OIG urges CMS to use claims to uncover abuse of Medicare patients
By
Kimberly Marselas
Nov 10, 2023
The Centers for Medicare & Medicaid Services has pledged to issue new guidance on resident abuse after a federal watchdog found the agency was failing to use claims data to spot potential cases of neglect...
CMS leader mum on staffing mandate, delivers ‘back to basics’ message
By
James M. Berklan
Nov 08, 2023
A CMS leader steered clear of staffing mandate talk but highlighted a nursing home workforce campaign, renewed survey priorities, discharge processes and much more Tuesday.
CMS proposal offers long-awaited fix for Medicare Advantage appeals
By
Kimberly Marselas
Nov 08, 2023
Skilled nursing providers would get a new, improved appeals process for Medicare Advantage denials under a proposal issued late Monday by the Centers for Medicare & Medicaid Services.
Minimum staff proposal will fail, provider groups warn CMS
By
Kimberly Marselas
Nov 06, 2023
Providers came out swinging with the comment period for the minimum staffing rule proposal coming to a close tonight.
No longer the CMS boss, Verma sounds more like provider friend than foe
By
James M. Berklan
Nov 03, 2023
Dwell on the past too much at your own peril, but providers could be forgiven if Seema Verma had them fondly looking back Wednesday.
Section D surprises! The season’s biggest change
By
Joel VanEaton
Oct 31, 2023
There has been a slogan that has circulated on social media recently that goes like this: “Fall is proof that change is beautiful.” Hmm… I suppose individual perspective is the key to whether that...
Study: It’s time to update hospital readmission risk assessment tools for SNFs
By
Kristen Fischer
Oct 26, 2023
A new study calls for updating the tools used to assess hospital readmission risk for skilled nursing facility (SNF) residents.
As values shift, it’s time to add something back to nursing
By
Kimberly Marselas
Oct 24, 2023
It seems like everything these days requires a value proposition to be appealing. What can we add to an experience or a product to make it better and one-up the competition?
Ask the legal expert … about generator audits
By
Norris Cunningham
Oct 10, 2023
I have been hearing about a Centers for Medicare & Medicaid Services plan to audit generators in nursing homes. What more can you tell me?
Care teams now at risk as MDS changes roll out
By
Kimberly Marselas
Sep 28, 2023
It’s been widely billed as the biggest change to the Minimum Data Set in more than a decade, and on Sunday, version 1.18.11 of the MDS 3.0 finally kicks in.