On September 13, 2014, DPW issued its final rule addressing Preventable Serious Adverse Events (PSAE) for nursing facilities. The PSAE requirements become effective October 1, 2014, subject to CMS approval of a related state plan amendment. Once effective, a nursing facility may not seek payment from a resident or a health care payor (including the Medical Assistance Program) for a PSAE (as defined within the regulations) or for any corrective services following a PSAE. Further, a nursing home that discovers it was paid for such services is required to refund such payments to either the resident or the health care payor within 30 days of discovery. Further information on reporting methods, claims and best practices can be found on DPW's website.
If you have questions regarding the PSAE Rule, or would like to discuss how to prepare your facility for compliance with these requirements, please do not hesitate to contact David Marshall or Steve Montresor of our office.