Capturing acuity: How MDS accuracy has a critical impact on Medicare/Medicaid payment systems
By
Steven Littlehale
Apr 20, 2012
There’s a familiar saying in the industry that “If it’s not documented, then it’s not done.” But what if it is documented, but just not documented correctly?
Medicare Advantage: A not-so-advantageous deal for beneficiaries and providers
By
Brendan Williams
Nov 29, 2023
Open enrollment is well underway for Medicare, as television viewers inundated with cheesy insurance company ads can tell. Those ads must work. For the first time 2024 will see most Medicare...
Congress should require more Medicare claim auditing — before and after payment
By
Kristin Walter
Mar 16, 2018
There is a much more efficient solution to reducing Medicare spending than the proposed broad cuts to the program budget: Reduce the billions of dollars in incorrect payments each year.
On the road to rationed healthcare
By
C.E. Nash
Apr 14, 2011
The Obama administration has determined that we will be able to supply healthcare to several million additional people without increasing the cost of doing so, and with no plan in place to increase the...
Achoo! Springtime is PEPPER season
By
Renee Kinder
Apr 27, 2023
The sound of spring is in the air and irritants abound. The sniffling, sneezing and coughing is always a telltale sign of a change in seasons. April also brings to us the release of the Program for...
A new idea for hospice in long-term care
By
Larry Beresford
Jun 29, 2010
The latest research raises the question of whether nursing homes should take charge of hospice care and not rely on outside contractors.
The growing cost of compliance in long-term care
By
Michael K. Loucks
Nov 09, 2010
The Patient Protection and Affordable Care Act will expand compliance-related regulations for skilled nursing facilities.