Report: Long-term care providers pay the price for CMS’ poor auditor oversight
By
Tim Mullaney
Aug 14, 2014
Long-term care and other providers could be facing unfair burdens due to ineffective government oversight of Medicare auditors, according to a new report from a federal watchdog agency.
‘Special’ times ahead for more nursing homes, and that’s not good
By
James M. Berklan
May 28, 2014
As spring blends into summer, some nursing home operators are going to start feeling more heat — and it will have nothing to do with the weather. They will be given places on the proverbial hot seat....
3 value-based purchasing strategies to help you get ahead
By
Sally Rodriguez
May 21, 2014
Long-term care providers have a stronger hook than they probably realize regarding the toughening of penalties for hospitals with high readmission rates.
Close the infection loop to reduce outbreak risk
May 12, 2014
The readmission scores of nursing homes will be posted to the Nursing Home Compare website beginning in 2017, and the VBP program will begin Oct. 1, 2018. For the first time, facilities will not just face...
CMS: Nursing home Medicare cuts helped keep healthcare spending at historic low levels
By
Tim Mullaney
Jan 07, 2014
Dramatic Medicare cuts to skilled nursing facilities played a significant part in keeping healthcare spending low in 2012, the Centers for Medicare & Medicaid Services announced Monday.
Ready or not: The MDS is changing again!
By
Shelly Mesure, MS, OTR/L
Sep 25, 2013
On Oct. 1, the Centers for Medicare & Medicaid Services will be updating the Minimum Data Set with another round of changes. Most are minor but there will be two changes to the therapy section. Your case-mix...
What is therapy? It’s not as simple as it might seem
By
Shelly Mesure, MS, OTR/L
Aug 13, 2013
“What is therapy?” sounds like a simple question, but it requires a separate and very complex answer for each discipline.
CMS updates operations manual and F-tags for facility closures
By
Ashley Carman
Aug 06, 2013
The Centers for Medicare & Medicaid Services released its operations manual updates, including new F-tags for facility closures last week. The updates include amendments to Appendix PP of the SOM, with...
50 shades of G-coding
By
Shelly Mesure, MS, OTR/L
Jul 02, 2013
Sorry, ladies, I didn’t mean to get your hopes up with that title. But does anyone else feel like there is a lot of ambiguity to the new G-Coding system? Well, it’s a little too early to tell...
The G-codes are here for payment claims — ready or not
By
Shelly Mesure, MS, OTR/L
May 23, 2013
Effective July 1, the Centers for Medicare & Medicaid Services will begin rejecting claims received for Medicare Part B patients that do not include the new requirement of G-coding. That really means providers...