I’d say the thing we write about most often in this line of work is payment issues. As a long-term care provider, you are eternally under pressure with whether there will be enough to pay for everything.
Medical necessity — slippery for some
By
Shelly Mesure, MS, OTR/L
Dec 02, 2011
Medical necessity has become a common phrase in healthcare terminology, but what exactly does it mean? Unfortunately, this term has become very subjective and is the primary reason we have been denied...
CMS let the cat out of the bag, but it’s managed care that’s ready to pounce
By
Kimberly Marselas
May 05, 2021
If you work with managed care (and who doesn’t anymore), chances are pretty good you’re already on a collision course that’s been accelerated lately
The Hiker’s Guide to the Long-term Care Galaxy
By
Gary Tetz
Jul 27, 2017
Much of what I know about success (or failure) in life, love and long-term care has been reinforced by lessons learned over years of hiking. As a result, I now take it as a point of professional pride...
Skilled nursing care’s cloudy Medicare future
By
Brendan Williams
Aug 18, 2023
A net gain of $1.4 billion for a sector comprised of over 15,000 nursing homes somewhat pales in comparison to a looming CMS staffing mandate estimated to cost nursing homes $11.3 billion a year.
NY Tough campaign can’t disguise nursing home cuts that worsened COVID-19 struggles
By
Brendan Williams
Mar 10, 2021
No long-term care advocate is surprised by what was hiding behind Gov. Andrew Cuomo’s mask of self-congratulatory competence. Indeed, his reckless disregard for the lives of nursing home residents in...
Spring cleaning 2021: Will your rehab team pass the white-glove review?
By
Renee Kinder
Apr 22, 2021
Spring is in the air. Time to open the doors, let some fresh air in, and clean above, under and between every surface in our homes. Spring is a season that allows my obsessive cleaning habits to become...