CDC Extreme Cold Guide

January 9, 2014




Winter Weather FAQ

January 9, 2014




Recent CMS S&C letter dated 1/3/2014 re Emergency Preparedness.

January 7, 2014


This proposed rule would establish national emergency preparedness requirements for Medicare- and Medicaid-participating providers and suppliers to ensure that they adequately plan for both natural and man-made disasters, and coordinate with federal, state, tribal, regional, and local emergency preparedness systems.
It would also ensure that these providers and suppliers are adequately prepared to meet the needs of patients, residents, clients, and participants during disasters and emergency situations.

Attachment for Recent CMS S&C letter dated 1/3/2014 re Emergency Preparedness.

AMDA is offering free interactive program aimed at improving care for Dementia Patients

January 7, 2014




Updates to SNFs for therapy services effective 1/7/2014:

December 12, 2013




Update RE Hepatitis C

December 9, 2013


Click here for additional information



Update Regarding Prostate Cancer

December 9, 2013


See here for details



PA Department Of Health Message Board dated 10/9/2013

November 6, 2013


A listing of Approved Directed In-service Providers

PA Department Of Health Message Board dated 10/9/2013

CMS memo of October 1, 2013 related to CPR in nursing homes

October 30, 2013


Initiation of CPR- Prior to the arrival of emergency medical services (EMS), nursing homes must provide basic life support, including initiation of CPR, to a resident who experiences cardiac arrest (cessation of respirations and or pulse) in accordance with that resident's advance directives or in the absence of advance directives or a Do Not Resuscitate (DNR) order. CPR certified staff must be available at all times.

Especially notes:
Facility CPR Policy: Some nursing homes have implemented facility-wide no CPR policies. Facilities must not establish and implement facility-wide no CPR policies.



CMS letter dated 10/25/13

October 30, 2013


Citations at F Tag 454 no longer apply: The regulations at SS483.70(a) are covered by the Life Safety Code (LSC) requirements and all citations under these regulations should be made under the appropriate LSC K Tags. Click here



Recurrent Nationwide Shortage of Tuberculin Skin Test Antigen Solutions

September 21, 2013


Please see attached link (current reissues) regarding Recurrent Nationwide Shortage of Tuberculin Skin Test Antigen Solutions:

Recurrent Nationwide Shortage of Tuberculin Skin Test Antigen Solutions

Remedi SeniorCare® Downloadable Clinical Resource E-Book

September 21, 2013


Remedi SeniorCare® Downloadable Clinical Resource E-Book

PADONA: Program for Evaluating Payment Patterns Electronic Report (PEPPER)

September 12, 2013


Skilled Nursing Facilities to Receive PEPPER

CMS will make available free provider-specific comparative data reports for skilled nursing facilities (SNFs) nationwide.

The Program for Evaluating Payment Patterns Electronic Report (PEPPER) provides SNF-specific data statistics for Medicare services that may be at risk for improper Medicare payments.

SNFs can use the data to support internal auditing and monitoring activities.

PEPPER is a free report comparing a SNF's Medicare billing practices with other SNFs in the state, Medicare Administrative Contractor (MAC) or Fiscal Intermediary (FI) jurisdiction, and nation.

CMS has contracted with TMF Health Quality Institute to develop and distribute the reports.

SNFs administered through short-term acute care hospitals received their SNF PEPPER electronically starting in late August, 2013. The SNF PEPPER file will be uploaded to the File Exchange inbox of hospital QualityNet Administrators and user accounts with the PEPPER recipient role.

Free-standing SNFs and SNFs administered through long-term acute care hospitals and inpatient rehabilitation facilities received their PEPPER in hard copy format via USPS first-class mail, shipped on August 30, 2013. The envelope containing the PEPPER will be addressed generically to the Chief Executive Officer/Administrator. SNFs should be on the look-out for this envelope and ensure it is appropriately routed internally.

For more information on the SNF PEPPER, including training and resources for SNFs and the SNF PEPPER User's Guide, please visit PEPPERresources.org.

Questions may be submitted through the Help Desk. CMS encourages SNFs to provide feedback on PEPPER through a feedback form so that the reports can be continually improved.



News from PADONA - Event Reporting Guidance - reposted

September 12, 2013


This is a REPOST of the message previously posted on the PA DOH NCF Message Board on July 16, 2013 as a resource/reference.

No additional changes have been made.

News from PADONA - Event Reporting Guidance - reposted

Escrow and Independent Informal Dispute Resolution (Independent IDR) Process

September 5, 2013


Applicability of CMP, Escrow, IIDR:

CMPs imposed relative to all standard or complaint surveys that begin on or after October 1, 2013, that initiate an enforcement action in which a CMP is imposed where the highest level of deficiency is less than a "G" level, will be subject to collection and escrow in accordance with 42 C.F.R. SS488.431. (CMPs based on surveys in which a deficiency is cited for actual harm or immediate jeopardy ("G" or higher) are already subject to escrow).

Net Effect: Previously, CMS phased in the escrow requirement by limiting it to CMPs imposed for actual harm or immediate jeopardy.

Effective October 1, 2013 every CMP imposed for a deficiency in a nursing home will be subject to escrow and the nursing home may request an independent informal dispute resolution.

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