Ask the payment expert … about appealing Medicare repayments
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
Nov 07, 2023
Q: My facility is going through a Medicare UPIC review and received several denials followed by a demand letter requiring repayment. What are options for appealing and paying?
AI-shortened nursing home stays drive potential class action suit against insurer
By
Kimberly Marselas
Nov 16, 2023
The nation’s largest insurer is illegally using programs driven by artificial intelligence to override the decisions of medical professionals and wrongfully force seniors from nursing homes, a potential...
Sick staff at work costs more than expected: study
By
John Hall
Aug 25, 2022
A new study reveals how a single sick caregiver can easily infect residents and co-workers in a long-term care setting and drive up treatment costs by thousands of dollars.
Let’s talk about hand hygiene
By
Buffy Lloyd-Krejci, DrPH, CIC
Sep 27, 2022
Infection prevention begins with fundamentals, and there is nothing more fundamental than hand hygiene. However, there is a lot of confusion in the industry regarding the placement of alcohol-based hand...
60 Seconds with … Barbara Resnick, PhD, RN
By
Kimberly Marselas
Mar 05, 2024
Q: Why have you focused on studying pain among nursing home patients with dementia? A: We don’t do a good job of assessing, diagnosing the underlying cause of the pain and then managing it. We don’t,...
NHI’s skilled nursing ‘resilience’ bolstered by Ensign, National HealthCare
By
Kimberly Marselas
Aug 10, 2022
The performance of key skilled nursing operators National HealthCare Corporation and Ensign Group buoyed National Health Investors’ second-quarter stats, even as the real estate investment trust continued...
One sick worker linked to 17 infections and $12K in treatment costs, LTC study finds
By
John Hall
Aug 26, 2022
A new study reveals how a single sick caregiver can easily infect residents and co-workers in a long-term care setting and drive up treatment costs by thousands of dollars.
Push or pause staff mandate?
By
James M. Berklan
Apr 12, 2024
Lawmakers continued to spar over officials’ plans to finalize a first-ever nursing home staffing mandate as hearings poked through every layer of President Biden’s latest budget proposal.
HHS sets national plan to ‘end cancer as we know it’
By
Alicia Lasek
Apr 04, 2023
A new framework sets goals for early detection and prevention; development of effective treatments; eliminating cancer-care related inequalities; and supporting optimal care delivery.
CMS names 10 drugs slated for Medicare price negotiation
By
John Roszkowski
Aug 30, 2023
The Biden administration announced Tuesday the first 10 prescription drugs that would be selected for negotiation under the Medicare Drug Price Negotiation Program designed to lower the costs of prescription...