PODCAST

Vital Compliance Insights

Deanna

Healthcare regulatory compliance resource

government

All Episodes

24:27

CMS Antipsychotic QM - Part 2 - Steps For Safer...

Vital Compliance Insights ·

2026/01/23

We map a systems approach to antipsychotic use in nursing homes, from admission screening to documentation, coding, and survey readiness. Our goal is a practical stewardship model that protects residents, preserves data integrity, and withstands CMS scrutiny. • facility assessment confirming behavioral health capacity • pre-admission screening and verified diagnoses • CMS exclusions and how to document them • pharmacy reconciliation and indication clarity • ordered vs administered tracking w...

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6:33

Understanding How CMS Will Track Antipsychotic Use In...

Vital Compliance Insights ·

2026/01/23

We unpack how CMS will monitor antipsychotic use in nursing homes, why the national average is changing, and what datasets will be cross-checked to produce public quality measures. We set the stage for part two, where we dig into practical steps to strengthen documentation, data integrity, and care processes. • OIG findings and the CMS refocus • reasons for increased oversight and risk signals • how MDS and claims will be cross-referenced • shift in national average to 16.9...

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20:49

From OIG Guidance To Actionable Dashboards For...

Vital Compliance Insights ·

2025/12/23

We trace how OIG’s guidance elevates patient safety and quality from ideals to daily compliance work, and share lessons from Corporate Integrity Agreements that separate paper programs from living systems. Practical tools, clear dashboards, and a culture of “why” turn metrics into safer resident care. • OIG focus on quality and patient safety as compliance outcomes • Building a facility framework with clear indicators and thresholds • Using dashboards to measure, share, and act on trends • F...

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24:09

How OIG Wants Nursing Facilities To Build Risk‑Based,...

Vital Compliance Insights ·

2025/12/23

We unpack the OIG’s nursing facility guidance on compliance education and show how to move from generic modules to risk‑based, competency‑driven training that protects residents. We connect risk assessments, CMS alignment, and real‑world methods like Gemba rounds to build proof of learning and safer care. • annual, data‑driven risk assessment guiding training focus • tailoring education to resident populations and high‑risk services • aligning CMS requirements of participation with OIG expec...

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11:10

How A Federal Shutdown Weakens Nursing Home Oversight...

Vital Compliance Insights ·

2025/11/10

We examine how the federal shutdown disrupts nursing home oversight, why CMS triaged surveys to emergencies, and the risks created by fewer inspectors and furloughed staff. We share steps facilities can take to protect residents, drawing lessons from the OIG’s pandemic report. • status of the shutdown and date context • CMS priorities for complaint investigations and revisits • suspension of recertification and initial surveys • state surveyor staffing gaps and missed annua...

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20:55

Why Active Medical Director Engagement Protects...

Vital Compliance Insights ·

2025/10/20

We examine how CMS F841 and new OIG oversight raise expectations for nursing home medical directors, demanding visible engagement, better policies, and data-informed leadership. We share field lessons on antipsychotics, facility assessment, and building dashboards that support real accountability. • CMS shifts from F501 to F841 and clarifies medical director duties • OIG focus on engagement, visit frequency, and compensation integrity • Risks of absent or passive medical directors in daily c...

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10:30

Congress Hits Brakes on Nursing Home Staffing Rules...

Vital Compliance Insights ·

2025/09/17

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25:56

Navigating MDS Accuracy in Long-Term Care

Vital Compliance Insights ·

2025/09/03

Accurate MDS completion has become a regulatory lightning rod as the OIG and CMS intensify their scrutiny of long-term care documentation. This shift isn't merely procedural—it signals a comprehensive effort to identify potential fraud and ensure residents receive appropriate care based on accurate assessments. The recent OIG work plan specifically targets resident falls resulting in major injuries, with investigators cross-referencing hospital claims against facility MDS documentation. When...

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20:40

Understanding the Resident is the First Step to...

Vital Compliance Insights ·

2025/08/04

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14:11

OIG - Compliance Committee, Risk Assessment &...

Vital Compliance Insights ·

2025/07/28

OIG 2023-2024 Compliance Guidance for Long Term Care Facilities is summarized to highlight importance of a compliance committee and the responsibility to assist the chief compliance officer to develop a robust facility risk assessment. From that assessment the committee would need to develop meaningful and accessible policies and procedures to guide all levels of the facility staff and consultants of their roles and responsibilities in maintaining healthcare compliance.

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15:03

OIG focus on Chief Compliance Officer Role

Vital Compliance Insights ·

2025/06/13

In this episode, I will discuss the OIG November 2023 Compliance Officer Roles and Responsibilities guidance. The compliance officer has a responsibility to develop policies and procedures, conduct risk assessments, provide education and training, and promptly investigate any reports of abuse or fraud. They must also foster a culture of open communication and transparency within the organization and have open access to the board to report concerns and updates on the compliance program.

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14:03

OIG Compliance Guidance Overview 2023-2024 for Long...

Vital Compliance Insights ·

2025/06/13

In this podcast episode, the host discusses the 2023 and 2024 updates to OIG's compliance program guidance (CPGs). These updates include a move to publishing the CPGs on the OIG website and the addition of a section on quality and patient safety. The host emphasizes the importance of incorporating quality and patient safety into compliance programs and discusses their personal experiences as a health care analyst working with corporate integrity agreements. The episode concludes with a quote ...

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35:09

CMS Revisions to Psychotropic Medication Use

Vital Compliance Insights ·

2025/05/08

Skilled nursing facilities are facing changes in CMS survey guidance regarding unnecessary use of psychotropic medications. CMS is closely monitoring the use of these medications, which can be considered chemical restraints, and is asking facilities to focus on behavior interventions to minimize use. CMS is emphasizing the importance of professional standards of practice and the role of the medical director in monitoring the use of these medications. The use of psychotropic medications,...

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21:32

CMS 2025 Long Term Care Regulatory Overview

Vital Compliance Insights ·

2025/04/22

Summary The CMS has released updated guidance on the long-term care survey process, focusing on accuracy of the MDS, medical director responsibilities, psychotropic medications and chemical restraints. In addition, the CMS issued clarifications for enhanced barrier precautions, pain management, quality assurance and performance improvement, health care equity, and prohibits certain language in admission agreements. It is important to recognize that healthcare surveyors will be looking f...

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0:55

OIG test

Vital Compliance Insights ·

2025/04/02

Testing music upload

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Vital Compliance Insights

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