Medicare service providers cannot object to a Medicare Recovery Audit Contractor’s (RAC) decision to re-open a payment decision, a federal appeals court ruled Tuesday.
Ask the payment expert … about quality metrics
By
Patricia Boyer
Jun 05, 2015
A metric is a measurement of some sort of factor. For a quality metric, we are measuring quality in your facility. Companies measure performance against quality standards to determine whether they’re...
Funding issues hit the spotlight as nursing home advocates gear up for Aging Committee hearing
Mar 03, 2009
The Senate Special Committee on Aging will convene tomorrow to discuss the inclusion of improvements to long-term care as part of overarching national healthcare reform.
Salaries increase for DONs, administrators
By
James M. Berklan
Sep 01, 2007
Good nursing leaders are a hot commodity – at least if the most recently compiled salary findings are to be believed.
Medicare audits ‘ramping up’ with isolation coding in the crosshairs
By
Josh Henreckson
Apr 22, 2024
Auditors are paying special attention to isolation and quarantine coding amid already heightened Medicare nursing home audits that are expected to increase in coming months, experts warn.
States react to OIG nursing home deficiency report
Oct 03, 2008
After the release of a recent Department of Health and Human Services’ Office of Inspector General report on nursing home violations, states are coming out in defense of their records.
Bake sale-supported nursing home now pursues ‘fairer’ memory care swaps for survival
By
Josh Henreckson
Apr 05, 2024
A Rhode Island nursing home that had turned to a grassroots funding campaign that included a resident-run bake sale to avoid closure has announced a new plan to stabilize finances and remain open.
The top long-term care news stories of 2021
By
Danielle Brown
Dec 26, 2021
Here’s a rundown of the top stories that McKnight’s Long-Term Care News readers opened over the past 12 months.
BREAKING: CMS finalizes therapy pay cuts in 2022 Physician Pay Rule, and extends COVID reporting period
By
Danielle Brown
James M. Berklan
Nov 02, 2021
The Centers for Medicare & Medicaid Services finalized a 15% payment reduction for physical and occupational therapy assistants, and extended temporary telehealth services added to Medicare during the...
‘Audits are back,’ and COVID-19 care is in the hot seat
By
Kimberly Marselas
Apr 21, 2021
Flexibilities granted to providers during the ongoing public health emergency are likely to result in increased medical reviews and automated denials, a therapy billing specialist is warning.