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...
End-of-Life option laws should avoid needless red tape
By
Kim Callinan
Jan 01, 2019
Medical aid in dying is the most regulated end-of-life care option — far more regulated than other end-of-life care options — which have far greater risk for abuse or coercion, such as palliative...
Clinical briefs for Thursday, Nov. 18
By
Alicia Lasek
Nov 18, 2021
OSHA suspends implementation of COVID-19 vaccine mandate for businesses … Feds expected to OK Pfizer’s COVID vaccine boosters for all adults; Moderna requests the same for its shot … 12 more...
Where’s the beef? At the end of another one of this facility’s motivational gems
By
Josh Henreckson
May 01, 2024
When Freeda first became a resident of the Good Samaritan Society – Davenport in Davenport, IA, she wasn’t sure she would ever walk again. In fact, in hindsight she jokingly described herself as being...
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.
Clinical briefs for Wednesday, March 15
By
Alicia Lasek
Mar 15, 2023
Bill would require senior living communities to recognize essential caregivers … Home oxygen groups request continued flexibilities at PHE’s end … Medicare enrollment has surged among kidney failure...
As demand increases for granny cams, what should LTC facilities do?
By
Nancy Reynolds
Dec 20, 2017
The post-Hurricane Irma disaster at a Florida nursing home, where multiple residents died from heat-related problems when the electricity went out, prompted a last-minute legislative add-on — allowing...
A sensible approach to clearing the Medicare appeals backlog
By
Elizabeth Newman
Jan 20, 2017
While hospitals and long-term care providers often disagree, providers are united on the thorny topic of backlogs for Medicare appeals.