It’s too bad that 2010 should end with a damning report about Medicare overbilling. It’s not exactly the best way for nursing home providers to greet the new year.
Your Medicare future: Bigger pie, smaller slice
By
John O'Connor
Nov 12, 2018
I have seen the future of Medicare. Here’s what you can expect: Demand will grow the program; fiscal realities will shrink your share.
Not angry about the LTC Commission’s report? You should be
By
John O'Connor
Sep 20, 2013
It’s hard to comment on the Commission on Long-Term Care’s just-submitted report without getting hacked off. Really, really hacked off. To call it a fool’s errand would be to insult misdirected...
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.
What will it cost you to stay in the post-acute care game?
By
Steven Littlehale
Apr 22, 2015
More than just collecting data, providers need to use standardized, nationally recognized measures. Especially in this era of ACOs and alternative payment models. In the past, many individual providers...
The Jimmo scorecard and CMS compliance update
By
Steven Littlehale
Nov 25, 2014
In some ways, 2014 has been a monumental year. But it’s not over yet, especially with regard to Centers for Medicare & Medicaid Services steps regarding the historic Jimmo settlement agreement signed...
Capturing acuity: How MDS accuracy has a critical impact on Medicare/Medicaid payment systems
By
Steven Littlehale
Apr 20, 2012
There’s a familiar saying in the industry that “If it’s not documented, then it’s not done.” But what if it is documented, but just not documented correctly?
The growing cost of compliance in long-term care
By
Michael K. Loucks
Nov 09, 2010
The Patient Protection and Affordable Care Act will expand compliance-related regulations for skilled nursing facilities.
Medicare Advantage: A not-so-advantageous deal for beneficiaries and providers
By
Brendan Williams
Nov 29, 2023
Open enrollment is well underway for Medicare, as television viewers inundated with cheesy insurance company ads can tell. Those ads must work. For the first time 2024 will see most Medicare...
An insider’s guide to managed care contract exclusions
By
Susie Mix
Dec 18, 2023
There’s a key question more providers need to know the answer to: What is a contract exclusion? A contract exclusion details the medications and treatments that are not included in the levels of a managed...