Ready for a little late summer seasoning? (PEPPER to be exact!)
By
Steven Littlehale
Aug 30, 2013
The SNF PEPPER or “Program for Evaluating Payment Patterns Electronic Report” summarizes Medicare claims data to identify risk for abuse or improper payment. PEPPER compares a SNF’s claims...
A survey and regulatory review of 2013
By
Steven Littlehale
Feb 24, 2014
It’s important to do a review that considers your region and state. Identify how complaints and care deficiencies were handled last year.
A tisket, a tasket … No LPNs in the RN basket
By
Steven Littlehale
Jul 20, 2015
Reporting direct care hours is nothing new, but the Affordable Care Act takes it to the next level with mandatory quarterly electronic submission of staffing and census data. This focus on staffing ratios...
New models predict SNF hospital readmission rates
By
Steven Littlehale
Jan 21, 2015
If a skilled nursing facility were an overall Five Star performer, you would think that it would provide the best care and have the fewest rehospitalizations, right?
Asking for the medical record
By
Steven Littlehale
Jan 29, 2014
Millions of dollars have been paid by nursing homes who unsuccessfully defended themselves against incomplete or absent documentation. There are not as many legal guidelines regarding medical records maintenance...
The three “Rs” of nursing home care
By
Steven Littlehale
Aug 17, 2012
By utilizing benchmarks and data analytics preparation, time is reduced, priorities established and efforts measured. By knowing a facility’s prior survey deficiencies and having insight into the...
Cracking the code to seven years of Five-Star ratings success
By
Steven Littlehale
Sep 19, 2016
Since the inception of the Five-Star Quality Rating program in December 2008, there have been 113 Skilled Nursing Facilities (SNFs) that have earned and maintained an overall 5-star score. Who are these...
Agency staffing on the rise? Believe it — and plan for it
By
Steven Littlehale
Nov 21, 2016
The use of contract agency staff to fill nurse aide and licensed nurse vacancies is escalating. This increase is seen across many states, not to mention across the nation as a whole. Yes, we have a well-documented...
CMS sneaks a trick in with its treats
By
Steven Littlehale
Oct 21, 2015
With so many regulatory changes kicking in on Oct. 1, it’s no wonder providers were likely too distracted to notice the latest “trick” by the Centers for Medicare & Medicaid Services.
Does caring for specialty populations hurt your public profile?
By
Steven Littlehale
Jun 20, 2016
Many skilled nursing facilities are de facto specialty care centers with a disproportionately large number of certain types of residents. This scenario, unfortunately, can translate into a liability in...