CMS considered prohibiting binding arbitration entirely, seeks comments
By
Jul 21, 2015
Facilities that present binding arbitration agreements to residents must ensure the residents fully understand the agreement, according to a proposed rule from the Centers for Medicare & Medicaid Services.
Medicare review challenges receive class action certification
By
Jun 15, 2015
Six Medicare beneficiaries whose appeal cases were delayed beyond 90 days will have their challenges tried as one nationwide class action suit.
PET scans for Alzheimer’s rejected for Medicare pay
By
James M. Berklan
Nov 01, 2013
Earlier this year, the Department of Health and Human Services released an action plan for tackling Alzheimer’s diagnostics, treatment and funding.
Long-term care nurses gain power through physician assessment tool: expert
By
Elizabeth Newman
Apr 16, 2013
Long-term care nurses should embrace a physician assessment tool in INTERACT II as a way to reduce hospital readmissions, a compliance expert emphasizes.
Former FL ombudsman files suit against providers, state
By
Elizabeth Newman
Oct 01, 2011
A high-profile ousted Florida ombudsman has filed a lawsuit against the Florida Department of Elder Affairs, the Florida Health Care Association and the Florida Assisted Living Association for alleged...
GAO highlights obstacles, benefits of nursing home temporary management sanctions
Dec 22, 2009
Temporary management sanctions for troubled nursing homes can be an effective approach to improving quality in the short term, but more should be done to provide guidance for implementing the sanctions,...
Ask the payment expert: highlighting changes to the new RUGs IV system
Failure to respond to lawsuit costs nursing home owner $105,000
By
Danielle Brown
Jun 09, 2022
The owner of a troubled New Jersey nursing home has been ordered to pay a public relations firm $105,000 after failing to respond to a lawsuit brought by the company for allegedly not paying for services.
More states may allow electronic monitoring of residents
By
Danielle Brown
Jan 16, 2020
Electronic monitoring in nursing home resident rooms could soon become the norm in yet another state.
Ask The Payment Expert: Why is reimbursement less than the published Medicare rate?
By
Caryn Adams
Apr 04, 2019
There are multiple factors that are impacting facility rates this year, and it can be quite confusing.