Healthcare fraud rampant, but OIG refines its focus on nursing homes
By
Neville M. Bilimoria
Feb 19, 2024
For 2024, healthcare fraud has already been rampant, according to the U.S. Department of Health and Human Services Office of Inspector General. But on Jan. 19, the OIG took a specific stance with...
CMS is doing something right: Focusing on safety
By
Neville M. Bilimoria
Feb 18, 2022
On Feb. 9, 2022, the Centers for Medicare & Medicaid Services sent a memo to state survey agency directors, asking state departments of public health to properly survey for certification requirements....
Staffing shortages forcing closures… why does the government turn a blind eye?
By
Neville M. Bilimoria
Aug 03, 2022
I would like to let you in on something: Survey enforcement against nursing homes across the country is on the rise. For the last few years, we have seen our post-acute care clients suffer a marked increase...
Does the Quality Assurance Privilege even exist after CMS’ new guidelines?
By
Alan C. Horowitz, Esq., RN
Feb 13, 2019
Anyone who has not yet read the Centers for Medicare & Medicaid Services’ recent guidelines for surveyors may be in for an unpleasant surprise.
Control your claims: Pressure ulcer/wound care management
By
Betty Norman
Apr 12, 2017
Our loss trending experience has shown us that the same issues that result in F-tags during a survey can also result in a patient event or claim.
Ring out the old, ring in the new
By
Jacqueline Vance, RNC, CDONA/LTC
Jan 03, 2023
I am having a hard time believing another year has gone by. Lord, it’s scary how fast time flies the older I get. Though to be honest, I sure want to put COVID, a zillion surveys, and negative government...
Shining some light on the new Five Star system
By
Steven Littlehale
Sep 05, 2012
The Five Star overall score is comprised of three domains: Survey, Staffing and Quality Measures. This month, look a little deeper into the overall Five Star Scores.
Evaluating legal risks in photos of nursing home residents on social media
By
H. Carol Saul and Madison M. Pool
Aug 29, 2016
Taking, posting, and sharing unauthorized images of residents via social media (e.g., Facebook, LinkedIn, Snapchat, Instagram, etc.) can constitute abuse in violation of the Federal Conditions of Participation...
How to become a champion of technology
By
Lola Rain
Aug 13, 2014
Organizations that focus on innovation shared insight on how to evaluate, implement and measure the success of technology. And to help you in your efforts, they highlighted areas to be cautious.
Fasten your seatbelts: It MIGHT be a bumpy ride
By
Steven Littlehale
Oct 13, 2023
It’s been a flurry of activity leading up to the implementation of the “new MDS.” For months our industry has been doing what we do best — rising to the occasion. Countless MDS training sessions,...