Why are more RAC audits happening? There are trillions of reasons
By
John O'Connor
Sep 10, 2012
Recovery audit contractors are stepping up their efforts to review Medicare billings. This appears to be a classic case of auditors gone wild.
For providers, the time has come to predict, prepare and partner up for the the next big threat
By
Kimberly Marselas
Apr 10, 2024
BALTIMORE — One of the newest nursing home division staff members at the Centers for Medicare & Medicaid Services offered up her best Notradamus impression for providers here Wednesday. No, Lenise Cummings-Vaughn,...
Retaliation, recovery and ‘quasi’ justice featured in nursing home operator’s book
By
Brook Chambery
Apr 16, 2021
Many long-time McKnight’s readers will remember Beechwood Restorative Care Center and its $25 million victory against the state of New York. The settlement ended a 13-year war and one of the most egregious...
This season, the gifts will just keep on comin’
By
Kimberly Marselas
Nov 17, 2021
There’s no more dreading what’s in the box, no fear that you’re getting some dud gift dressed up in the fanciest of double-sided wrapping paper.
Five-Star insights: Will those stars ever illuminate your path?
By
Steven Littlehale
May 16, 2012
I recently asked a hospital discharge planner how she chooses which nursing home to discharge to. “Five-Star” was the reply. Was I surprised? Not at all. Once again, it demonstrates just how...
NYT: You are as much of the problem as the Five-Star system
By
Steven Littlehale
Apr 02, 2021
A recent New York Times article about nursing homes is shameful, lazy journalism. Coupled with the need to sell advertising space, it purposefully perpetuates misunderstandings about nursing homes, caregivers...
F-Tag 322 (Feeding Tubes): Are our systems in order?
By
Susan LaGrange
Apr 04, 2013
CMS recently made changes to surveyor guidance on feeding tubes. Nursing homes must look at their policies, documentation and education practices in order to assess whether a feeding tube is appropriate.
Keep your head up: Your pay rule comments are due by June 10!
By
Neville M. Bilimoria
Apr 25, 2022
Perhaps the proposed rule will allow providers to tell their story to CMS, and this time make the agency’s key personnel understand that a reimbursement cut right now is unreasonable.
It’s time to be a team player and place public safety first
By
Neville M. Bilimoria
Jun 18, 2021
Recent legislative activity in Ohio just highlights the public’s and the government’s fickle view of long-term care in our country.
New arbitration rule doesn’t have much of a silver lining
By
John O'Connor
Oct 03, 2016
Any way you slice it, last week was a rough one for long-term care operators.