Angie's Blog

HealthCap® USA

Angie Szumlinski, NHA, RN-BC, RAC-CT and BS

Director of Risk Management

Angie Szumlinski Ms. Szumlinski is a nationally-recognized leader in long-term care with experience as an Owner/Provider, Administrator, Director of Nursing, Corporate Quality Assurance Coordinator and independent consultant. Ms. Szumlinski conducts risk management visits at facilities across the country, touching every acuity level within the post-acute care spectrum. Ms. Szumlinski served as an Associated Board Member for NCAL, is a member of the AHCA/NCAL Quality Committee, NCAL Risk Management Committee, HCAM Legal/Clinical Committee and is a Senior Examiner/Team Leader for the AHCA/NCAL Quality Award Program. Ms. Szumlinski is a Nurse Planner for the HealthCap^® ANCC accredited education program.

CMS Provider Training – How to Accurately Code GG0110 Prior Device Use with Information From Multiple Sources

Angie Szumlinski June 20, 2019 Compliance

This 4-minute video demonstrates how a caregiver can utilize information collected from multiple scenarios to accurately code GG0110. Prior Device Use.

CMS Provider Training – How to Accurately Code GG0170C Lying to Sitting on Side of Bed

Angie Szumlinski June 19, 2019 Compliance

This 4-minute video demonstrates how to distinguish between Code 02, Substantial/maximal assistance and Code 03, Partial/moderate assistance when coding GG0170C. Lying to sitting on side of bed

CMS Provider Training – How to Accurately Code GG0130B Oral Hygiene

Angie Szumlinski June 18, 2019 Compliance

This 4-minute video demonstrates how to distinguish between Code 05, Set-up or clean-up assistance and Code 04, Supervision or touching assistance when coding GG0130B. Oral Hygiene.

New Data Shows Best Practices for Treatment of Chronic Pain in the Elderly

Angie Szumlinski June 17, 2019 Announcements, Training

Resources for Integrated Care, a website dedicated to adults dually eligible for Medicaid and Medicare, has released a new webinar to help participants identify common causes of pain among the elderly, utilize effective treatment, and help older adults self-manage pain in a healthy way. Ineffective treatment of this kind of constant pain often leads to serious health concerns for the …

ARMOR Protocol Study on Reduction of Psychotropic Medications: Improvement in Daily Living

Angie Szumlinski June 13, 2019 Health, News

Polypharmacy in older nursing home patients is a well-documented concern. Several large studies have demonstrated an association between treatment with antipsychotics and increased morbidity and mortality in people with dementia, and the economic impact of polypharmacy is also substantial, with annual medication-related issues costing $7.6 billion in nursing facilities alone. A recent study uses the Assess, Review, Minimize, Optimize, Reassess …

CMS Panel Discussion on Revisions to E/M Documentation Guidelines

Angie Szumlinski June 12, 2019 News

Last year, CMS announced its intention to undertake a multi-year effort—with the input of providers and other stakeholders—to revise the current E/M documentation guidelines. This video features a panel discussion talking about the revisions.

CMS Releases Enforcement of Federal Regulations Related to Antipsychotic Medication Utilization Rates

Angie Szumlinski June 5, 2019 Compliance, News

As of January 2019, there are 235 late adopter nursing homes that have been cited for noncompliance with federal regulations related to unnecessary medications or psychotropic medications two or more times since January 1, 2016, and who have not shown improvement in their long-stay antipsychotic medication rates. If these facilities are determined not to be in substantial compliance with requirements …

Department of Justice Guidance on Evaluating Corporate Compliance Programs

Angie Szumlinski June 3, 2019 Compliance, News

The Criminal Division announced today the release of a guidance document for white-collar prosecutors on the evaluation of corporate compliance programs. The document, entitled “The Evaluation of Corporate Compliance Programs,”updates a prior version issued by the Division’s Fraud Section in February 2017. It seeks to better harmonize the guidance with other Department guidance and standards while providing additional context to …

CMS Releases Revisions to Appendix Q (Guidance on Immediate Jeopardy)

Angie Szumlinski May 31, 2019 Compliance

Core Appendix Q and Subparts – Appendix Q to the State Operations Manual (SOM), which provides guidance for identifying immediate jeopardy, has been revised. The revision creates a Core Appendix Q that will be used by surveyors of all provider and supplier types in determining when to cite immediate jeopardy. CMS has drafted subparts to Appendix Q that focus on …

Office of Inspector General – List of Excluded Individuals/Entities: May 2019

Angie Szumlinski May 29, 2019 Compliance, News

OIG has the authority to exclude individuals and entities from Federally funded health care programs for a variety of reasons, including a conviction for Medicare or Medicaid fraud. Those that are excluded can receive no payment from Federal healthcare programs for any items or services they furnish, order, or prescribe. This includes those that provide health benefits funded directly or …

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