plan
- F740 - Behavioral Health Services
- F741 - Sufficient/Competent Direct Care/Access Staff-Behavioral Health
- F758 - Psychotropic Medications related to PRN Limitations
- F838 - Facility Assessment
- F881 - Antibiotic Stewardship Program
- F865 - QAPI Program and Plan related to the development of the QAPI Plan
- F926 - Smoking Policies
Please note that F-Tag 608 – Reporting Reasonable Suspicion of a Crime, is not included in the enforcement freeze secondary to “concerns about significant resident abuse going unreported.”
The below table give you the average number of fines and average dollar amounts per state as of 1.1.18. The national average is .4 fines at $13,324 per facility.
|
|
State |
Number of Fines |
Fine Amount in Dollars |
|
1 |
WV |
0.2 |
$40,407.00 |
|
2 |
KY |
0.4 |
$36,878.00 |
|
3 |
MD |
0.3 |
$32,945.00 |
|
4 |
NM |
0.9 |
$32,637.00 |
|
5 |
ID |
0.6 |
$32,395.00 |
|
6 |
WA |
1.1 |
$31,896.00 |
|
7 |
SC |
0.5 |
$30,694.00 |
|
8 |
NC |
0.6 |
$30,085.00 |
|
9 |
TN |
0.4 |
$27,613.00 |
|
10 |
MT |
0.6 |
$25,785.00 |
|
11 |
GA |
0.4 |
$24,276.00 |
|
12 |
DE |
0.2 |
$22,842.00 |
|
13 |
KS |
0.8 |
$22,747.00 |
|
14 |
FL |
0.5 |
$17,882.00 |
|
15 |
WI |
0.6 |
$17,523.00 |
|
16 |
MA |
0.7 |
$16,740.00 |
|
17 |
AR |
0.6 |
$16,567.00 |
|
18 |
OR |
0.6 |
$16,531.00 |
|
19 |
VA |
0.2 |
$16,416.00 |
|
20 |
AL |
0.2 |
$15,679.00 |
|
21 |
TX |
0.5 |
$15,654.00 |
|
22 |
IA |
0.6 |
$15,220.00 |
|
23 |
AK |
0.7 |
$15,110.00 |
|
24 |
MI |
0.7 |
$15,095.00 |
|
25 |
HI |
0.4 |
$13,375.00 |
|
26 |
CO |
0.4 |
$12,841.00 |
|
27 |
SD |
0.3 |
$10,712.00 |
|
28 |
VT |
0.4 |
$10,686.00 |
|
29 |
OK |
0.5 |
$10,162.00 |
|
30 |
MO |
0.3 |
$8,912.00 |
|
31 |
NE |
0.2 |
$8,383.00 |
|
32 |
UT |
0.4 |
$8,321.00 |
|
33 |
MS |
0.2 |
$7,967.00 |
|
34 |
CT |
1 |
$7,590.00 |
|
35 |
OH |
0.4 |
$7,583.00 |
|
36 |
CA |
0.3 |
$7,444.00 |
|
37 |
PA |
0.1 |
$6,492.00 |
|
38 |
WY |
0.1 |
$6,413.00 |
|
39 |
IL |
0.3 |
$6,300.00 |
|
40 |
LA |
0.2 |
$5,927.00 |
|
41 |
IN |
0.3 |
$4,731.00 |
|
42 |
ND |
0.1 |
$3,593.00 |
|
43 |
NV |
0.2 |
$3,569.00 |
|
44 |
MN |
0.2 |
$2,722.00 |
|
45 |
AZ |
0.1 |
$2,471.00 |
|
46 |
NJ |
0.1 |
$2,267.00 |
|
47 |
NY |
0.1 |
$1,614.00 |
|
48 |
RI |
0.1 |
$1,249.00 |
|
49 |
ME |
0.1 |
$1,131.00 |
|
50 |
NH |
0 |
$103.00 |
Harmony Healthcare International (HHI) is here to help. We understand how much work is involved for you and your staff to run an efficient, compliant, and fiscally sound facility.
Harmony Healthcare International (HHI) can:
- Identify areas of risk and opportunity
- Education on rules and regulations
- Implement Systems (QAPI)
- Monitor progress and performance
Harmony Healthcare International (HHI) performs monthly compliance audits. If you need help with this area, please contact us by clicking here. Looking to train your staff? Join us in person at one of our our upcoming Competency/Certification Courses. Click here to see the dates and locations.
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