Any way that you think about it, since the start of Covid-19, the senior living industry has been getting tons of federal relief. The exact amount is not something that can be determined. But some estimates show that the healthcare industry nearly doubled its costs to $2.4 trillion in the last year.
Truthfully, the assistance could not have come at a better time. Most senior living providers are still trying to survive, but compared to the amount of money that has been diverted to this industry, you can be assured of a couple of things.
The first is that some of the funds have been diverted and are still being diverted for pretty questionable purposes. The next is that the government will end up stepping up to try to find anything that looks like abuse or fraud.
Just like Bane from Batman says, “Let the games begin!” However, at this time, the usual routine could have some pretty big issues.
It also looks like the federal government is upgrading the usual tools that they will be using. According to an article in Employment Law360, Michelle Freeman, Pamela Johnston, and Matthew Krueger, attorneys at Foley and Lardner, say that the federal government’s newest resources are specialized task forces and data analytics.
Even though there is no idea about where Biden will focus the investigations, there is a general idea. The Department of Health and Human Services, along with the Department of Justice, have started to layout the following targets as being the most likely places to have abuse and fraud:
- Medicare Part C Managed Care
- Elder Fraud
- Electronic Health Records
- Prescription Drugs
- Covid-19 Related Funding
Either way, it goes, senior living will be affected by all of these categories.
If you want to protect your organization whenever inspectors start to look at your business, these three suggestions will be helpful.
- Take time to perform audits on provider relief funds. Pandemic relief funding and Paycheck Protection Program loans should be audited if your organization has used them.
- Start to enhance your use of data analytics for risk assessment and monitoring.
- Revisit all of your policies, practices, and training to encourage and respond to complaints from residents, employees, and other people.
If you do these three things, you will most likely have a lot less to worry about when your organization is under inspection. As far as anyone knows, that day is coming up pretty fast.
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