‘Audits are back,’ and COVID-19 care is in the hot seat
By
Kimberly Marselas
Apr 21, 2021
Flexibilities granted to providers during the ongoing public health emergency are likely to result in increased medical reviews and automated denials, a therapy billing specialist is warning.
Refocus on capturing PDPM drivers to improve care, quality and reimbursement
By
Jim Shearon
Sheryl Rosenfield
Apr 13, 2021
With the prioritization of COVID-19 vaccinations in nursing facilities since late December, facilities nationwide have seen a significant decline in both new cases and deaths among resident populations....
A new kind of COVID-19-fueled drama unfolding right before our eyes
By
James M. Berklan
Mar 05, 2021
When providers get back to operating more the way they want to, will stakeholders be amused or will they feel like they’re watching an unfolding tragedy?
Strategic issues for PDPM on Oct. 14
By
James M. Berklan
Oct 02, 2020
A must-attend webinar on the Patient Drive Payment Model will present an executive review of the key data and compliance issues. The CE-available session starts at 1 p.m. ET Oct. 14 and features well-known...
Keeping workers will be biggest struggle for nursing homes as pandemic persists, national policy expert...
By
Danielle Brown
Sep 30, 2020
Workforce challenges that have plagued long-term care operators during the coronavirus pandemic will get worse as the crisis further progresses this year, one of the nation’s top health policy analysts...
To survive under PDPM, smart operators must integrate themselves into hospital networks, invest in tech,...
By
Marty Stempniak
Mar 28, 2019
A banking expert is predicting that the skilled nursing industry’s new payment model is going to create a world of “haves” and “have-nots.”
New analysis helps providers prep for PDPM, highlights 3 key attributes of nursing homes that excel in...
By
Marty Stempniak
Mar 06, 2019
Many skilled nursing operators are not prepared for the industry’s upcoming payment model switch, but a new analysis shares some key tips to close that knowledge gap.
Data expert strips down PDPM myths, truths
By
James M. Berklan
Feb 25, 2019
Long-term care professionals have been diligently cramming to prepare for a new skilled nursing reimbursement system in October, but a data expert had a sobering observation for presentation attendees...
Cut into some apple pie instead of your MDS staffing budget
By
Steven Littlehale
Nov 05, 2018
It was about an hour after the release of the Center for Medicare & Medicaid Services’ proposed rule for FY19, which contained the big Patient-Driven Payment Model reveal, that a wave of bold and somewhat...
Cutting red tape, except for skilled care operators?
By
John O'Connor
Oct 29, 2018
Despite recent government officials’ pronouncements, it seems everyone has less red tape to deal with — except, apparently, skilled care operators.