Issue: January 31, 2019

Published on January 31, 2019

Articles in this issue:

CMS Final Rule Adjusting CMPs for Inflation

Author: Nancy Leveille and Lisa Volk* Published in Clinical & Quality

AHCA noted that CMS published a memo last week summarizing the inflation adjustments to the CMP amounts that may be imposed for noncompliance by nursing centers. The new CMP amounts and ranges can be found in the Appendix of the memo. The adjusted amounts apply to CMPs assessed on or after October 11, 2018, which is when the rule was published that finalized the adjustments. 

The Federal Civil Penalties Inflation Adjustment Act Improvements Act of 2015 required CMS to make annual inflation adjustments to the CMP amounts. For 2018, CMPs have been increased by a multiplier of 1.02041. 

The CMP Analytic Tool instructions and calculations will be updated to reflect these changes. The final rule only affects authorized CMP amounts and not other provisions in the CMP Tool, such as the factors for assessing CMPs. 

We encourage members to review and if you have any questions, please reach out to us. 


Nancy Leveille, RN, MS
Executive Director
518-462-4800 x20

Lisa Volk, RN, B.P.S., LNHA
Director, Clinical & Quality Services
518-462-4800 x15

NYSHFA/NYSCAL Legislative Day!

Author: * Published in Legislative

NYSHFA/NYSCAL will be holding a joint targeted legislative visitation day on Tuesday, February 26th in Albany to meet with key elected officials and policymakers regarding skilled nursing and assisted living issues and concerns related to the proposed 2019-2020 Executive Budget.

A block of rooms has been set aside at the Albany Marriott, 189 Wolf Road, Albany, New York 12205 for the night of February 25th for NYSHFA/NYSCAL Legislative Visitation Day. Reservations can be made by call 1-800-228-9290 or 518-458-8444 and reference reservation code HFA for the $149.00 room rate. The cutoff date for reservations is February 1, 2019. Also, for your convenience, attached is a link to hotel reservations.

On the evening of Monday, February 25th at 5:30 p.m., we will be hosting a reception for Senator Gustavo Rivera, Chair of the Senate Health Committee. More details to follow.

Please note that 1.0 CEU will be given for your attendance at the briefing in the morning from 8:30 am - 9:30 am.

We will be scheduling a conference call to go over logistics for our Legislative Visitation Day in mid-February.

Please contact Nancy Knapp at if you plan on participating in the NYSHFA/NYSCAL February 26th Legislative Visitation Day. Also attached for your convenience is a registration form to complete and return to Nancy at or fax to 518-426-4051.

Thank you.


Stephen B. Hanse, Esq.
President & CEO
518-462-4800 x11

Registration Now Open!! 70th Annual Conference & Expo

Author: Scott Jackson CMP* Published in Education

Registration is now open! Join NYSHFA/ NYSCAL for the 70th Annual Conference & Expo, May 6-9th at Turning Stone Resort & Casino. This year we are pleased to announce Jim Boeheim, Head Basketball Coach at Syracuse University as our opening Keynote Speaker. Other hot topics include: Workforce Challenges; The Opioid Crisis; Staff Retention; DOH Updates; Lab Service; Dining Challenges and many more. 

Click here for more details and registration options. 



Registration Now Open! PDPM-Successful Implementation and Understanding the Changes to SNF Post-Acute Care Medicare Reimbursement

Author: * Published in Education

Join NYSHFA in association with Zimmet Healthcare Services Group for our One-Day Seminar entitled PDPM-A Program Designed for Successful Implementation and Understanding the Changes to SNF Post-Acute Care Medicare Reimbursement.
A generational change to SNF work flow including facility admission decisions, assessments, documentation utilization review and care delivery. The new payment system consists of four distinct reimbursement pillars that are focused on the individual needs and characteristics of residents admitted to facility. This program will teach participants the underlying criteria of PDPM and payment requirements including operational changes for success. Critical thinking by the clinical team coupled with “work smart” gathering of information and documentation will result in facilities being on the winning side of CMS changes.

Click one of the three locations for additional details and registration options:

April 9, 2019 – Turning Stone Resort
April 10, 2019 – del Lago Resort & Casino
April 18, 2019 – LaGuardia Marriott

PDPM Academy Workshop – March 5, 2019

Author: * Published in Education

Join NYSHFA in partnership with AHCA for this NYSHFA Member only in-depth PDPM Academy Workshop. The program will be held March 5th at the Albany Marriott located at 189 Wolf Road, Albany, NY.  The program will present by two top industry experts: Dr. David Gifford, Senior Vice President, Quality & Regulatory Affairs at AHCA and Ms. Maureen McCarthy, President of Celtic Consulting LLC. Registrants will have access to: PDPM 101 workshop webinar (Pre-Requisite for March 5th day program); the March 5th in-person training workshop; Monthly workshop webinars on key topics and emerging PDPM issues; “How To” webinars on implementing additional tools developed by AHCA.  At the in-person workshop, participants will go in-depth with hands on experiential learning by: Aligning buildings and companies to transition to PDPM using AHCA’s PDPM Readiness Tools© and the related core competencies; Classifying residents in case mix groups; Assessing market position in a PDPM environment; and Using organizational, business, and management tools to reconfigure business planning.  Things to know: The new patient driven patient model (PDPM) begins October 1, 2019; Patient clinical characteristics in totality will determine payment; Quick and highly accurate assessment and diagnosis will be critical; Payment will no longer be focused on therapy minutes and ADLs but will rely on over 180 MDS item fields; Failing to accurately code patient needs will have a significant impact on adequate and accurate payment for high quality care; Staff roles must change to operate effectively under PDPM.

For more information and registration details click here

Staff Contact:
Lisa Volk
(518) 462-4800 ext. 15

Neil Murray & Jerome Levy to be honored at the NYC-ACHCA 50th Annual Convention


Don’t miss Tuesday Night’s Installation Banquet. Cornelius Murray and Jerome Levy to be Honored for their dedication and years of service to our industry.

Join us as we honor Cornelius Murray and Jerome Levy for their contributions in area of health law.

Cornelius Murray is a senior partner with O'Connell & Aronowitz Health Law practice and supervising partner of their Appeals, Constitutional Law and Casino & Gaming practices. He has represented numerous and varied clients in the health care industry and is currently General Counsel for the New York State Health Facilities Association where he focuses on issues involving complex Medicare and Medicaid reimbursement issues, regulatory compliance and Certificates of Need.

Jerome Levy practices in the area of health law. He has conducted a range of administrative negotiations and civil litigation on behalf of health care providers with State and Federal regulatory authorities. He negotiates and prepares agreements related to mergers and acquisitions and other transfers of ownership and also handles licensure applications for new operators, professional discipline matters and new construction.

Click here
for registration details. 

Registration Now Open! 16th Annual Social Services & Activities Conference

Author: * Published in Education

Registration is Now Open! Join NYSHFA / NYSCAL at the 16th Annual Social Service & Activities Conference being held March 28-29, 2019 at the Holiday Inn in Saratoga Springs. Hot topics this year include: Mindful Workplace; Dementia Population; Mental Fitness; Care Planning; and Department of Health updates.

Click here for more details!

Audio Conference - Behavioral Based Interviewing

Author: * Published in Education

Join NYSHFA / NYSCAL on February 15th for our Behavioral Based Interviewing Audio Conference. 

This program will review important requirements that will allow the attendee to perfect their interview skills. After the training attendees will be able to prepare for an interview; describe the Do’s and Don’ts of interview questions; Use behavioral-based interview questions; Explain what to document and how to select the best candidate.

Click here for more details. 


Audio Conference - Requirement of ROP Phase III: CSI-Conducting Successful Investigations

Author: * Published in Education

Join NYSHFA/NYSCAL on February 20th for our Audio Conference entitled "A Requirement of ROP Phase III - CSI: Conducting Successful Investigations". 

CMS mandates that a resident be free from abuse, neglect, misappropriation and exploitation. In response to allegations of this type, skilled nursing facilities are required to report, investigate, protect the alleged victim, take corrective actions if needed and have evidence that the alleged violation was thoroughly investigated.  This program will review pertinent regulatory requirements and discuss non-compliance survey related issues. Participants will receive detailed practical approaches to use when conducting a thorough investigation, gain access to investigative tools for immediate implementation and take back resources their teams can use to incorporate data into routine QAA to become compliant with the upcoming RoP Phase 3 regulations.

Click here for more details.

Audio Conference - Corporate Compliance - Living Under a Microscope in the Year of Compliance

Author: * Published in Education

Join NYSHFA / NYSCAL for an Audio Conference entitled "Corporate Compliance - Living Under a Microscope in the Year of Compliance on Monday, February 25th. During this call, the speakers will address the following: the History of Corporate Compliance, Explain Federal OIG Compliance Guidance, Briefly Describe an overview of the Federal Rules of Participation related to Corporate Compliance, Discuss the NY State Compliance Expectations, Examine the Compliance Environment Today, Explain the Primary Federal Compliance Laws, Illustrate the 7 Federal Elements of Corporate Compliance and strategies to integrate these elements into your corporate compliance program, Discuss the Current Corporate Compliance Planning Process; Compare Your Plan to the Current ROP Requirements and Develop Next Steps to Enhance Your Plan.  The agenda with the call will cover: History; Compliance Today; Federal Elements of Compliance; NY Compliance Expectations; Yates Memo; Communications; Difference Between Rick Management and QAPI; Processes to Employ; Compliance Risk; and Goals for 2019.

For more information click here


Seminar Announcement: Advanced Dementia; Alleviating Distress, Increasing Comfort

Author: * Published in Education

On February 13th and 14th, CaringKind in association with NYSHFA/NYSCAL will host a seminar entitled "Advanced Dementia; Alleviating Distress, Increasing Comfort. The fundamental premise underlying all care for people with dementia is that behavior is communication. This is not a new concept and it is an essential part of all training programs in dementia care. These behavioral expressions are almost always signs of distress, and as the disease progresses, behavior rather than words become the primary mode of communication for most people living with dementia. Comfort—preventing or relieving distress—becomes a cornerstone of care for people with advanced dementia. Special attention will be given to identifying strategies for addressing the role earlier life trauma (such as the Holocaust, or military service) can play in causing distress for people with dementia. Staff trained in dementia care is necessary but insufficient. Organizational systems must be aligned to support a comfort approach and to insure staff efforts are effective. This presentation will address the organizational systems, practices and processes that need to be in place in order to effectively deliver dementia-capable care.

Click here for additional information.