As Medicare Advantage grows, experts say, so do hard-to-fight denials
By
Kimberly Marselas
May 19, 2022
In addition to sagging Medicare Advantage payment rates, some skilled nursing providers also find themselves routinely doing battle to get paid for services they’ve already delivered.
Clinics offering ‘miraculous’ treatment for diabetic foot ulcers hit with federal fraud charges
By
Kimberly Marselas
Apr 10, 2018
A federal grand jury has indicted the lawyer behind a ‘miraculous’ diabetes treatment widely panned as sham medicine.
Lawsuit claims nursing home managers scammed resident, sold her house, gave her only $2k for it
By
Kimberly Marselas
Apr 02, 2018
An Illinois woman is suing a nursing home and two former employees for allegedly selling her house against her wishes — then paying her only $2,000 for it.
Report: CMS hospital star ratings wrong for two years
By
Kimberly Marselas
Jun 18, 2018
The Centers for Medicare & Medicaid Services has miscalculated hospital star ratings for two years, according to a startling report published by Modern Healthcare Friday.
Some veterans who want aid-in-dying will have to move first
By
Kimberly Marselas
Feb 14, 2018
Though terminally ill California residents can legally take lethal drugs to end their lives, the state’s Veterans Homes have announced they will move any residents who want to try.
Clinical briefs for Monday, Nov. 2
Nov 01, 2020
State stockpiling orders hurting nursing homes on PPE quest … Aspirin use best for those with high coronary calcium, low risk of bleeding … Myocarditis linked to COVID-19 not as common as believed:...
GOJO revises marketing after FDA notice
By
Kimberly Marselas
Feb 04, 2020
GOJO Industries said it has responded to a warning from the U.S. Food and Drug Administration’s that the company needs to stop making claims that its Purell hand sanitizers help eliminate viruses such...
Questions about PDPM, therapy and coding still stirring 3 months out
By
Kimberly Marselas
Jun 30, 2019
With exactly three months until the launch of a groundbreaking new payment methodology, many in the long-term care industry are still looking for answers to key questions about coding and therapy services...
Esformes receives $44M penalty to go with jail time
By
Kimberly Marselas
Jan 05, 2020
After three years, the case of former long-term care mogul Philip Esformes has ended with a financial penalty that matches the personal level of enrichment gained in a massive fraud scheme.
Powerful House subcommittee opens arms to nursing home providers’ suggestions for cutting ‘administrative...
By
Kimberly Marselas
May 24, 2018
Long-term care professionals took full advantage of an invitation to tell House leaders Tuesday how they could cut Medicare red tape and improve resident care.