In the early days of hospitalist medicine, we described the period between hospital discharge and follow-up at the skilled nursing facility, long-term care acute care hospital or a primary care physician...
Getting proactive on hospital readmissions
By
Ben Adkins
Oct 21, 2011
Long-term care providers have plenty at stake when it comes to the issue of hospital readmissions, and working to reduce them. As debt ceiling talks and federal budget woes raise the specter of additional...
Medicare’s midlife crisis
By
John O'Connor
Aug 03, 2012
The Medicare program just marked its 47th anniversary. Whether that milestone is a cause for celebration or concern is open to debate.
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...
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...
A Medicare Advantage fix: What took so long?
By
James M. Berklan
Apr 12, 2024
Providers hoping that policy makers might some day show some backbone when dealing with Medicare Advantage plans can take heart. Well, at least a little.
Practical advice on reducing antipsychotics
By
Jerome Wilborn
May 08, 2015
Two CMS tags —F-Tag 329, which addresses unnecessarily using antipsychotic drugs, and F-Tag 309, which addresses taking steps to reduce antipsychotic drug use — are used by nursing home surveyors to...
Will there be a ‘real’ CMS administrator soon? It’s looking so
By
James M. Berklan
Apr 03, 2013
If you’re a gambling person, it looks like the odds just got a whole lot better for Marilyn Tavenner becoming the next administrator of the Centers for Medicare & Medicaid Services. That’s...
A good first step but more to do with MDS 3.0
By
Leah Klusch, RN, BSN, FACHCA
Mar 07, 2012
It was a long first day, but there was tremendous value and everyone who is here has learned what the Centers for Medicare & Medicaid Services’ positions are with the April updates and some of the...
Shining some light on the new Five Star system
By
Steven Littlehale
Sep 05, 2012
The Five Star overall score is comprised of three domains: Survey, Staffing and Quality Measures. This month, look a little deeper into the overall Five Star Scores.