Baseline proficiency for success with managed care payers
By
Susie Mix
Mar 11, 2024
Setting up a building with proficiencies in working with managed care payers is a key to success at this midpoint of the 2020s. Fifty-one percent of Medicare-eligible Americans are covered by Medicare...
Yo, I’ll tell you what I want, what I really, really want
By
Steven Littlehale
Oct 14, 2022
It’s a curious day when I lift a lyric from the Spice Girls to title an article. The Spice Girls’ first single, “Wannabe,” was released in 1996 and rocketed to the top of the British singles chart....
Froyo funding for long-term care
By
Gary Tetz
Sep 11, 2014
I have been blessed with an astute business mind, and am always on the lookout for new pricing models for long-term care. I know we’re in this profession for love, not money. But no margin, no mission,...
Is the doctor in? Improve nursing homes with one easy stroke
By
Kenneth Lehmann
Apr 14, 2021
Many nursing home COVID-19 patients would have benefitted from daily, reimbursed-for physician visits in their skilled nursing facilities, but they were not entitled to them. With an epic crisis...
Medical necessity — slippery for some
By
Shelly Mesure, MS, OTR/L
Dec 02, 2011
Medical necessity has become a common phrase in healthcare terminology, but what exactly does it mean? Unfortunately, this term has become very subjective and is the primary reason we have been denied...
Skilled nursing care’s cloudy Medicare future
By
Brendan Williams
Aug 18, 2023
A net gain of $1.4 billion for a sector comprised of over 15,000 nursing homes somewhat pales in comparison to a looming CMS staffing mandate estimated to cost nursing homes $11.3 billion a year.
The Hiker’s Guide to the Long-term Care Galaxy
By
Gary Tetz
Jul 27, 2017
Much of what I know about success (or failure) in life, love and long-term care has been reinforced by lessons learned over years of hiking. As a result, I now take it as a point of professional pride...
NY Tough campaign can’t disguise nursing home cuts that worsened COVID-19 struggles
By
Brendan Williams
Mar 10, 2021
No long-term care advocate is surprised by what was hiding behind Gov. Andrew Cuomo’s mask of self-congratulatory competence. Indeed, his reckless disregard for the lives of nursing home residents in...
Spring cleaning 2021: Will your rehab team pass the white-glove review?
By
Renee Kinder
Apr 22, 2021
Spring is in the air. Time to open the doors, let some fresh air in, and clean above, under and between every surface in our homes. Spring is a season that allows my obsessive cleaning habits to become...