Authorities using data to file False Claims charges, take whistleblowers out of equation
By
Apr 18, 2016
Some states are turning to data mining, a method of finding patterns in large amounts of data, to prevent whistleblowers from swaying False Claims Act cases, one expert shared last week.
CMS should publicly push Congress to reform therapy payment system, long-term care provider association...
By
Tim Mullaney
Sep 09, 2014
The Centers for Medicare & Medicaid Services should openly urge Congress to change the way therapy services are reimbursed, the nation’s largest long-term care provider association stated in recent...
Gone fishin’ in a Utah parking lot
By
Kimberly Marselas
Jun 06, 2018
John Gibson had never been fishing, and at his age, getting to a river or out on the boat wouldn’t be an easy outing.
HCR ‘vindicated’ as Justice drops whistleblower lawsuit
By
James M. Berklan
Dec 06, 2017
After a string of settlements and defeats in False Claims Act lawsuits filed against various long-term care providers, one of the biggest found reason to celebrate.
Ask the Nursing Expert about … staff competencies
By
Judi Kulus, MSN, MAT, RN, NHA, RAC-MT, DNS-CT
Nov 06, 2017
Is it true that during new survey process, surveyors will ask staff nurses and nursing assistants about their competencies, with questions such as, “Do you receive periodic evaluations on your skills,...
North American Health Care to pay $28.5 million in false claims settlement
By
Sep 20, 2016
North American Health Care Inc. has agreed to pay $28.5 million to settle allegations that it submitted claims for medically unnecessary rehabilitation services, the Department of Justice announced Monday.
Federal judge dismisses nursing home ‘kickback’ case; upholds large X-ray company’s...
By
Tim Mullaney
Sep 02, 2014
The way mobile x-ray company Mobilex bills nursing homes is acceptable, a federal judge recently determined. Mobilex is the nation’s largest provider of mobile diagnostic services. It had been facing...
OIG report seeks increased safeguards in the EHR arena
By
John O'Connor
Jan 02, 2013
The move to electronic health records recently had a red flag thrown in front of it by a report from the Office of Inspector General of the Department of Health and Human Services.
Ask the treatment expert: Are allergies to wound care products common?
By
Susan Wickard
Aug 01, 2012
Years ago, this question wouldn’t have even made our radar screen. However, now it seems a standard consideration since allergies have become increasingly prevalent.
Ask the treatment expert: Could a patient’s recurring wound be osteomyelitis?
By
Donna Sardina
Jan 01, 2010
Donna Sardina, RN, MHA, WCC, President, Wound Care Education Institute