SNF Audit Tools Table of Contents

  • Resident Rights
    • Resident Rights
    • Reporting Abuse and Neglect
    • Safety: Emergency Preparedness
  • Employee and Contractor Screening
    • Employees: New Hires
    • Employees: Existing/Ongoing Screens
    • Board Members/Corporate: New Hires/Appointments
    • Board Members/Corporate: Existing/Ongoing Screens
    • Vendors/Contractors: New Engagements
    • Vendors/Contractors: Existing/Ongoing Screens
    • Volunteers: New
    • Volunteers: Existing/Ongoing Screens
    • Students: New
    • Students: Existing/Ongoing Screens
    • Additional Audit Questions for Software
  • Billing and Claims Submission
    • Nursing and Therapy Integrity
      • Medicare Part A: Certifications and Recertifications
      • Medicare Part A: Therapy
      • Medicare Part B: Certifications and Recertifications
      • Medicare Part B: Documentation
    • Clinical Documentation: Medical Necessity
    • Trends
      • Monitoring for Trends
      • PEPPER
    • Business Office Audits          
      • Payment Reconciliation – Medicare
      • Payment Reconciliation – Medicaid
      • Payments for Services after Beneficiaries’ Death
      • Billing for Medical Supplies
      • Physician NPI Verification
      • Therapist Productivity
  • Cost Reporting
    • Cost Report Policy
    • Cost Report Contracts
  • Kickbacks, Inducements and Self-Referrals
    • Anti-Kickback Statute
    • Gifts
      • Gifts/Inducements to Beneficiaries
      • Gifts to/from Employees
      • Gifts to/from Referral Sources
      • Waiver of Copays
    • Supplementation/Conditional Admission
    • Services Contracts
      • Non-physician Contracts
      • Physician Contracts (Anti-Kickback)
      • Physician Contracts (Stark)
    • Joint Ventures
    • Reserved Bed Arrangements
    • Discounts
      • Price Reductions
      • Swapping
    • Arrangements with Hospices
    • Conflicts of Interest
  • Compliance Records
    • Records Policies
    • Records Training
    • Records System
    • Records Review
    • Compliance Program Effectiveness Records
  • Anti-Supplementation
  • Medicare Part D Plan Selection
  • Quality Assurance Manual