‘Honest’ placebos help without side-effects, expense
By
Eleanor Feldman Barbera, Ph.D.
Jan 19, 2016
Placebos could be a better friend than you realize in the universal quest to reduce the number of medications that elderly patients receive. Don’t believe me? Read on. (It won’t hurt.)
Making inroads with hospitals and hospice
Aug 12, 2015
Hospice programs and SNFs must immediately implement a strategy to develop and market a strong, strategic nursing home/hospice partnership with hospitals, ACOs, MCOs, etc.
GDRs, antipsychotics and PRNs, Oh My!
By
Randy Beckett
Jun 18, 2018
With off-label antipsychotic use dangerously high in U.S. nursing homes as reported by Human Rights Watch, a question undoubtedly on the tip of everyone’s tongue is “How do we fix this?”...
Asking for the medical record
By
Steven Littlehale
Jan 29, 2014
Millions of dollars have been paid by nursing homes who unsuccessfully defended themselves against incomplete or absent documentation. There are not as many legal guidelines regarding medical records maintenance...
Drug diversion, a series: How to deal with it
By
Norris Cunningham
Angela Rinehart
John Myers
Aug 23, 2021
In the first part of this series, we discussed drug diversion: what it is, how to prevent it and how to spot it. This column will focus on how to conduct drug diversion investigations. When drug...
Reducing learned helplessness in LTC
By
Eleanor Feldman Barbera, Ph.D.
Jul 11, 2013
John O’Connor’s recent post on the pain/depression cycle raised some interesting points about depression in long-term care. Reducing learned helplessness that is often seen in depression is...
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...
Waiver or not, here I come!
By
Steven Littlehale
Mar 28, 2020
The immediate relief I felt when the Centers for Medicare & Medicaid Services issued a blanket waiver 1135 on March 13 was soon replaced with confusion and anxiety.
Reviewing the top 10 errors in rehab documentation
By
Shelly Mesure, MS, OTR/L
Apr 23, 2013
As a long-term care therapy consultant, I work on a lot of claim reviews and denials management with my clients. I’ve also read a lot of peer-review research articles related to this subject, and...
How to make your nursing facility RAC-ready
By
Bryan Baird
Nov 08, 2011
As skilled nursing facilities adjust to the changes to Medicare that arrived early last month, they must be ready for Recovery Audit Contractors. RACs are independent auditors for the government that are...