Nursing care documentation has been influential but hasn’t driven payment to the degree it will October 1.
Data expert lays bare PDPM myths, truths, observations
By
James M. Berklan
Apr 04, 2019
The Patient-Driven Payment Model is the biggest overhaul of nursing home reimbursement in at least a generation, but it is only a temporary fix, cautioned an expert at the recent National Investment Center...
Ask the legal expert: Are we liable for any penalties or wrongdoing after some resident images appeared...
By
John Durso
Dec 05, 2019
We had a community event, a July 4 ice cream social, on our grounds and the public was invited. A newspaper came and photographed a bunch of stuff, including some residents. Good public relations, right?...
Ask the nursing expert: How does a significant change in status assessment impact Medicare Part A payment...
By
Amy Stewart
Oct 17, 2019
How does an OBRA significant change in status assessment impact Medicare Part A payment under the Patient-Driven Payment Model? In the past, a significant change in status assessment (SCSA) could impact...
Verma: Some alternative pay models should be mandated
By
James M. Berklan
Jun 06, 2019
Making new Medicare payment models mandatory is crucial to avoid “selection effects,” where only providers who benefit financially from a model participate, reducing potential savings, said Medicare...
Ask the care expert: Can you help me with terminology and assessments?
By
Sherrie Dornberger
Jun 02, 2021
I am a fairly new nurse, and in school we were taught to call openings in the residents’ skin “pressure ulcers” and stage them accordingly. But other nurses are correcting me. They say there are...
COVID-19 litigation against nursing homes is likely to remain an ongoing threat. That is why facilities need to continue to remain vigilant in adhering to the latest guidance and regulations, advised the...
Managed care pouncing on promise of lower rates
By
Kimberly Marselas
Jun 01, 2021
You’ve surely already heard your organization should brace for an adjustment that brings the Patient Driven Payment Model back to budget-neutral status.
Sabra execs: Operators not seeing PDPM disturbance
By
Danielle Brown
Apr 01, 2020
The Patient Driven Patient Model had not caused much disruption among Sabra Health Care REIT’s skilled nursing operators as of press time, according to CEO and Chairman Rick Matros.
SNFs, therapists to pay $9.7 million due to billing dispute
By
Amy Novotney
Jul 17, 2019
Four skilled nursing facilities and a physical therapy center in the Chicago area have agreed to pay $9.7 million to resolve allegations of False Claims Act violations. Quality Therapy & Consultation worked...