With scope unknown, nursing homes brace for new schizophrenia audits
By
Kimberly Marselas
Feb 10, 2023
Three weeks after federal officials announced they would begin auditing nursing homes for overuse of schizophrenia diagnoses, providers are still looking for answers about what those investigations will...
Flurry of Medicare Advantage regulation likely to hit nursing home coffers
By
Kimberly Marselas
Feb 03, 2023
Federal efforts to rein in Medicare Advantage spending and recoup payments awarded for improper diagnoses will likely lead to even more financial pressure on nursing homes that serve plan beneficiaries,...
Also in the News for Tuesday, Jan. 31
By
Kimberly Marselas
Jan 31, 2023
CT social services officials delay decision on major nursing home Medicaid request … NY reconsiders essential caregiver bill … OSHA signals ‘increased aggressiveness’ in combating hazardous workplace...
Ask the payment expert … can we dispute a deficiency?
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
Jan 25, 2023
CMS imposed a CMP for a deficiency that we do not agree with. Is there any recourse?
CMS completes minimum staffing study; targeting ‘onerous’ MA authorizations
By
Kimberly Marselas
Jan 25, 2023
Two proposed rules should help patients improve their Medicare Advantage plan selections while standardizing expectations for skilled nursing and other healthcare providers, federal officials reiterated...
Under strike threat, nursing homes still awaiting $67 million in promised staffing grants
By
Jessica R. Towhey
Jan 25, 2023
A December deadline to begin distributing $67 million from the state of Michigan to nursing homes came and went with zero dollars going to providers.
Also in the News for Wednesday, Jan. 25
By
Kimberly Marselas
Jan 25, 2023
States sue HHS over WHO public health emergency influence … The Nathaniel Witherell gets $900,000 personal bequest, one of the town-owned nursing home’s largest ever … Fire suppression system contains...
FDA denies request for expedited approval of Alzheimer’s drug
By
John Roszkowski
Jan 23, 2023
The Food and Drug Administration late last week denied Ely Lilly’s request for expedited approval of the Alzheimer’s drug donanemab, citing the need for more clinical trials to test the safety and...
CMS to begin audits for schizophrenia coding, says citations will affect quality ratings
By
Alicia Lasek
Jan 19, 2023
The agency will start auditing nursing homes this month to determine whether residents’ schizophrenia diagnoses are accurate and appropriately coded. A pattern of inaccurate coding may result in a quality...
Rein it in. Deputy Lanclos is on patrol at this Louisiana nursing home
By
Foster Stubbs
Jan 18, 2023
Christopher Lanclos has faced his fair share of trials and tribulations from the day he was born. Now resident of Hammond Nursing Home, Lanclos wasn’t supposed to live past a few weeks after an accident...