After record penalties, providers can protect themselves from the DOJ with 3 priorities, experts say
By
Joe Bush
Nov 28, 2022
The Department of Justice is on pace to hand out a record $5.6 billion-plus in total fines and penalties under the False Claims Act this year, a clear indicator that the agency has removed the kid gloves...
Arbitration battles loom after Supreme Court inaction, tough new guidance
By
Kimberly Marselas
Oct 05, 2022
The US Supreme Court this week refused to hear arguments that nursing homes should be able to require pre-dispute arbitration agreements, clearing the way for enforcement of stiff new arbitration rules...
Provider sues agency for routine overbilling, unscrupulous practices that led to $5M bill
By
Kimberly Marselas
Mar 21, 2024
A multi-facility skilled nursing operator has filed a lawsuit against the staffing platform Nursa, alleging the app-based agency routinely overbilled for staff that failed to show up for shifts and refused...
Profile: Benjamin A. Breier
By
Elizabeth Newman
Jan 06, 2017
Benjamin A. Breier may be at the helm of one of long-term care’s industry giants as the president and CEO of Kindred Healthcare. But in one big way, he’s similar to many of his employees. Work-life...
MDS draft sends sector, states scrambling to assess effects
By
Joe Bush
Sep 07, 2022
Long-term care facilities, staff and half the states in the US should start preparing immediately for extensive changes to the Minimum Data Set, resident assessment experts said this week.
Price-gouging, poaching and thin patience: LTC providers seek fixes for anti-competitive staffing agencies
By
Kimberly Marselas
James M. Berklan
Oct 15, 2021
As the bidding war over frontline workers escalates, provider organizations across the country are seeking government intervention to force temporary staffing agencies to play by similar rules as nursing...
State News for April 2018
Apr 08, 2018
LOUISIANA 16,500 could be forced out of SNFs in funding fight About 60,000 elderly or disabled Medicaid recipients in Louisiana are being told they should expect to lose their benefits in July, and advocates...
Officials: More additions and rebasings of nursing home ratings to come
By
James M. Berklan
Feb 23, 2015
Nearly one-third of the nation’s skilled nursing facilities lost a rating star due purely to administrative changes Friday, when regulators also emphasized that more quality measures will be added...
Avoid payment denial
Nov 01, 2009
Medicare payment to skilled nursing facilities is a vital part of many facilities’ fiscal stability. But now post-payment reviews are putting that resource at risk
CMS official to providers: Help us capture data to drive Medicare Advantage reforms
By
James M. Berklan
Mar 07, 2024
The increased use of health data and providers’ own voices should be considered among the best tools available for achieving change in a system that increasingly relies on Medicaid Advantage and other...