Two federal courts recently issued nearly identical rulings declaring the Medicare cap on hospice reimbursements to be invalid. They continue an unbroken series of rejections of the Department of Health...
It’s not all bad news coming from MedPAC
By
James M. Berklan
Mar 19, 2014
A funny thing happened on the way to a semi-annual eye-rolling over a MedPAC report. It gave me reason to sit up with interest. Even more unlikely, it contained information that made some long-term care...
What administrators need to know about therapy metrics
By
Stacy Darling, MBA, MPT, AT, RAC-CT
Aug 08, 2014
Administrators have multiple departments to oversee, so it is important that they have a method to determine if their therapy department is running efficiently, meeting its goals and adding to the strategic...
RAC reviews and the long-term care provider
By
David Centafont
Feb 10, 2012
Recently, claims for hospital patients discharged to skilled nursing homes have come under increased review, particularly by various recovery audit contractors. If you know some background and better understand...
Accuracy with ADL coding
By
Mary Beth Newell
Sep 27, 2012
If there’s one overwhelming challenge in a long-term care setting, it’s how to code the Activities of Daily Living (ADLs).
Long-term care expert touts optimism, advice for 2023 after tough year
By
Joe Bush
Nov 17, 2022
Staffing, reimbursement and regulatory pressures may have given providers a black eye in 2022, but leaders well-versed in regulatory expectations will be ready to rise to new challenges in 2023.
Industry may ‘never be the same’ without increases in Medicaid reimbursement, advisors warn
By
Danielle Brown
Feb 19, 2021
Increased state Medicaid reimbursement is necessary if providers ever hope to improve their financial and operational outlooks, a new analysis by advisory firm Marcum LLP suggests.
With managed care poised to ‘explode,’ operators try to grasp control with alternatives
By
Kimberly Marselas
Jan 07, 2022
Providers struggling with everyday expenses and reimbursement rates that have largely failed to keep up with the costs of care plan to pursue a broad range of new revenue streams this year. That’s according...
PointRight launches aid for on-the-go providers
Apr 03, 2013
PointRight recently announced the combined launch of its new iPad app. The new tool gives mobile access to all of the firm’s analytics services and reports.
$2K daily fines poised to begin ‘within days’ as NY staffing rule upheld
By
Josh Henreckson
Jan 16, 2024
Long-term care providers took a legal blow when a New York state Supreme Court judge struck down a legal challenge to the state’s staffing mandate law, and now providers could be days away from incurring...