Thursday, June 2, 2011

CMPs Reduced for Self-Reporting and Correction of Violations

 

The Centers for Medicare and Medicaid Services (CMS) released the final rule “Civil Money Penalties for Nursing Homes,” which allows proactive nursing homes to reduce civil money penalties (CMP) by 50% by self-reporting and promptly addressing compliance violations.  The rule, created through a section of the Patient Protection and Affordable Care Act, will become effective on January 1, 2012.

 

                To take advantage of the 50% reduction, a nursing home must meet the following conditions:

·         The nursing home must self-report the compliance violation before it is identified by CMS or the State.

·         The nursing home must correct noncompliance within 15 calendar days of the incident causing the noncompliance or 10 calendar days from the date the CMP was imposed, whichever is earlier.

·         The violation must not involve immediate jeopardy or patient harm.

·         The nursing home must waive its right to administrative hearings.

 

Under the new rule, an independent informal dispute resolution process will be available when a CMP is imposed.  Following an independent informal dispute resolution, CMP funds will be held in an escrow account pending completion of any appeal.  If the appeal succeeds, the CMP funds will be returned to the nursing home with interest.  According to CMS, CMPs currently range from $50 to $10,000 per day of noncompliance.

 

 

 

Tammy Schroeder

Knudsenlogomay.jpg

Paralegal
  Office: 402-475-7011

Fax: 402-475-8912

tschroeder@knudsenlaw.com

 Knudsen, Berkheimer, Richardson & Endacott LLP
 3800 VerMaas Place, Suite 200, Lincoln, NE 68502

 http://www.knudsenlaw.com

 

 

Friday, May 27, 2011

SPRING FREEZE

The Centers for Medicare & Medicaid Services (CMS) is making changes to its Nursing Home Compare website (http://www.medicare.gov/NHCompare/). In the interim, CMS is freezing the quality measure data and the five-star quality ratings that are currently on the site for a period of six months.

In an age where technology makes everything easier, the federal website Nursing Home compare function makes choosing a nursing home as easy as choosing the latest movie release based on a five-ranking system. The public can compare rankings of nursing homes before they make that all important decision.

Starting April 23, providers that had a bad previous quarter will have six months to mull over their sub-par ranking while the public absorbs this frozen data. By the time the data are unfrozen, new quality measure data from MDS 3.0 will have been collected.

By then, the site also will be giving consumers better opportunities to file complaints against providers with state survey agencies by including links to state complaint websites, and making state fax and phone numbers more prominent. Additionally, CMS will add instances of “enforceable actions” such as civil monetary penalties and denials of payment or new admissions.

 

 

 

Tammy Schroeder

Knudsenlogomay.jpg

Paralegal
  Office: 402-475-7011

Fax: 402-475-8912

tschroeder@knudsenlaw.com

 Knudsen, Berkheimer, Richardson & Endacott LLP
 3800 VerMaas Place, Suite 200, Lincoln, NE 68502

 http://www.knudsenlaw.com

 

Circular 230 Disclosure: Pursuant to recently-enacted U.S. Treasury Dept. Regulations, we are now required to advise you that, unless otherwise expressly indicated, any federal tax advice contained in this communication, including attachments and enclosures, is not intended or written to be used, and many not be used, for the purpose of (i) avoiding tax-related penalties under the Internal Revenue Code or (ii) promoting, marketing or recommending to another party any tax-related matters addressed herein.

 

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Monday, February 28, 2011

Nebraskas Supreme Court to review Republican River status

http://www.businessweek.com/ap/financialnews/D9LLA0D81.htm

 

 

 

Jeanelle R. Lust

 

kbre

"We Help You  Deal With It."

Knudsen, Berkheimer, Richardson & Endacott, LLP

3800 VerMaas Place, Suite 200

Lincoln, NE 68502

402/475-7017  ext 1128 

402/475-8912 (fax)

402/440-3731 (cell)

 

 

Friday, February 25, 2011

Walking May Stall Decline of Cognitive Function

 

According to a recent study, walking five miles per week may stall the decline of cognitive function among those who are experiencing mild forms of dementia. 

 

To assess the impact that physical exercise might have on Alzheimer’s progression, Cyrus Raji, M.D., Ph.D., and colleagues analyzed the relationship between walking and brain structure in 426 adults.  Among the participants, 299 were cognitively healthy and 127 were diagnosed as cognitively impaired. 

 

For the study, participants were asked how many city blocks they walked in an average week.  Follow-up questionnaires confirmed that the number of blocks remained steady over time.  Participants also underwent MRI exams so researchers could measure changes in brain volume, and took the Mini-Mental State Exam, a test of cognitive skills, at various times throughout the study.

 

The study indicated that walking protects the brain structure in people with Alzheimer’s and mild cognitive impairment (MCI), specifically in areas of the brain’s key memory and learning centers.  Raji stated that those who walked five miles per week also had a slower decline in memory loss over five years.  In those diagnosed with MCI, the exercise reduced brain atrophy and cognitive decline by more than 50%.

 

The study also revealed that walking six miles per week is associated with a 50% reduction in Alzheimer’s risk in cognitively normal adults.

 

 

Jeanelle R. Lust

 

kbre

"We Help You  Deal With It."

Knudsen, Berkheimer, Richardson & Endacott, LLP

3800 VerMaas Place, Suite 200

Lincoln, NE 68502

402/475-7017  ext 1128 

402/475-8912 (fax)

402/440-3731 (cell)

 

 

Friday, February 18, 2011

A Class Act

 

The Community Living Assistance Services and Support (CLASS) Program, was created to provide assistance for individuals who need long-term care (LTC) services and have difficulty with activities of daily living. CLASS is the first federal and consumer financed LTC program in the United States. 

 

CLASS is a voluntary, government-run LTC insurance program that offers participants a single benefit plan with a daily cash benefit of $50, indexed to inflation. Beneficiaries can use the money to purchase nonmedical services to use either at home or at their chosen residence. There is no limit on how long a person can receive benefits through CLASS.

 

Currently, nursing home costs can average approximately $75000 per year while home care costs $20 an hour, these prices will increase in the succeeding years. Long term care services are utilized by elderly individuals and widely needed by people with disabilities. The CLASS Act also aims to revamp the untenable provisions in Medicaid by introducing consumer funded scheme that won't affect the overall public budget and mitigating the asset limit requirement. Most of the provisions in the CLASS Act aim to lessen the impact of outrageous long term care effects on people.

 

However, there are many concerns about the long-term fiscal soundness of the CLASS plan. The consensus of the American Academy of Actuaries is that CLASS poses “a significant and likely risk that, in a relatively short time period, the program will either need increased premiums and/or significant reductions. CLASS reduces the deficit in the short run because the government collects premiums for five years (2012–2016) but pays no benefits. The Congressional Budget Office estimates that premium payments into CLASS will exceed benefit payments out of CLASS only until 2030; the Centers for Medicaid and Medicare Services approximates that this will happen in 2025. Subsequently, CLASS adds to yearly federal budget deficits

 

Michael W. Khalili | Associate Attorney*

Knudsen Berkheimer, Richardson & Endacott, LLP
3800 VerMaas Place, Suite 200, Lincoln, NE 68502

( 402.475.7017 ext. 1156 | Fax 402.475.8912

* mkhalili@knudsenlaw.com | www.knudsenlaw.com

*Also admitted in Iowa & Washington

Wednesday, February 2, 2011

Weather

Readers of this blog will note two postings this year closing the office.  You may wonder – why is this being posted?  It is being posted as the most efficient method of notifying all employees of a weather related closure – which brings to mind the issue of employment policies for employers facing severe weather closing decisions.  Employers should consider the following in crafting their policies:

 

        What standards will cause the business to be closed for the day?

·       Who will be the decision maker and how will that be told to the employees?

·       Will you allow early departures on days when bad weather looms?

·       Will employees be expected to take work home if they depart early?

·       Is working from home even a possibility for the employee?

·       Will you waive tardiness rules on severe weather days?

·       Are there essential employees that must report to work no matter the weather?

 

The Fair Labor Standards Act allows employers to exclude from pay time that employees are off for severe

weather. In other words, if an employee cannot attend work due to weather conditions, an employer does not have to pay the employee for that day unless:

        an hourly employee telecommutes (or works from home) on the day of the absence; or

        the employee is exempt.  I.e., Management employees receiving salary should generally be compensated on days the office is closed pursuant to the terms of their salary agreement. If, however, an exempt employee decides to take a day off due to severe weather when the employer is open, the employer can deduct that absence from the exempt employee’s pay.

 

Jeanelle R. Lust

 

kbre

"We Help You  Deal With It."

Knudsen, Berkheimer, Richardson & Endacott, LLP

3800 VerMaas Place, Suite 200

Lincoln, NE 68502

402/475-7017  ext 1128 

402/475-8912 (fax)

402/440-3731 (cell)

 

This email is not meant to relay any tax advice. This email may be privileged. DO NOT FORWARD THIS EMAIL WITHOUT ASSURING PROTECTION OF PRIVILEGED MATERIAL. Email may not be secure.  If you have received this email in error, please delete it.

 

Tuesday, February 1, 2011

Severe Weather Closing

The Knudsen Law Firm will be closed today, February 1, 2011, because of severe weather conditions.

Wednesday, January 19, 2011

Credit Reports and Employment Applications -- Don't use them

Employers should  only perform credit and consumer report checks on applicants for employment for financially sensitive positions that

require bonding. The EEOC recently sued the Kaplan Corporation for using credit checks in hiring decisions.  Kaplan argues that the job openings for which they used credit reports involved financial advice to students and that, thus, the credit information was important information about the applicants fitness for the job.  The EEOC disagrees, claiming that such credit checks have a disparate impact on minority applicants. While the EEOC’s position does not yet have the force of law, since the EEOC is the agency charged with discrimination enforcement,  until resolution of this lawsuit, a prudent employer should refrain from using credit checks in making employment decisions, whenever possible.

 

Avoiding credit checks should not be much of a hardship.  Studies have shown that poor credit ratings, in general, have no relationship to job performance.

 

If an employer feels it must run a credit check, the employer should ensure compliance with the Fair Credit Reporting Act. Generally speaking, employers need an employment purpose for obtaining a consumer credit check on applicants and employees, and must provide the employee a clear written notice of its intent to obtain such a report. The applicant or employee must then give written permission to obtain the report. This should be a stand-alone document and not part of the job application. The employer must then certify to the credit reporting agency that it has complied with the FCRA. If the applicant is turned down for the position, and information in the consumer report is a factor in the decision (even if only a minor factor, with other sufficient reasons, or even if the information wasn’t negative, but was a factor) then the employer must comply with the FCRA procedures. Generally, that requires the employer to provide adverse action notice telling the applicant why the decision was made, providing the employee or applicant with a written description of rights, providing a copy of the report, and the name and address of the reporting agency or service that provided the information. The employee or applicant can also request information about the sources used for the report and the other recipients of the report. More details can be obtained from the Federal Trade Commission’s web-site at

 

www.ftc.gov/bcp/edu/pubs/business/credit/bus08.shtm

.

 

Jeanelle R. Lust

 

kbre

"We Help You  Deal With It."

Knudsen, Berkheimer, Richardson & Endacott, LLP

3800 VerMaas Place, Suite 200

Lincoln, NE 68502

402/475-7017  ext 1128 

402/475-8912 (fax)

402/440-3731 (cell)

 

 

Monday, January 10, 2011

Office Closing

The Knudsen Law Firm will be closed today, Monday, January 10, 2011, due to severe weather conditions.  Staff and attorneys may report if necessary, but attendance is not required.

Friday, January 7, 2011

EEOC issues regulations on GINA

The Genetic Information Nondiscrimination Act of 2008 (GINA) prohibits
employers and other entities covered by GINA Title II from requesting,
requiring or purchasing genetic information of employees or their family
members. Although it has been in effect for over a year the Federal
Government just issued regulations about its application. The biggest
clarification under the rules is what constitutes acquisition of genetic
information.

According to new EEOC regulations, a request for genetic information
even includes "conducting an Internet search in a way that is likely to
result in obtaining genetic information, as well as 'actively listening'
to third-party conversations or making requests for information about an
individual's current health status in a way that is likely to result
genetic information."

There are circumstances when an employer may legitimately come into
possession of genetic information without violating GINA's prohibition
on requesting, requiring or purchasing genetic information. However,
confidentiality and prohibitions on use remain. These circumstances
include:

* Where information is acquired inadvertently. For example, a
casual reference overheard at a water cooler that an employee's mother
has breast cancer and that the employee herself has been tested for a
gene related to that, will not be a violation. Similarly, employers who
employ multiple family members will have a little more flexibility
obtaining information from one family member without that being an
offense against another family member (remember that one employee's
manifestation of disease or disorder could be the family medical history
of the brother or sister or father, mother, uncle and so on who also
works for the employer).
* Where information is acquired as part of health or genetic
services, including wellness programs. Employers are free to offer
financial and other incentives to encourage employees to participate in
wellness programs, though they cannot offer those incentives to provide
genetic information. Employees may still be provided the questionnaires
seeking the information, but must be told that they need not provide
genetic information in order to receive the incentive, and in fact, a
particular notice provided below is recommended.
* Where information is acquired in the form of family medical
history in order to comply with Family Medical Leave Act, or Nebraska or
other local leave laws, or even certain employer leave policies
requiring, for example, return to work certification.
* When information comes from sources that are commercially or
publically available, such as newspapers, books, magazines, and even
electronic sources. This exception does not apply to court records,
medical or research databases, or other sources with limited access such
as social networking sites that require a creator's permission to
access. Similarly commercially available sites an employer
intentionally accesses with intent to gather, or from which an employer
is likely to gather such genetic information are prohibited.
* Where information is gathered as part of a legitimate genetic
monitoring program required by law or provided on a voluntary basis.
For example, employers may be required to perform such tests to see if
employees are being harmed by substances or energies in the workplace.
If doing monitoring that is not required by law, proper notification and
fully informed authorization of the employee must be obtained.
Similarly, if required by OSHA or otherwise by law, certain
notifications may be required. In either case, consultation with an
attorney is likely critical before conducting such monitoring.
* Where information is conducted by employers who do DNA testing
for law enforcement purposes as a forensic lab, or for human remains
identification. Any such employee genetic information can only be used
for analysis of DNA markers for quality control, to detect sample
contamination.

Whenever lawfully requesting information from an employee that may
reveal genetic information, for example through a wellness program, to
support an ADA accommodation request, request for sick leave, FMLA or
similar certification, or otherwise, employers should include the
following notification:

"The Genetic Information Nondiscrimination Act of 2008 (GINA) prohibits
employers and other entities covered by GINA Title II from requesting or
requiring genetic information of employees or their family members. In
order to comply with this law, we are asking that you not provide any
genetic information when responding to this request for medical
information. 'Genetic information,' as defined by GINA, includes an
individual's family medical history, the results of an individual's or
family member's genetic tests, the fact that an individual or an
individual's family member sought or received genetic services, and
genetic information of a fetus carried by an individual or an
individual's family member or an embryo lawfully held by an individual
or family member receiving assistive reproductive services."

Whenever the notice is properly given it will provide a safe-harbor for
employers, and any such acquisition will be considered inadvertent, and
therefore not a GINA violation.

www.knudsenlaw.com
Jeanelle R. Lust
jlust@knudsenlaw.com