Rules & Regulations

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October 2017
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CMS releases FY 2018 inpatient PPS final rule

Editor's Note The Centers for Medicare and Medicaid Services (CMS) on August 2 issued the FY 2018 Medicare Inpatient Prospective Payment System final rule, which updates Medicare payment and policies when patients are discharged from hospitals. The rule increases rates by 1.2%. This includes an initial market-basket update of 2.7%…

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By: Judy Mathias
August 4, 2017
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CMS proposes paying for outpatient total joints

Editor's Note The Centers for Medicare & Medicaid Services on July 13 issued a proposed rule that updates payment rates and policy changes in the Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System. Among the proposals are that Medicare pay for knee replacement procedures performed in outpatient…

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By: Judy Mathias
July 17, 2017
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Researchers call for end to legal mandates for MRSA, VRE contact precautions

Editor's Note Despite widespread adoption of contact precautions for methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant Enterococcus (VRE), there is no strong clinical trial evidence to support the mandated use of these precautions, three noted infection prevention researchers say. Without the support of evidence, policy makers from 2000 to 2010 passed…

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By: Judy Mathias
June 26, 2017
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FDA extends UDI compliance dates for Class I, unclassified devices

Editor's Note The Food and Drug Administration (FDA) has notified medical device labelers that the compliance dates for unique device identifier (UDI) requirements for Class I and unclassified medical devices has been extended from September 24, 2018, to September 24, 2020, and for direct mark requirements from September 24, 2020,…

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By: Judy Mathias
June 12, 2017
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Joint Commission: Changes to post-survey processes, decision rules

Editor's Note The Joint Commission on February 22 announced that recent changes had been made to simplify and streamline the accreditation post-survey process and decision rules. Among the changes: An organization with an accredited with follow-up decision will receive full accreditation once it has successfully submitted evidence of standards compliance.…

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By: Judy Mathias
February 24, 2017
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Joint Commission, CMS, and DNV-GL: Mastering Standards and Regulations for Successful Surveys

To ensure you are equipped to understand and implement Joint Commission standards, Centers for Medicare & Medicaid Services (CMS) requirements, and DNV-GL standards affecting surgical services and areas that perform invasive procedures, this tell-all workshop will identify hot button survey issues, highlight how surveyors attempt to assess your compliance, and…

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Editorial

Even before Trump took office, Congress was planning to prepare ACA repeal legislation by January 27. It looked as though action could be swift once key members of the new administration took office. However, The Washington Post’s report of a January 26 meeting of Republican lawmakers indicated they were far…

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By: Elizabeth Wood
February 17, 2017
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CMS immediate jeopardy trail may lead to the OR

What makes an OR subject to an immediate jeopardy finding from a Medicare inspection? Immediate jeopardy is cited when a provider’s noncompliance with one or more of the Centers for Medicare & Medicaid’s (CMS) Conditions of Participation causes or is likely to cause serious injury, harm, impairment, or death.  …

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By: Judith M. Mathais, MA, RN
February 17, 2017
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DNV accreditation: A positive spin on survey preparation

There is a lot of buzz in the healthcare community about a newcomer to the accreditation process. For many years, the Joint Commission was the first choice for providing accreditation for hospitals in the US. But Norway-based Det Norske Veritas (DNV) is gaining ground, representing more than 350 hospitals and…

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By: Judith M. Mathais, MA, RN
February 17, 2017
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Mass ASCs can offer more procedures without hospital affiliation

Editor's Note New Massachusetts (Mass) state regulations approved January 11 allow freestanding ambulatory surgery centers (ASCs) to apply for permission to expand or offer new lines of procedures without being affiliated with an acute care hospital, the January 19 Enterprise News reports. The new regulations lift a 20-year moratorium on…

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By: Judy Mathias
January 24, 2017
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CRNAs not included in new VA nurse practice rule

Editor's Note The Department of Veterans Affairs (VA) on December 13 issued a final rule allowing full practice authority for certain advanced practice registered nurses working in VA facilities, including certified nurse practitioners, clinical nurse specialists, and certified nurse midwives. The rule excludes certified registered nurse anesthetists (CRNAs), following lobbying…

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By: Judy Mathias
December 14, 2016
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