Medicare Advantage plan settles upcoding allegations for $22.5M
By
Kimberly Marselas
Aug 02, 2023
A Medicare Advantage plan will pay $22.5 million to settle allegations that it systematically reviewed patient charts to tack on additional charges before submitting claims to Medicare, federal law enforcement...
Aging committee chair delivers another broadside about nursing home surveys
By
Jessica R. Towhey
Jul 28, 2023
A powerful US senator is bringing added firepower in his quest to fix what he sees as major issues with state surveys of nursing homes. It’s an effort that had one leading advocate channeling Alanis...
Many nursing home staff fearful of retaliation by superiors: study
By
James M. Berklan
Jul 20, 2023
Direct care workers in nursing homes feared retaliation from managers in a significant portion of cases recently investigated, according to a new study.
Nursing home coalition moves forward with 9 plans to fix the sector
By
Jessica R. Towhey
Jul 19, 2023
A national coalition focused on improving the quality of care and life in nursing homes on Tuesday rolled out its nine action plans for the sector.
State creates nursing home ownership transparency rules ahead of federal action
By
Jessica R. Towhey
Jul 18, 2023
Connecticut has new transparency rules for nursing home owners and will require a “plain language” explanation of how Medicaid rates are set.
AHCA to White House: Nursing home staffing mandate spells ‘disaster’
By
Kimberly Marselas
Jul 12, 2023
A federal nursing home staffing mandate would be “impossible to implement” and a “disaster,” especially for seniors on Medicaid, the American Health Care Association and National Center for Assisted...
CMS still dropping the ball on infection prevention in nursing homes: GAO
By
Jessica R. Towhey
Jul 12, 2023
The Centers for Medicare & Medicaid Services has yet to create certain infection prevention standards for nursing homes, a federal watchdog complained Tuesday in a new report.
Will clear and present danger reveal itself as state mandates increase?
By
Kimberly Marselas
Jul 11, 2023
Nursing home operators in New York and Pennsylvania are stepping into the abyss this month, with no easy way to see just how far they might fall before hitting bottom.
CMS tells hospitals to fix discharge practices
By
James M. Berklan
Jul 10, 2023
Hospitals’ shortcomings in providing post-acute care providers with adequate discharge information prompted federal regulators to issue a special memo the first week of June.
Advocates intensify behind-the-scenes efforts as staffing minimum stalls
By
Kimberly Marselas
Jun 30, 2023
While on-the-ground providers can do little but wait for a now-overdue staffing minimum to drop, the sector’s top advocates remain furiously at work in the nation’s capital, hoping to mitigate its...