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.
The G-codes are here for payment claims — ready or not
By
Shelly Mesure, MS, OTR/L
May 23, 2013
Effective July 1, the Centers for Medicare & Medicaid Services will begin rejecting claims received for Medicare Part B patients that do not include the new requirement of G-coding. That really means providers...
Do you know your P’s and Q’s of QAPI?
By
Shelly Mesure, MS, OTR/L
Feb 21, 2013
The Quality Assurance and Performance Improvement system from CMS is on our doorsteps. As facilities have been training and educating themselves, the new QIS (Quality Indicator Surveys) are ready to roll....
Selling fear: Are you buying?
By
Steven Littlehale
Oct 17, 2016
Fearmongering has certainly played a major role in the 2016 presidential race, but you might not realize it’s also become more and more common in our own industry as well.
Old wine, new bottles: Increased scrutiny for antipsychotic drug use
By
Alan C. Horowitz, Esq., RN
Feb 22, 2013
The landmark legislation known as “OBRA ’87” (the Omnibus Budget Reconciliation Act of 1987) significantly limited the inappropriate use of antipsychotic drug use in long-term care facilities....
CMS posts alleged deficiencies on Nursing Home Care Compare
By
Alan C. Horowitz, Esq., RN
Jan 25, 2023
The Centers for Medicare & Medicaid Services conveys its policies (and directives) through its Quality, Safety & Oversight (QSO) memos. On Jan. 18, 2023, CMS announced that beginning on Jan. 25, 2023,...
Ready Set: QAPI!
By
Steven Littlehale
Nov 05, 2012
Nursing facilities must submit written QAPI plans to CMS one year after promulgation of the regulation. This regulation will be in addition to current QAA standards.
A tisket, a tasket … No LPNs in the RN basket
By
Steven Littlehale
Jul 20, 2015
Reporting direct care hours is nothing new, but the Affordable Care Act takes it to the next level with mandatory quarterly electronic submission of staffing and census data. This focus on staffing ratios...
The Universal Foundation: What therapy teams should know
By
Renee Kinder
Apr 25, 2024
The recently published “Quality in Motion: Acting on the CMS National Quality Strategy April 2024” highlights further evolution of the 2022 Centers for Medicare & Medicaid Services (CMS) National Quality...
Getting ready for the unthinkable
By
Richard Cheng
Mar 12, 2014
Natural disasters and catastrophic events by definition arise unpredictably and consequently do not remain even in the back of people’s minds on a consistent basis.