Ask the legal expert: How can we make sure certain staff aren’t getting overzealous in a quest...
By
John Durso
Oct 18, 2019
We have been accused of admitting residents who do not really need skilled care. As a non-clinician in charge of making sure we are not defrauding the government, how can I/we make sure certain staff are...
Ask the legal expert… about the benefits of compliance programs
By
Norris Cunningham
Dec 07, 2023
Many in long-term care view compliance programs with skepticism. The Affordable Care Act requires that organizations have written compliance programs, including ethical standards, policies and procedures...
Ask the payment expert … about appealing Medicare repayments
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
Nov 07, 2023
Q: My facility is going through a Medicare UPIC review and received several denials followed by a demand letter requiring repayment. What are options for appealing and paying?
Ask the nursing expert: Will CMS continue to conduct focused infection control surveys in 2021?
By
Amy Stewart
Dec 01, 2020
Will the Centers for Medicare & Medicaid Services continue to conduct Focus Infection Control Surveys in 2021? If so, what should we expect?
Ask the payment expert: Any ideas on how to improve Medicaid reimbursement?
By
Caryn Adams
Feb 02, 2020
I have received questions from multiple states on how to improve Medicaid reimbursement. Any ideas?
Ask the Treatment Expert
By
Jeri Lundgren
Sep 06, 2019
How do you prove a pressure injury is unavoidable? In 2010, the National Pressure Ulcer Advisory Panel (NPUAP) reached consensus that unavoidable pressure injuries may develop in residents who are: hemodynamically...
Ask the Nursing Expert: Getting ready to submit high-acuity residents under PDPM
By
Judi Kulus, MSN, MAT, RN, NHA, RAC-MT, DNS-CT
Mar 07, 2019
Under the Patient-Driven Payment Model, skilled nursing facilities are likely to treat higher acuity residents and surveyors’ attention to appropriate admissions and avoidable readmissions will intensify.
ProMedica’s debt swells
By
Marty Stempniak
Jun 06, 2019
Five months after ProMedica acquired HCR ManorCare, the Ohio hospital system’s debt has ballooned. ProMedica’s long-term debts have more than quadrupled since the deal, reaching $1.9 billion at the...
An Alzheimer’s cause found?
By
Alicia Lasek
Feb 01, 2022
Researchers might have discovered why some people with protein plaques and tangles in their brains do not develop Alzheimer’s disease.
Ask the care expert… about use and care of lifts
By
Sherrie Dornberger
Apr 12, 2024
How can we best use and clean slings for our facility’s lifts?