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...
Defeat the plague of improper claims
By
Kristin Walter
Apr 17, 2015
For recovery auditing professionals everywhere, performance-based payments are a financial best practice and the industry standard. The client wins when no upfront expenses occur and payments are made...
Three questions to boost nursing home audit readiness
By
Brian Evans
Sep 20, 2023
Nursing home and long-term care operators have already faced a number of key shifts since the beginning of 2023. Consider a recent example from the Centers for Medicare & Medicaid Services: an update on...
Cracking new PT and OT evaluation codes
By
Renee Kinder
Nov 17, 2016
January 1 will put new evaluation codes for physical and occupational therapy into effect and we all better be paying close attention.
Care plans and discharge planning: Steps for success!
By
Lisa Thomson
May 29, 2013
Let’s take a look at the facility policies and procedures to determine that they include how the facility will ensure that the care plans are developed using resident individualized assessment information,...
What is your vision for PACE expansion and innovation?
By
Jade Gong
Jan 30, 2017
In the final days of the Obama administration, the Center for Medicare & Medicaid Services provided a parting gift to the PACE community by issuing a Request for Information seeking stakeholder input on...
Answers to lingering questions about PBJ
By
Karolee Alexander, RN, RAC-CT
Jul 08, 2016
Even though the Payroll-Based Journal kick-off was last Friday, it’s understandable that questions still cloud this new process. It behooves providers to get up to speed and become better informed...
How do we know if we know what we don’t know?
By
Steven Levenson
Sep 08, 2023
The amount of knowledge and skill involved in complying with the OBRA regulations is monumental. Every topic, from pressure injury prevention to behavior management, has many tec hnical details and clinical...
Oh where, oh where have the annual surveys gone?
By
Jessica Curtis
Jul 16, 2021
During the height of the pandemic, annual surveys of skilled nursing facilities understandably skidded to a stop. Flash forward to August 2020, when the Centers for Medicare & Medicaid Services directed...
The end of fee for service
By
Mark Fish
Sep 12, 2014
The seeds that have flowered into the burgeoning of ACOs – groups of providers accepting the responsibility, and risk, for caring for the health of a designated patient population according to defined...