The expedited review process was developed so a resident could quickly appeal the process if he or she disagreed when a facility decided that a resident is no longer covered under skilled services.
Extra audits clog and freeze Medicare appeals process
By
James M. Berklan
Mar 01, 2014
Providers who want to have an administrative law judge consider a Medicare claim appeal can save their breath and memos for now.
Senate calls for greater scrutiny of quality organizations
By
Haymarket Media
Dec 13, 2005
The Senate Finance Committee is calling for an expanded probe of Quality Improvement Organizations (QIOs), which Medicare pays about $300 million a year to investigate complaints and improve nursing home...
Just the ticket: From data to design, laundry services are undergoing significant changes
By
Meg LaPorte
Mar 08, 2018
Laundry may not be the sexiest of topics in long-term care, but it is nonetheless an important — albeit sometimes overlooked — element when it comes to design, safety, and infection control efforts.
CMS asks for quality measure testing feedback
By
Elizabeth Newman
Jan 04, 2016
Healthcare providers are being asked to weigh in on the way the Centers for Medicare & Medicaid Services evaluates certification and testing of electronic health records products used to report quality...
Florida’s top LTC ombudsman placed under ‘virtual house arrest,’ state investigates...
By
Tim Mullaney
Aug 01, 2013
The leader of Florida’s long-term care ombudsman program is under investigation and has been placed on administrative leave under strict conditions, according to local reports. Harold J. Crochet...
TODAY’S THE DAY: McKnight’s Online Expo kicks off with session on MDS 3.0 as lawmakers reintroduce...
By
McKnight's Staff
Mar 20, 2013
Representatives Sam Graves (R-MO) and Adam Schiff (D-CA) recently reintroduced a bill to ease audit burdens on long-term care providers. Initially put forward in Oct. 2012, the Medicare Audit Improvement...
Omnicare unveils prescribing app for controlled substances
By
John O'Connor
Mar 01, 2012
Omnicare recently announced the launch of a new application for controlled substances. Prescribers — including physicians, nurse practitioners and physician assistants — can electronically transmit...
Ask the payment expert about … probe and educate reviews
By
Patricia Boyer
Jan 08, 2018
Are the probe and educate reviews occurring only in home health agencies or in skilled nursing facilities as well?
Growth in nursing care expenditures to rise along with national healthcare spending patterns, analysis...
Sep 18, 2013
National health expenditures on nursing care facilities and continuing care retirement communities are expected to increase by nearly 70% in the next nine years, according to a Health Affairs analysis...