PPS Alert for Long-Term Care

The rule became effective on February 13, 2017.

Obstructing audits could lead to Medicare exclusion for long-term care facilities

Under a final rule published on January 12, 2017, by the Department of Health and Human Services (HHS) Office of Inspector General (OIG), the agency’s authority to exclude facilities from Medicare funding was expanded to include any individual or entity found guilty of audit obstruction. Prior to this rule, exclusion authority was limited to those convicted of obstructing criminal investigations. The rule became effective on February 13, 2017.

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PPS Alert for Long-Term Care is the industry’s leading resource devoted to navigating long-term care professionals through the MDS and PPS processes.

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